Minority Health Archive

Racial/Ethnic Variations in Physician Recommendations for Cardiac Revascularization

Ibrahim, Said A. and Whittle, Jeff and Bean-Mayberry, Bevanne and Kelley, Mary E. and Good, Chester and Conigliaro, Joseph (2003) Racial/Ethnic Variations in Physician Recommendations for Cardiac Revascularization. American Journal of Public Health, 93 (10). pp. 1689-1693. ISSN 0090-0036

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Objectives. We sought to examine whether physician recommendations for cardiac revascularization vary according to patient race. Methods. We studied patients scheduled for coronary angiography at 2 hospitals, one public and one private, between November 1997 and June 1999. Cardiologists were interviewed regarding their recommendations for cardiac resvacularization. Results. African American patients were less likely than Whites to be recommended for revascularization at the public hospital (adjusted odds ratio [OR]=0.31; 95% confidence interval [CI]=0.12, 0.77) but not at the private hospital (adjusted OR=1.69; 95% CI=0.69, 4.14). Conclusions. Physician recommendations for cardiac revascularization vary by patient race. Further studies are needed to examine physician bias as a factor in racial disparities in cardiac care and outcomes.

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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: physician recommendations; cardiac revascularization; patient race; African American patients; physician bias; racial disparities
Subjects: Health > Disparities
Health > Public Health > Chronic Illness & Diseases > Cardiovascular Disease
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Depositing User: Users 141 not found.
Date Deposited: 21 Apr 2008
Last Modified: 28 Jun 2011 10:40
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/991

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