Specialty Care Use in US Patients with Chronic Diseases

Specialty Care Use in US Patients with Chronic Diseases
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DOI:
10.3390/ijerph7030975
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发表时间:
2010-03-01
影响因子:
--
通讯作者:
Glover, Saundra H.
Glover, Saundra H.
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Bellinger, Jessica D.;Hassan, Rahnuma M.;Glover, Saundra H.

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尽管努力消除健康差距,种族,民族和地理群体在美国的健康结果仍然落后于他们的同行。本研究的目的是确定慢性病状态的专科护理利用的变化。数据来自英联邦基金2006年卫生保健质量调查(n = 2475)。采用分层少数样本设计,以确保样本具有代表性。Logistic回归分析用于预测样本中的专科护理利用率。健康状况不佳、少数民族地位和缺乏保险与专科护理使用和慢性病诊断减少有关。
Despite efforts to eliminate health disparities, racial, ethnic, and geographic groups continue lag behind their counterparts in health outcomes in the United States. The purpose of this study is to determine variation in specialty care utilization by chronic disease status. Data were extracted from the Commonwealth Fund 2006 Health Care Quality Survey (n = 2475). A stratified minority sample design was employed to ensure a representative sample. Logistic regression was used in analyses to predict specialty care utilization in the sample. Poor perceived health, minority status, and lack of insurance was associated with reduced specialty care use and chronic disease diagnosis.