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Can America’s Urban Safety Net Systems be a Solution to Unequal Treatment?

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Abstract

Eliminating disparities in care for racial and ethnic minorities remains a challenge in achieving overall quality health care. One approach to resolving issues of inequity involves utilizing an urban safety-net system to address preventive and chronic care disparities. An analysis was undertaken at Denver Health (DH), an urban safety net which serves 150,000 patients annually, of which 78% are minorities and 50% uninsured. Medical charts for 4,795 randomly selected adult patients at ten DH-associated community health centers were reviewed between July 1999 and December 2001. Logistic regression was used to identify differences between racial/ethnic groups in cancer screening, blood pressure control, and diabetes management. No disparities in care were found, and in most instances, the quality of care met or exceeded available benchmarks, leading us to conclude that treatment in urban integrated safety net systems committed to caring for minority populations may represent one approach to reducing disparity.

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Acknowledgment

This project was funded in part by The Agency for Healthcare Research and Quality Integrated Delivery System Research Network (IDSRN) Contract Number 290-00-0014, Task Order no. 4.

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Authors and Affiliations

  1. Denver Health and Hospital Authority, Denver, CO, USA

    Sheri L. Eisert, Philip S. Mehler & Patricia A. Gabow

  2. University of Colorado Denver Health Sciences Center, Denver, CO, USA

    Sheri L. Eisert

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  1. Sheri L. Eisert
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  2. Philip S. Mehler
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  3. Patricia A. Gabow
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Correspondence to Sheri L. Eisert.

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Eisert, S.L., Mehler, P.S. & Gabow, P.A. Can America’s Urban Safety Net Systems be a Solution to Unequal Treatment?. J Urban Health 85, 766–778 (2008). https://doi.org/10.1007/s11524-008-9296-5

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  • DOI: https://doi.org/10.1007/s11524-008-9296-5

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