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Volume 354:2617-2619 June 15, 2006 Number 24
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Who Is at Greatest Risk for Receiving Poor-Quality Health Care?

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by Asch, S. M.
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To the Editor: The finding by Asch and colleagues (March 16 issue)1 that the quality of recommended care received by patients who are members of minority groups is higher than that received by whites conflicts markedly with the weight of the evidence,2,3 which consistently finds poorer quality of care for many minority groups after adjustment for all major confounding variables.

Before generalizing from the study by Asch et al., it is therefore important to examine the study's limitations. There was potential selection bias in the sample, which included only 37 percent of those initially eligible for participation in the study. . . . [Full Text of this Article]



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