Who Are the Undiagnosed? Disparities in Hypertension Diagnoses in Vulnerable Populations
Who Are the Undiagnosed? Disparities in Hypertension Diagnoses in Vulnerable Populations
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DOI：
10.1097/fch.0000000000000242
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发表时间：
2020-01-01
影响因子：
2.3
通讯作者：
Jackson, Chanaye
中科院分区：
文献类型：
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作者：
Meador, Margaret;Lewis, Joy H.;Jackson, Chanaye
这项研究建立在一个项目的基础上，该项目制定了临床标准，通过检查患者特征来了解高血压诊断是否存在差异，从而识别“隐藏在视线中”的未确诊高血压患者（HIPS）。我们检查了密苏里州 3 个卫生中心根据 HIPS 标准和亚组确定的患者的电子健康记录人口统计数据。确定返回进行随访并随后被诊断患有高血压的患者往往年龄较大、黑人/非裔美国人、没有保险且被归类为肥胖。年轻、白人、体重健康的女性被诊断的可能性较小。这些发现有助于探索高血压诊断中可能存在的偏差/其他非临床因素。
This study builds upon a project that developed clinical criteria to identify undiagnosed hypertension patients "hiding in plain sight" (HIPS) by examining patient characteristics to understand whether there are disparities in hypertension diagnosis. We examined electronic health record demographic data for patients identified by the HIPS criteria and subgroups at 3 Missouri health centers. Identified patients who returned for a follow-up visit and were subsequently diagnosed with hypertension tended to be older, black/African American, uninsured, and classified as having obesity. Younger, white, healthy weight females were less likely to be diagnosed. These findings point to exploring possible biases/other nonclinical factors in hypertension diagnosis.