An Examination of Racial Disparities in Inpatient Consultations

South Med J. 2020 Apr;113(4):176-182. doi: 10.14423/SMJ.0000000000001084.

Abstract

Objective: To determine whether racial disparities occurred among specialty and allied health inpatient consultations for patients admitted to adult hospital services at an academic hospital.

Methods: A retrospective data analysis of the first 2000 patients, ages 18 years or older, admitted to an academic hospital.

Results: No regression model demonstrated any statistically significant relation between race and type of inpatient consultation received. No statistically significant difference in the number of inpatient consultations was found.

Conclusions: Processes within the healthcare setting studied did not contribute to racial differences in consultation services. Our findings suggest that implicit racial bias may not be a factor when ordering consultations, but the findings are more likely affected by more appropriate factors such as the patient's age, length of stay, and complexity/severity of illness score.

MeSH terms

  • Female
  • Geographic Mapping
  • Health Status Disparities*
  • Humans
  • Inpatients / statistics & numerical data*
  • Male
  • Middle Aged
  • Racial Groups / statistics & numerical data
  • Referral and Consultation / statistics & numerical data*
  • Retrospective Studies