The Effect of Market Reform on Racial Differences in Hospital Mortality

Abstract

Journal of General Internal MedicineVolume 21, Issue 11 p. A‐10-A‐10 Free Access The Effect of Market Reform on Racial Differences in Hospital Mortality First published: 02 October 2006 https://doi.org/10.1111/j.1525-1497.2006.00484_1.x Address correspondence and requests for reprints to Dr. Volpp: CHERP, Philadelphia Veterans Affairs Medical Center, 9th Floor, University and Woodland Avenues, Philadelphia, PA 19104. AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract In this study, we examined whether a reform passed in New Jersey that reduced subsidies for uninsured hospital care and changed hospital payment from rate regulation to price competition worsened racial differences in mortality outcomes for 7 conditions. The relative increase in mortality among blacks in New Jersey was significantly larger than among whites for acute myocardial infarction (2.4% points vs. 0.1% points, P-value for difference .026) but not for the other 6 conditions. We conclude that market-based reform may contribute to racial disparities in mortality but we do not find consistent evidence that this is the case. Volume21, Issue11November 2006Pages A‐10-A‐10 RelatedInformation