Background: Racial inequities for patients with heart failure (HF) have been widely documented. HF patients who receive cardiology care during a hospital admission have better outcomes. It is unknown whether there are differences in admission to a cardiology or general medicine service by race. This study examined the relationship between race and admission service, and its effect on 30-day readmission and mortality Methods: We performed a retrospective cohort study from September 2008 to November 2017 at a single large urban academic referral center of all patients self-referred to the emergency department and admitted to either the cardiology or general medicine service with a principal diagnosis of HF, who self-identified as white, black, or Latinx. We used multivariable generalized estimating equation models to assess the relationship between race and admission to the cardiology service. We used Cox regression to assess the association between race, admission service, and 30-day readmission and mortality. Results: Among 1967 unique patients (66.7% white, 23.6% black, and 9.7% Latinx), black and Latinx patients had lower rates of admission to the cardiology service than white patients (adjusted rate ratio, 0.91; 95% CI, 0.84–0.98, for black; adjusted rate ratio, 0.83; 95% CI, 0.72–0.97 for Latinx). Female sex and age >75 years were also independently associated with lower rates of admission to the cardiology service. Admission to the cardiology service was independently associated with decreased readmission within 30 days, independent of race. Conclusions: Black and Latinx patients were less likely to be admitted to cardiology for HF care. This inequity may, in part, drive racial inequities in HF outcomes.
This document offers guidance for developing privacy considerations for inclusion in protocol specifications. It aims to make designers, implementers, and users of Internet protocols aware of privacyrelated design choices. It suggests that whether any individual RFC warrants a specific privacy considerations section will depend on the document's content. Status of This Memo This document is not an Internet Standards Track specification; it is published for informational purposes. This document is a product of the Internet Architecture Board (IAB) and represents information that the IAB has deemed valuable to provide for permanent record. It represents the consensus of the Internet Architecture Board (IAB). Documents approved for publication by the IAB are not a candidate for any level of Internet Standard; see Section 2 of RFC 5741. Information about the current status of this document, any errata, and how to provide feedback on it may be obtained at http://www.rfc-editor.org/info/rfc6973. Cooper, et al.
As popular search engines face the sometimes conflicting interests of protecting privacy while retaining query logs for a variety of uses, numerous technical measures have been suggested to both enhance privacy and preserve at least a portion of the utility of query logs. This article seeks to assess seven of these techniques against three sets of criteria: (1) how well the technique protects privacy, (2) how well the technique preserves the utility of the query logs, and (3) how well the technique might be implemented as a user control. A user control is defined as a mechanism that allows individual Internet users to choose to have the technique applied to their own query logs.
Location-based services (such as navigation applications, emergency services, and management of equipment in the field) need geographic location information about Internet hosts, their users, and other related entities. These applications need to securely gather and transfer location information for location services, and at the same time protect the privacy of the individuals involved. This document describes an architecture for privacy-preserving location-based services in the Internet, focusing on authorization, security, and privacy requirements for the data formats and protocols used by these services.
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