The Quality of XXXX Care in Minority-Serving and Racially Integrated Hospitals.

@entity1 @entity601 @entity55
OBJECTIVE: To explore the association between quality of care for surgical and @entity55 @entity1 and the racial/ethnic composition of hospitals' @entity1 . DATA SOURCE: Our primary data were surgical and @entity55 processes of care indicators from the 2012 Medicare Hospital Compare Data. We merged this data with information from the 2011 American Hospital Association Annual Survey of Hospitals. We computed the racial and ethnic composition of hospital @entity1 using 2008 data from the Healthcare Costs and Utilization Project. STUDY DESIGN: The sample included 1,198 acute care general hospitals from 11 states: AZ, CA, FL, IA, MA, @entity601 , NC, NJ, NY, WA, and WI. We compared quality across minority-serving, racially integrated, and majority-white hospitals using unconditional quantile regression models controlling for hospital and market characteristics. PRINCIPAL FINDINGS: We found quality differences between the lowest performing minority-serving, racially integrated, and majority-white hospitals. As we moved from 10th to 90th quantile, the quality differences between hospitals by @entity1 ' racial composition disappeared. In other words, the best minority-serving and racially integrated hospitals performed as well as the best majority hospitals. CONCLUSIONS: Efforts to improve quality of care for @entity1 in minority-serving and racially integrated hospitals should focus on the lowest performers.
