Do PCI Facility Openings Differentially Affect AMI Patients by Individual Race and Community Segregation?
Percutaneous coronary intervention facility openings may have differential effects on treatment and health outcomes for Black versus White patients in residentially segregated versus integrated communities. This study looked at changes in patient treatment and health outcomes (same-day PCI, PCI during hospitalization, 30-day mortality, and 1-year mortality) after the opening of a PCI facility within a 15-minute drive of a community. Findings show that Black patients in integrated communities experienced the greatest benefits after a PCI opening for every outcome examined. Healthcare stakeholders may be able to use this data to prioritize PCI openings in communities that will derive the greatest benefits
We would like to thank Nandita Sarkar for analytical support and Maddie Feldmeier for her editorial assistance. This project was supported by the Pilot Project Award from the NBER Center for Aging and Health Research, funded by the National Institute on Aging Grant (P30AG012810); the National Institute on Minority Health and Health Disparities (R01MD017482); and the National Heart, Lung, and Blood Institute (R01HL114822 and R01HL134182). The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; or decision to submit the manuscript for publication. The views expressed herein are those of the authors and do not necessarily reflect the views of the National Bureau of Economic Research.
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