Working Paper: NBER ID: w31626
Authors: Renee Y. Hsia; Yuchu Shen
Abstract: 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
Keywords: PCI facility openings; acute myocardial infarction; racial disparities; community segregation; health outcomes
JEL Codes: I11; I14
Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.
| Cause | Effect |
|---|---|
| PCI facility openings (R53) | AMI patient outcomes (I12) |
| PCI facility openings (R53) | same-day PCI treatment for black patients in integrated communities (I11) |
| PCI facility openings (R53) | PCI during hospitalization for black patients in integrated communities (I13) |
| PCI facility openings (R53) | 30-day mortality for black patients in integrated communities (I14) |
| PCI facility openings (R53) | 1-year mortality post-PCI opening for black patients in integrated communities (I14) |