Racial and Ethnic Disparities in Blood Pressure and Glycemic Control in the US Community Health Center Patient Population.
Racial and Ethnic Disparities in Blood Pressure and Glycemic Control in the US Community Health Center Patient Population.
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DOI：
10.1177/21501319241226766
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发表时间：
2024-01
影响因子：
3.6
通讯作者：
Curtis, David S.
中科院分区：
文献类型：
--
作者：
Alosi, Brittany;Curtis, David S.
关键词：
描述美国社区卫生中心（CHC）患者人群中不同种族/民族的血压和血糖控制情况，以及中心特征、资源水平更高和护理质量更好是否与心脏代谢疾病控制率较高相关。数据来自统一数据系统，代表2019年各个医疗中心的汇总患者临床数据。通过健康中心患者人群加权进行描述性分析，以产生种族特异性的全国血压和血糖控制率，并使用线性回归来测试心脏代谢控制率是否因中心特征而异。67.2%的非西班牙裔白色患者、66.9%的西班牙裔患者和56.7%的非西班牙裔黑人患者的高血压得到控制。70.7%的非西班牙裔白色患者、65.7%的西班牙裔患者和66.1%的非西班牙裔黑人患者的糖尿病得到控制。在采用以患者为中心的医疗之家（PCMH）护理模式的健康中心，血压控制率在各种族/族裔群体中比非PCMH中心高2.54至3.99个百分点，而血糖控制率为1.08至2.27 pp。更高的PCMH认证功能。其他中心特征的结果未显示出跨种族组或结局的一致模式。本研究记录了CHC项目大规模扩展后CHC患者人群中的种族和民族健康差异。相对于未获得该认证的中心，获得PCMH认证的CHC改善了不同种族/民族的高血压和糖尿病患者的临床结局。
To describe blood pressure and glycemic control by racial/ethnic group in the US Community Health Center (CHC) patient population, and whether center characteristics, proxying for higher resource levels and better quality of care, were associated with greater rates of controlled cardiometabolic conditions. Data came from the Uniform Data System, representing aggregate patient clinical data for individual health centers in 2019. Descriptive analyses were conducted weighting by health center patient populations to produce race-specific national rates of blood pressure and glycemic control, and linear regression is used to test whether cardiometabolic control rates varied by center characteristics. Hypertension was controlled for 67.2% of non-Hispanic White, 66.9% of Hispanic, and 56.7% of non-Hispanic Black patients. Diabetes was controlled for 70.7% of non-Hispanic White, 65.7% of Hispanic, and 66.1% of non-Hispanic Black patients. The rate of blood pressure control was 2.54 to 3.99 percentage points higher across racial/ethnic groups in health centers that adopted a patient-centered medical home (PCMH) model of care relative to non-PCMH centers, while glycemic control was 1.08 to 2.27 pp. higher as a function of PCMH certification. Results for other center characteristics did not show consistent patterns across racial groups or outcomes. This study documented racial and ethnic health disparities in the CHC patient population after major expansion of the CHC program. CHCs with PCMH certification have improved clinical outcomes among patients with hypertension and diabetes across racial/ethnic groups relative to centers without this certification.
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影响因子：
120.7
作者：
Cheng, Yiling J.;Kanaya, Alka M.;Imperatore, Giuseppina
通讯作者：
Imperatore, Giuseppina
影响因子：
3
作者：
Hu, Ruwei;Shi, Leiyu;Lee, De-Chih
通讯作者：
Lee, De-Chih
影响因子：
5.6
作者：
Bell, Caryn N.;Thorpe, Roland J., Jr.;LaVeist, Thomas A.
通讯作者：
LaVeist, Thomas A.
影响因子：
5.5
作者：
Carson AP;Long DL;Cherrington AL;Dutton GR;Howard VJ;Brown TM;Howard G;Safford MM;Cushman M
通讯作者：
Cushman M
DOI：
10.1016/j.ssmph.2021.100733
发表时间：
2021-03
期刊：
SSM - population health
影响因子：
--
作者：
Forrester SN;Zmora R;Schreiner PJ;Jacobs DR Jr;Roger VL;Thorpe RJ Jr;Kiefe CI
通讯作者：
Kiefe CI