Upstream Factors Associated With Hospitalization in Black- and Minority-Serving Hospitals - Takeaways - MDSpire

Upstream Factors Associated With Hospitalization in Black- and Minority-Serving Hospitals

  • By

  • Louisa W. Holaday

  • Alina Kung

  • Yingtong Chen

  • Karen McKendrick

  • Bian Liu

  • Albert Siu

  • July 17, 2026

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  • 1

    Structural factors, including neighborhood disadvantage and residential segregation, contribute to racial disparities in health outcomes.

  • 2

    Half of hospitalizations among Black Medicare beneficiaries occurred in only 12% of hospitals, indicating racial separation of care.

  • 3

    Hospitals serving Black patients have lower revenue, profit, and access to specialty care, leading to worse patient outcomes.

  • 4

    The study analyzed Medicare data to explore associations between neighborhood deprivation and hospitalization in Black-serving hospitals.

  • 5

    Neighborhood deprivation and healthcare market segregation are linked to hospitalization in Black-serving hospitals, with effects differing by race.

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