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Member Research & Reports

Member Research & Reports

BU: Black and Poor New Yorkers Largely Shut Out of Major Academic Hospitals

Few Black New Yorkers receive care in New York City’s elite private academic medical centers (AMCs), in contrast to the situation in Boston, according to a new study co-authored by Boston University School of Public Health (BUSPH) researchers.

The study, published in the International Journal of Health Services, also found that uninsured and Medicaid patients are markedly underrepresented at New York’s major academic hospitals. Patients in Boston’s hospitals are much less segregated by race or health insurance status, the study says.

The study analyzed official data on all adults discharged from hospitals in New York City (NYC) in 2009 and 2014, and in Boston in 2009. It found that in NYC in 2014, Blacks accounted for only 18 percent of AMC patients, but nearly one-third of patients in the city’s other hospitals. Similarly, only 22 percent of New York City’s AMC patients had Medicaid, and only 1 percent were uninsured, versus corresponding figures of 42 percent and 4 percent at the city’s non-AMC hospitals.

“Academic medical centers play a unique role,” the authors said. “They provide specialized expertise across a range of clinical services. Many AMCs are ranked among the top hospitals in the country, and patients treated at AMCs are more likely than other patients to receive treatments using the latest technologies and care adhering to current clinical guidelines.”

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