No racial disparities in surgical care quality observed after coronary artery bypass grafting In TRICARE patients

Muhammad Ali Chaudhary*, Elzerie De Jager, Nizar Bhulani, Nicollette K. Kwon, Adil H. Haider, Eric Goralnick, Tracey Pérez Koehlmoos, Andrew J. Schoenfeld

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

Abstract

In the US, racial disparities in outcomes following coronary artery bypass grafting (CABG) are well documented. TRICARE insurance data represent a large population with universal insurance that allows for the robust assessment of the impact of such insurance on disparities in health care. This study examined racial differences in specific aspects of surgical care quality following CABG, using metrics endorsed by the National Quality Forum that included the prescription of beta-blockers and statins at discharge and thirty-day readmissions. There were no riskadjusted differences in outcomes between African American and white patients insured through TRICARE. Our study provides a window into the potential impacts of universal insurance and an equal-access health care system on racial disparities in surgical care quality following CABG.

Original languageEnglish
Pages (from-to)1307-1312
Number of pages6
JournalHealth Affairs
Volume38
Issue number8
DOIs
StatePublished - 2019
Externally publishedYes

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