Can America's urban safety net systems be a solution to unequal treatment?
Can America's urban safety net systems be a solution to unequal treatment?
复制标题
DOI：
10.1007/s11524-008-9296-5
复制
发表时间：
2008-09-01
影响因子：
6.6
通讯作者：
Gabow, Patricia A.
中科院分区：
文献类型：
--
作者：
Eisert, Sheri L.;Mehler, Philip S.;Gabow, Patricia A.
在实现全面优质保健方面，消除种族和少数民族护理方面的差距仍然是一项挑战。解决不平等问题的一种办法是利用城市安全网系统来解决预防和慢性护理方面的差距。一项分析是在丹佛健康中心进行的，这是一个城市安全网，每年为15万名患者提供服务，其中78%是少数族裔，50%没有保险。卫生署在1999年7月至2001年12月期间，在十间与卫生署有联系的社区健康中心，随机抽取4,795名成年病人的病历进行覆检。使用Logistic回归分析确定不同种族/民族在癌症筛查、血压控制和糖尿病管理方面的差异。没有发现护理方面的差异，在大多数情况下，护理质量达到或超过了现有的基准，这使我们得出结论，致力于照顾少数群体的城市综合安全网系统中的治疗可能是缩小差异的一种方法。
Eliminating disparities in care for racial and ethnic minorities remains a challenge in achieving overall quality health care. One approach to resolving issues of inequity involves utilizing an urban safety-net system to address preventive and chronic care disparities. An analysis was undertaken at Denver Health (DH), an urban safety net which serves 150,000 patients annually, of which 78% are minorities and 50% uninsured. Medical charts for 4,795 randomly selected adult patients at ten DH-associated community health centers were reviewed between July 1999 and December 2001. Logistic regression was used to identify differences between racial/ethnic groups in cancer screening, blood pressure control, and diabetes management. No disparities in care were found, and in most instances, the quality of care met or exceeded available benchmarks, leading us to conclude that treatment in urban integrated safety net systems committed to caring for minority populations may represent one approach to reducing disparity.