Because US health care has focused on quality, an often-overlooked dimension is equity. Lidor et al examine the effect of race and insurance status on surgical management of diverticulitis. Using data from the Nationwide Inpatient Sample, they found that black race was associated with complicated presentation and mortality but not colostomy rates. Insurance status was a stronger predictor of surgical outcomes, as underinsurance was associated with complicated presentation, higher colostomy rates, and higher mortality.
Rogers SO. Effect of Race and Insurance Status on Presentation, Treatment, and Mortality in Patients Undergoing Surgery for Diverticulitis—Invited Critique. Arch Surg. 2008;143(12):1165. doi:10.1001/archsurg.143.12.1165