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dc.contributor.authorHsia, Renee Y.
dc.contributor.authorSarkar, Nandita
dc.contributor.authorShen, Yu-Chu
dc.date.accessioned2017-10-16T16:27:30Z
dc.date.available2017-10-16T16:27:30Z
dc.date.issued2017-06
dc.identifier.citationRenee Y. Hsia, Nandita Sarkar, Yu-Chun Shen "Impact of ambulance diversion: black patients with acute myocardial infaraction had higher mortality than whites."Health Aff June 2017 vol. 36 no. 6 1070-1077.
dc.identifier.urihttp://hdl.handle.net/10945/56078
dc.descriptionThe article of record as published may be located at http://dx.doi.org/10.1377/hlthaff.2016.0925en_US
dc.description.abstractThis study investigated whether emergency department crowding affects blacks more than their white counterparts and the mechanisms behind which this might occur. Using a nonpublic database of patients in California with acute myocardial infarction between 2001 and 2011 and hospital-level data on ambulance diversion, we found that hospitals treating a high share of black patients with acute myocardial infarction were more likely to experience diversion and that black patients fared worse compared to white patients experiencing the same level of emergency department crowding as measured by ambulance diversion. The ninety-day and one-year mortality rates among blacks exposed to high diversion levels were 2.88 and 3.09 percentage points higher, respectively, relative to whites, representing a relative increase of 19 percent and 14 percent for ninety-day and one-year death, respectively. Interventions that decrease the need for diversion in hospitals serving a high volume of blacks could reduce these disparities.en_US
dc.description.sponsorshipNational Institutes of Health and the National Heart, Lung, and Blood Instituteen_US
dc.description.sponsorshipAmerican Heart Associationen_US
dc.format.extent8 p.en_US
dc.publisherHealth Affairsen_US
dc.rightsThis publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.en_US
dc.titleImpact of ambulance diversion: black patients with acute myocardial infaraction had higher mortality than whitesen_US
dc.typeArticleen_US
dc.contributor.corporateNaval Postgraduate School (U.S.)
dc.contributor.departmentBusiness & Public Policy (GSBPP)
dc.description.funder1R01HL114822en_US
dc.description.funder13CRP14660029en_US


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