The Racial Segregation of Hospital Care Revisited: Medicare Discharge Patterns and Their Implications

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dc.contributor.authorSmith, David B.
dc.date.accessioned2019-08-14T15:00:41Z
dc.date.available2019-08-14T15:00:41Z
dc.date.issued1998
dc.description.abstractObjectives. This paper measures current patterns of hospital segregation among Medicare beneficiaries. Methods. Data from the fiscal year 1993 Medicare Provider Analysis and Review (MEDPAR) file, the index of dissimilarity, and a linear regression model are used to test the effects of standard metropolitan area characteristics on hospital segregation. Results. The overall hospital segregation index was 0.529, ranging by state from 0.154 to 0.746. Hospital segregation in 126 standard metropolitan areas was positively related to population size,, hospital density, and residential segregation and negatively related to income inequities and location in the South. Conclusions. Racial segregation remains high and may produce both reporting biases and unequal effects of public policy.
dc.description.urihttps://ajph.aphapublications.org/doi/abs/10.2105/AJPH.88.3.461
dc.identifierhttps://doi.org/10.13016/4cou-dngx
dc.identifier.citationSmith, David B. (1998) The Racial Segregation of Hospital Care Revisited: Medicare Discharge Patterns and Their Implications. American Journal of Public Health, 88 (3). pp. 461-463.
dc.identifier.otherEprint ID 860
dc.identifier.urihttp://hdl.handle.net/1903/22831
dc.subjectHealth Equity
dc.subjectPolicy
dc.subjectResearch
dc.subjecthospital segregation
dc.subjectMedicare program
dc.subjectracial segregation
dc.subjectHospital care
dc.titleThe Racial Segregation of Hospital Care Revisited: Medicare Discharge Patterns and Their Implications
dc.typeArticle

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