医院分配与医疗保健中的种族差异

Hospital Allocation and Racial Disparities in Health Care

Review of Economics and Statistics · 2022
被引 12
人大 AFT50ABS 4

中文导读

研究医院分配对黑人和白人心脏病患者医疗差异的影响,发现医院绩效改善而非患者重新分配是缩小差异的主因,且与采用β受体阻滞剂相关。

Abstract

Abstract We develop a framework to measure the role of hospital allocation in racial disparities in health care and use it to study Black and white heart attack patients. Black patients receive care at lower-performing hospitals than white patients. However, over two decades, the performance gap between hospitals treating Black and white patients shrank by over two-thirds. This progress is due to more rapid performance improvement at hospitals that tended to treat Black patients rather than reallocation of patients. Hospital improvement is correlated with adoption of a productivity-raising input, beta blockers. Our work highlights reallocation and performance improvement as future disparity-reduction levers.

医院分配种族差异医疗质量β受体阻滞剂