Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor
To the Editor: In reviewing the study by Dr Jencks and colleagues1 on state-level variations in quality of care for Medicare beneficiaries, we were struck initially by the low relative rankings of states in the Southeast. Further review revealed that many non-southern states with significant minority populations also performed relatively poorly. We are concerned that Jencks et al did not specifically address this issue. This is especially troubling given that an extensive research literature documents pervasive and persistent disparities in the care delivered to racial and ethnic minorities,2 including Medicare recipients.3
Etchason J, Armour B, Ofili E, et al. Racial and Ethnic Disparities in Health Care. JAMA. 2001;285(7):883. doi:10.1001/jama.285.7.879
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