Racial and ethnic disparities in the quality of asthma care
Racial and ethnic disparities in the quality of asthma care
复制标题
DOI：
10.1378/chest.07-1910
复制
发表时间：
2007-11-01
期刊：
影响因子：
9.6
通讯作者：
Shannon, Jay
中科院分区：
文献类型：
--
作者：
Cabana, Michael D.;Lara, Marielena;Shannon, Jay
在美国，哮喘护理质量方面的种族和民族差异已经有了很好的记录。有多种因素与哮喘护理方面的差异有关，包括结构障碍(例如，获得保健系统的能力)、护理过程障碍(例如，驾驭卫生保健系统的能力)和人际层面的护理过程障碍(例如，与卫生保健提供者有效合作的能力)，以实现公平、高质量的哮喘护理。本文总结了这些问题，并确定了未来需要调查的具体领域。在卫生系统一级，需要进一步开展工作，以了解医疗保健筹资安排如何可能或可能不会造成哮喘护理方面的种族和族裔差异，以及具体的组织举措如何能够解决这些问题。患者/提供者一级的研究需要包括确定向保健提供者传播有关文化能力问题的内容和方法。
Racial and ethnic disparities in the quality of asthma care have been well documented in the United States. There are multiple factors associated with such disparities in asthma care, including structural barriers (eg, ability to access the health-care system), process-of-care barriers (eg, ability to navigate the health-care system), and process-of-care barriers at the interpersonal level (eg, ability to work effectively with a health-care provider) for equitable, quality asthma care. This article summarizes these issues and identifies specific areas for future investigation. At a health-systems level, further work is needed to understand how medical care financing arrangements may or may not be contributing to racial and ethnic disparities in asthma care, as well as how specific organizational initiatives can address these issues. Research needs at the patient/provider level include defining the content and methods for disseminating issues regarding cultural competency to health-care providers.