Mortality Among Very Low-birthweight Infants
A new UCLA study found that infant mortality for black or white infants born at minority-serving hospitals, defined as hospitals where 35 percent of very low‑birthweight infants are black, was significantly higher than for black or white infants born at hospitals where fewer than 15 percent of these infants are black.
These findings suggest that minority-serving hospitals provide lower quality care to very low-birthweight infants than do other hospitals. "There's a known disparity between blacks and whites in infant mortality," said Dr. Leo Morales, associate professor of general internal medicine and health services research at the David Geffen School of Medicine at UCLA, and the lead scientist. "This study points to a possible explanation for that disparity - namely that hospitals where the majority of black infants are born do not provide the same quality of care as hospitals where the majority of white infants are born." The next step is to investigate the reasons for the disparity, such as financial status, clinician and nursing staffing, and other hospital characteristics.
In addition to Morales, the other scientists are Douglas Staiger, Dartmouth College and the National Bureau of Economic Research; Jeffrey D. Horbar, University of Vermont and the Vermont Oxford Network; Joseph Carpenter, Vermont Oxford Network; Michael Kenny, University of Vermont; Jeffrey Geppert, National Bureau of Economic Research; and Jeannette Rogowski, Rand Corp.
"Mortality Among Very Low-Birthweight Infants in Hospitals Serving Minority Populations" appears in the December issue of the American Journal of Public Health.
The study was funded by a Minority Investigator Supplement from the Agency for Healthcare Research and Quality, the UCLA/Drew/Rand Excellence Center to Eliminate Ethnic/Racial Disparities, the UCLA Center for Health Improvement in Minority Elders, the UCLA/Drew Center of Excellence in Partnerships for Community Outreach, and a Robert Wood Johnson Foundation Harold Amos Fellowship Award.