Theories explaining racial differences in the utilization of diagnostic and therapeutic procedures for cerebrovascular disease.
Theories explaining racial differences in the utilization of diagnostic and therapeutic procedures for cerebrovascular disease.
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解释脑血管疾病诊断和治疗方法使用中种族差异的理论。
作者：
Ronnie D. Horner;Eugene Z. Oddone;D. Matchar
尽管有更高的中风风险，黑人比白人更不可能接受用于诊断和治疗脑血管疾病的侵入性手术，特别是颈动脉内膜切除术。手术使用率较低的解释包括种族偏见、脑血管疾病病理生理学的种族差异、负担能力和患者护理决策的种族差异。研究一致表明，黑人不太可能有严重的颈动脉粥样硬化病变，降低了他们成为颈动脉内膜切除术合适候选人的可能性。虽然支付能力不能解释所观察到的颈动脉内膜切除术使用的变化，但它可能会影响住院前的评估过程。脑血管疾病患者的医疗保健决策的种族差异从未被调查过，这应该是未来研究的一个主题。
Despite a higher risk of stroke, blacks are less likely than whites to receive the invasive procedures that are used to diagnose and treat cerebrovascular disease, particularly carotid endarterectomy. Explanations for the lower rate of procedural use include racial bias, racial differences in pathophysiology of cerebrovascular disease, affordability, and racial variation in patient decisions regarding care. Studies consistently indicate that blacks are less likely to have severe atherosclerotic lesions of the carotid arteries, reducing their likelihood of being appropriate candidates for carotid endarterectomy. Although ability to pay does not explain the observed variation in use of carotid endarterectomy, it may influence the evaluation process prior to hospitalization. A racial difference in patients' decisions about health care for cerebrovascular disease has never been investigated; it should be a topic of future studies.
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美国的种族和健康状况的概念。
DOI：
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发表时间：
1994
期刊：
Public health reports (Washington, D.C. : 1974)
影响因子：
--
作者：
Williams,DR;Lavizzo-Mourey,R;Warren,RC
通讯作者：
Warren,RC
因冠心病入院的黑人和白人住院患者的玫瑰问卷调查反应：伯明翰 BHS 项目的调查结果。
影响因子：
3.2
作者：
Raczynski,JM;Taylor,H;Cutter,G;Hardin,M;Rappaport,N;Oberman,A
通讯作者：
Oberman,A
影响因子：
8.3
作者：
Toole,JF;Hobson2nd,RW;Howard,VJ;Chambless,LE
通讯作者：
Chambless,LE
白人、黑人和西班牙裔脑梗塞后的一年结果。
影响因子：
8.3
作者：
Sacco,RL;Hauser,WA;Mohr,JP;Foulkes,MA
通讯作者：
Foulkes,MA