We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Letters |

Race, Site of Care, and Hospital Readmission Rates

Beril Cakir, MD
JAMA. 2011;305(19):1965-1966. doi:10.1001/jama.2011.640.
Text Size: A A A
Published online


To the Editor: The study by Dr Joynt and colleagues using national Medicare data demonstrated that black patients were more likely than white patients to be readmitted within 30 days after hospitalization.1 Recently, Allaudeen et al2 published a retrospective observational study in an urban tertiary hospital also identifying black race as a high risk factor for readmission. Although the patient populations were different, the former being elderly Medicare patients from multiple medical centers and the latter being patients with a wide range of ages from a single medical center, the result is important for ongoing readmission prevention interventions. Unfortunately, neither of the studies had any information regarding the literacy level and socioeconomic status (SES) of the patients. The study by Joynt et al showed that a higher proportion of black patients were Medicaid eligible, suggesting low income in this population. Rather than black race alone, multiple factors such as living conditions, low income, low health literacy, and availability of primary care physicians may be causes of high readmission rates. Further studies are needed to examine the association between SES and readmission rates in black patients.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




May 18, 2011
Karen E. Joynt, MD, MPH; E. John Orav, PhD; Ashish K. Jha, MD, MPH
JAMA. 2011;305(19):1965-1966. doi:10.1001/jama.2011.641.
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

2 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.