Chaudhary, Muhammad Ali, de Jager, Elzerie, Bhulani, Nizar, Kwon, Nicollette K., Haider, Adil H., Goralnick, Eric, Koehlmoos, Tracey Pérez, and Schoenfeld, Andrew J. (2019) No Racial Disparities In Surgical Care Quality Observed After Coronary Artery Bypass Grafting In TRICARE Patients. Health Affairs, 38 (8). pp. 1307-1312.

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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 risk-adjusted 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.

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