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COMMENTS & OPINIONS
Can It All Be So Simple?
Maziar Shirazi, BA;
Rodney G. Hood, MD
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The study by Hasnain-Wynia et al1(p1233) asks "are racial disparities the result of who you are or where you seek care?" Research on racial and ethnic disparities in health care suggests that the effects of patient race and hospital setting, among other factors, can both be significant and are not mutually exclusive.2 Thus, in our opinion, this proposed dichotomy warrants skepticism, as do several aspects of the study itself.
First, the study does not give race- or ethnicity-specific data but rather aggregates several populations together as one "minority" category opposite whites, ignoring variation between groups. It has been documented that from access to outcomes, there are significant differences between white, Asian, Latino, black, and other patients.3 The results of the study likely could be different depending on the racial and ethnic mix of the populations measured; however, the reductive "minority" classification obscures this . . . [Full Text of this Article]
AUTHOR INFORMATION
RELATED LETTER
Can It All Be So Simple?—Reply
Romana Hasnain-Wynia, David W. Baker, David Nerenz, Joseph M. Feinglass, Anne C. Beal, Mary Beth Landrum, Raj Behal, and Joel S. Weissman
Arch Intern Med. 2008;168(3):328-329.
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RELATED ARTICLES
Disparities in Health Care Are Driven by Where Minority Patients Seek Care: Examination of the Hospital Quality Alliance Measures
Romana Hasnain-Wynia, David W. Baker, David Nerenz, Joe Feinglass, Anne C. Beal, Mary Beth Landrum, Raj Behal, and Joel S. Weissman
Arch Intern Med. 2007;167(12):1233-1239.
ABSTRACT
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Racial Disparities in the Quality of Care for Enrollees in Medicare Managed Care
Eric C. Schneider, Alan M. Zaslavsky, and Arnold M. Epstein
JAMA. 2002;287(10):1288-1294.
ABSTRACT
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