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Tonya
"Cyniquian" Level Poster
Username: Tonya
Post Number: 5797
Registered: 07-2006
Rating: N/A
Votes: 0 (Vote!) | | Posted on Thursday, June 14, 2007 - 03:14 am: | 
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Large nationwide study shows racial disparities in medical care persist
WASHINGTON (Reuters) -- Blacks were far less likely than whites to get specialized procedures after a heart attack and were more likely to die within a year, according to a study showing persistent racial disparities in U.S. medical care.
The study, published Tuesday in the Journal of the American Medical Association, tracked 1.2 million Medicare patients at least 68 years old treated for a heart attack between January 2000 and June 2005 at 4,627 U.S. hospitals.
It found large differences in the way heart attacks are treated in black patients compared with white patients.
Black people were about 30 percent less likely to get procedures to open blood vessels such as angioplasty or open-heart surgery after a heart attack regardless of whether the hospital they checked into provided full invasive cardiac services, the study found.
Black people were 22 percent less likely to be transferred from a hospital that did not do such procedures to one that did, it found. And when they were, black people were 23 percent less likely to get these operations than white people, the researchers said.
In the first month after a heart attack, black people were 9 percent less likely to die than white people, the researchers said, perhaps because whites were more likely to undergo specialized procedures that sometimes can be fatal.
But in the period from a month to a year after the heart attack, blacks were up to 26 percent more likely to die than whites, the study found.
"I wished we knew what's going on," lead researcher Dr. Ioana Popescu of the University of Iowa Carver College of Medicine and the VA Medical Center in Iowa City said in a telephone interview.
The study was not designed to find the reasons for the disparities. Popescu said racial discrimination could not be ruled out, but other factors may be at play including patient preferences for certain types of procedures and possible overuse of certain aggressive procedures in white patients.
Previous studies also have found differences in the way black and white U.S. patients are treated. This one is a large, nationwide study revealing that racial disparities apparently persist.
"Unfortunately we couldn't find significant progress," Popescu said.
"The most surprising finding was that even when they (black patients) were transferred from a hospital not providing specialized services to a hospital providing these services, they still were significantly less likely to receive these procedures," Popescu said.
"It is amazing because you would think that somebody with a heart attack being transferred, the main reason for that transfer is for receiving a procedure," Popescu added.
Medicare is the U.S. government health insurance program for the elderly and disabled.
Copyright 2007 Reuters. All rights reserved.This material may not be published, broadcast, rewritten, or redistributed.
http://www.cnn.com/2007/HEALTH/conditions/06/12/heart.blacks.reut/ |
Libralind2
Veteran Poster
Username: Libralind2
Post Number: 853
Registered: 09-2004
Rating: N/A
Votes: 0 (Vote!) | | Posted on Tuesday, June 19, 2007 - 11:20 am: |
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A sister wrote a book on this
Dying while Black, Vernellia Randall, JD
LiLi |
Yvettep
AALBC .com Platinum Poster
Username: Yvettep
Post Number: 2098
Registered: 01-2005
Rating: N/A
Votes: 0 (Vote!) | | Posted on Tuesday, June 19, 2007 - 12:54 pm: |
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Thanks for reminding me of this one, LiLi--I'll have to add it to my list. Another excellent read is "Medical Apartheid: The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present" by Harriett Washington. |
Yvettep
AALBC .com Platinum Poster
Username: Yvettep
Post Number: 2099
Registered: 01-2005
Rating: N/A
Votes: 0 (Vote!) | | Posted on Tuesday, June 19, 2007 - 12:56 pm: |
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Tonya, re: "The study was not designed to find the reasons for the disparities"...Um, yeah, so what a surprise that it did not find them! But fortunately there are many research funding initiatives at the NIH (among other places) designed to specifically address these issues. Hopefully we will begin getting some answers to this question soon. |
Mzuri
"Cyniquian" Level Poster
Username: Mzuri
Post Number: 4999
Registered: 01-2006
Rating: 
Votes: 1 (Vote!) | | Posted on Tuesday, June 19, 2007 - 02:15 pm: |
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Here's the answer: Healthcare professionals don't care about Black people  |
Tonya
"Cyniquian" Level Poster
Username: Tonya
Post Number: 5890
Registered: 07-2006
Rating: N/A
Votes: 0 (Vote!) | | Posted on Wednesday, June 20, 2007 - 07:17 pm: |
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Yvette, "Medical Apartheid" is in my Amazon cart, right where "Dying while Black" will soon be, thanks y'all.
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Libralind2
Veteran Poster
Username: Libralind2
Post Number: 860
Registered: 09-2004
Rating: N/A
Votes: 0 (Vote!) | | Posted on Thursday, June 21, 2007 - 12:31 pm: |
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Your welcome. I will also read Medical Apartheid..
LiLi |
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