Relationship Between Health Care Team Segregation and Receipt of Care by a Cardiologist According to Patient Race in a Midwestern State Article Swipe
Janina Quintero Bisonó
,
Shannon M. Knapp
,
Dalancee Trabue
,
Ryan Yee
,
Francesca Williamson
,
Adedoyin Johnson
,
Stephen Watty
,
Natalie Pool
,
Megan Hebdon
,
Wanda Moore
,
Ekow N. Yankah
,
Nneamaka Ezema
,
Nia Kimbrough
,
Karen Lightbourne
,
Brownsyne Tucker Edmonds
,
Quinn Capers
,
David R. Brown
,
Denee Johnson
,
Jalynn Evans
,
Brandi Foree
,
Anastasia Holman
,
Courtland Blount
,
Brahmajee K. Nallamothu
,
John M. Hollingsworth
,
Khadijah Breathett
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1161/jaha.124.037197
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1161/jaha.124.037197
Background Segregation index (SI) has been associated with worsened health. However, the relationship between SI within health care teams (degree of heterogeneity between teams caring for Black compared with White patients) and cardiovascular care is unclear among adequately insured populations. We sought to assess the relationship between health care team SI, patient race, receipt of care by a cardiologist, 1‐year survival, and 30‐day readmission rates for Black compared with White patients admitted with heart failure, ischemic heart disease, or valvular heart disease. Methods Using Optum's de‐identified Clinformatics Data Mart Database (CDM) from 2009 to 2020, generalized linear mixed‐effects were used to analyze effects of patient race and SI on receipt of care by a cardiologist, and care by a cardiologist on 1‐year survival and 30‐day readmission. Results Among 6572 patients (17.1% Black), the odds of receiving care by a cardiologist were 31.3% less for Black than White patients (adjusted odds ratio 0.687 [95% CI, 0.545–0.872]; P =0.001). However, there was no statistically significant association of SI on receipt of care by a cardiologist ( P =0.14). For those seen by a cardiologist, the adjusted odds ratio (Black‐to‐White) of 1‐year survival increased with increasing SI ( P =0.02). SI had no statistically significant effect on 30‐day readmission ( P =0.86). Conclusions Among patients hospitalized for heart failure, ischemic heart disease, or valvular heart disease, segregation of health care teams was not associated with receipt of care by cardiologists in Indiana hospitals. When cardiologists were included, the odds of 1‐year survival increased for Black versus White patients with increasing segregation of clinicians, and segregation was not associated with 30‐day readmission.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1161/jaha.124.037197
- OA Status
- gold
- Cited By
- 1
- References
- 24
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4407583351
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4407583351Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1161/jaha.124.037197Digital Object Identifier
- Title
-
Relationship Between Health Care Team Segregation and Receipt of Care by a Cardiologist According to Patient Race in a Midwestern StateWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-02-14Full publication date if available
- Authors
-
Janina Quintero Bisonó, Shannon M. Knapp, Dalancee Trabue, Ryan Yee, Francesca Williamson, Adedoyin Johnson, Stephen Watty, Natalie Pool, Megan Hebdon, Wanda Moore, Ekow N. Yankah, Nneamaka Ezema, Nia Kimbrough, Karen Lightbourne, Brownsyne Tucker Edmonds, Quinn Capers, David R. Brown, Denee Johnson, Jalynn Evans, Brandi Foree, Anastasia Holman, Courtland Blount, Brahmajee K. Nallamothu, John M. Hollingsworth, Khadijah BreathettList of authors in order
- Landing page
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https://doi.org/10.1161/jaha.124.037197Publisher landing page
- Open access
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YesWhether a free full text is available
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-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1161/jaha.124.037197Direct OA link when available
- Concepts
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Medicine, Receipt, Odds ratio, Heart failure, Odds, Internal medicine, Health care, Cardiology, Heart disease, Disease, Logistic regression, Confidence interval, Emergency medicine, Economics, Computer science, Economic growth, World Wide WebTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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24Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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