TABLE 3.
Within-Clinician Diagnosis Rate of Common Pediatric Conditions, by Patient Race
| Diagnosis a | OR, Black versus Nonblack (95% CI) b | P Value | Standardized Probability, % (95% CI) c | |
|---|---|---|---|---|
| Black | Nonblack | |||
| AOM | 0.79 (0.75–0.82) | <.001 | 8.7 (8.2–9.2) | 10.7 (10.3–11.2) |
| Sinusitis | 0.79 (0.73–0.86) | <.001 | 3.6 (3.1–4.0) | 4.4 (4.1–4.8) |
| GAS pharyngitis | 0.60 (0.55–0.66) | <.001 | 2.3 (2.1–2.5) | 3.7 (3.5–3.8) |
| Pneumonia | 1.0 (0.89–1.1) | .808 | 1.3 (1.1–1.4) | 1.3 (1.1–1.4) |
| UTI | 1.0 (0.93–1.1) | .725 | 1.7 (1.7–1.8) | 1.7 (1.6–1.8) |
AOM, acute otitis media; GAS, group A streptococcal; UTI, urinary tract infection.
a
Excluding preventive encounters and encounters by children with complex chronic conditions.
b
ORs were adjusted and probabilities of diagnosis were standardized for age, sex, age-sex interaction, and Medicaid.
c
For example, standardized probabilities predict that 11.7% of black children presenting for an acute visit would be diagnosed with AOM versus 14.5% of nonblack children presenting to the same clinician.