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Insights in the Economics of Aging$
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David A. Wise

Print publication date: 2017

Print ISBN-13: 9780226426679

Published to Chicago Scholarship Online: September 2017

DOI: 10.7208/chicago/9780226426709.001.0001

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PRINTED FROM CHICAGO SCHOLARSHIP ONLINE (www.chicago.universitypressscholarship.com). (c) Copyright University of Chicago Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in CHSO for personal use.date: 20 September 2021

Are Black-White Mortality Rates Converging?

Are Black-White Mortality Rates Converging?

Acute Myocardial Infarction in the United States, 1993–2010

Chapter:
(p.205) 6 Are Black-White Mortality Rates Converging?
Source:
Insights in the Economics of Aging
Author(s):

Amitabh Chandra

Tyler Hoppenfeld

Jonathan Skinner

David R. Weir

Publisher:
University of Chicago Press
DOI:10.7208/chicago/9780226426709.003.0007

Racial and socioeconomic disparities are pervasive in U.S. health care. Recent research on trends in disparities has often shown a reduction in the magnitude of disparities in treatments. In this paper, we consider trends in racial disparities with a focus on health outcomes for acute myocardial infarction (AMI) in the elderly population. We find an overall decline in mortality between 1999 and 2010, but it was not associated with a reduction either in mortality differentials within hospitals, nor did we observe a significant reduction in mortality disparities associated with black AMI patients being admitted to hospitals with disproportionately high risk-adjusted mortality rates for whites. While there was some hint of a reduction in racial disparities between the middle (1999–2005) and late (2006–10) period, the improvement is very modest, and additional years of data would be necessary to discern whether there was a real long-term improvement.

Keywords:   racial disparities, health outcomes, acute myocardial infarction, mortality trends, Medicare

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