Aggregating and partitioning populations in health care disparities research: Differences in perspective
Aggregating and partitioning populations in health care disparities research: Differences in perspective
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DOI：
10.1200/jco.2006.09.3336
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发表时间：
2007-05-20
影响因子：
45.3
通讯作者：
Armstrong, Katrina
中科院分区：
文献类型：
--
作者：
Asch, David A.;Armstrong, Katrina
健康和医疗保健在个人和人群中分布不均，识别这些差异是纠正这些差异的第一步。我们揭示了概念和统计挑战如何使得差异的识别变得困难。之所以出现这些困难，是因为造成差异的社会、生物和环境原因相互交织，导致统计上的混杂。出现这些困难的另一个原因是，可以分析相同的数据，从患者的角度或从卫生系统或司法管辖区等组织的角度来检查护理，而这些替代观点可能会产生矛盾的结果。结果是，除非分析和政策视角明确，否则医疗保健差异可能难以解释。
Health and health care are distributed unevenly across individuals and populations, and identifying these disparities is the first step toward remedying them. We reveal how conceptual and statistical challenges make even the identification of disparities difficult. These difficulties arise because the social, biologic, and environmental causes of disparities are intertwined, leading to statistical confounding. These difficulties arise also because the same data can be analyzed to examine care from the perspective of the patient, or from the perspective of organizations such as health systems or jurisdictions, and these alternative perspectives can yield contradictory results. The result is that health care disparities can be challenging to interpret unless the analytic and policy perspective is clear.