| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w30380 |
| 来源ID | Working Paper 30380 |
| Capacity Strain and Racial Disparities in Hospital Mortality | |
| Manasvini Singh; Atheendar Venkataramani | |
| 发表日期 | 2022-08-22 |
| 出版年 | 2022 |
| 语种 | 英语 |
| 摘要 | A growing literature has documented racial disparities in health care. We argue that racial disparities may be magnified when hospitals operate at capacity, when behavioral and structural conditions associated with poor patient outcomes – e.g., limited provider cognitive bandwidth or reliance on biased care algorithms – are aggravated. Using detailed, time-stamped electronic health record data from two large hospitals, we document that in-hospital mortality increased more for Black patients than for White patients when hospitals approached capacity. We estimate that 8.5% of Black patient deaths were capacity-driven and thus avoidable. We then investigate the extent to which differential care inputs explain our findings. While strain exacerbated wait times similarly for Black and White patients, Black patients both waited the longest at high strain and faced greater mortality consequences from prolonged wait times. Finally, the largest racial disparities in mortality were among women and uninsured patients, highlighting biases in provider behavior and hospital processes as key mechanisms driving our results. |
| 主题 | Health, Education, and Welfare ; Health ; Labor Economics ; Demography and Aging |
| URL | https://www.nber.org/papers/w30380 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/588051 |
| 推荐引用方式 GB/T 7714 | Manasvini Singh,Atheendar Venkataramani. Capacity Strain and Racial Disparities in Hospital Mortality. 2022. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w30380.pdf（857KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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