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ARTICLE |

Race, Class, and the Quality of Medical Care FREE

John Z. Ayanian, MD, MPP
[+] Author Affiliations

Address correspondence to Department of Health Care Policy, Harvard Medical School, 25 Shattuck St, Parcel B, First Floor, Boston, MA 02115 (Dr Ayanian).


JAMA. 1994;271(15):1207-1208. doi:10.1001/jama.1994.03510390077035
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Race and class are important social factors that influence health in the United States.1 Two articles in this issue of THE JOURNAL address the relation of these factors to the quality and outcomes of medical care in two federal programs—

REFERENCES

Navarro V.  Race or class versus race and class: mortality differentials in the United States. Lancet . 1990;;336:1238-1240.
Kahn KL, Pearson ML, Harrison ER, et al.  Health care for black and poor hospitalized Medicare patients. JAMA . 1994;;271;1169-1174.
Peterson ED, Wright SM, Daley J, Thibault GE.  Racial variation in cardiac procedure use and survival following acute myocardial infarction in the Department of Veterans Affairs. JAMA . 1994;;271:1175-1180.
Kahn KL, Draper D, Keeler EB, et al. The Effects of DRG-Based Prospective Payment on Quality of Care for Hospitalized Medicare Patients: Final Report . Santa Monica, Calif: RAND; 1992;.
The Commonwealth Fund Task Force on Academic Health Centers. Prescription for Change . New York, NY: The Commonwealth Fund; 1985;.
Epstein AM, Stern RS, Weissman JS.  Do the poor cost more? a multihospital study of patients' socioeconomic status and the use of hospital resources. N Engl J Med . 1990;;322:1122-1128.
US Congress. Medicare's Disproportionate Share Adjustment for Hospitals . Washington, DC: Congressional Budget Office; 1990;.
Iglehart JK.  The American health care system: teaching hospitals. N Engl J Med . 1993;;329:1052-1056.
Miles SH.  What are we teaching about indigent patients? JAMA . 1992;;268:2561-2562.
Rouleau JL, Moye LA, Pfeffer MA, et al.  A comparison of management patterns after acute myocardial infarction in Canada and the United States. N Engl J Med . 1993;;328:779-784.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Navarro V.  Race or class versus race and class: mortality differentials in the United States. Lancet . 1990;;336:1238-1240.
Kahn KL, Pearson ML, Harrison ER, et al.  Health care for black and poor hospitalized Medicare patients. JAMA . 1994;;271;1169-1174.
Peterson ED, Wright SM, Daley J, Thibault GE.  Racial variation in cardiac procedure use and survival following acute myocardial infarction in the Department of Veterans Affairs. JAMA . 1994;;271:1175-1180.
Kahn KL, Draper D, Keeler EB, et al. The Effects of DRG-Based Prospective Payment on Quality of Care for Hospitalized Medicare Patients: Final Report . Santa Monica, Calif: RAND; 1992;.
The Commonwealth Fund Task Force on Academic Health Centers. Prescription for Change . New York, NY: The Commonwealth Fund; 1985;.
Epstein AM, Stern RS, Weissman JS.  Do the poor cost more? a multihospital study of patients' socioeconomic status and the use of hospital resources. N Engl J Med . 1990;;322:1122-1128.
US Congress. Medicare's Disproportionate Share Adjustment for Hospitals . Washington, DC: Congressional Budget Office; 1990;.
Iglehart JK.  The American health care system: teaching hospitals. N Engl J Med . 1993;;329:1052-1056.
Miles SH.  What are we teaching about indigent patients? JAMA . 1992;;268:2561-2562.
Rouleau JL, Moye LA, Pfeffer MA, et al.  A comparison of management patterns after acute myocardial infarction in Canada and the United States. N Engl J Med . 1993;;328:779-784.
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