Access to and use of asthma health services among Latino children: the Rhode Island-Puerto Rico asthma center study.
Access to and use of asthma health services among Latino children: the Rhode Island-Puerto Rico asthma center study.
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DOI：
10.1177/1077558711404434
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发表时间：
2011-12
期刊：
影响因子：
--
通讯作者：
Canino G
中科院分区：
文献类型：
--
作者：
Jandasek B;Ortega AN;McQuaid EL;Koinis-Mitchell D;Fritz GK;Kopel SJ;Seifer R;Klein RB;Canino G
本研究确定了居住在罗得岛（RI）和居住在波多黎各（Island）的拉丁裔儿童的波多黎各和多米尼加裔儿童的哮喘相关医疗保健获取和利用模式。数据包括804个从诊所招募的持续性哮喘儿童家庭。岛屿儿童不太可能接受定期的哮喘护理和护理，从一个一致的供应商和更有可能已经到急诊室和住院治疗哮喘比RI儿童。岛屿儿童使用急诊室治疗哮喘的可能性是RI非拉丁裔白色（NLW）儿童的2.33倍。居住在岛上和RI的拉丁裔儿童不太可能使用专科护理，并且在过去一年中比RI NLW儿童更有可能因哮喘就诊。这些差异可能反映了不同的输送系统对儿科卫生保健利用和哮喘管理的影响。
This study determines asthma-related health care access and utilization patterns for Latino children of Puerto Rican and Dominican origin residing in Rhode Island (RI) and Latino children residing in Puerto Rico (Island). Data included 804 families of children with persistent asthma recruited from clinics. Island children were less likely to receive regular asthma care and care from a consistent provider and more likely to have been to the emergency department and hospitalized for asthma than RI children. Island children were 2.33 times more likely to have used the emergency department for asthma compared with RI non-Latino White (NLW) children. Latino children residing in both Island and RI were less likely to have used specialty care and more likely to have had a physician visit for asthma in the past year than RI NLW children. The differences might reflect the effects of the different delivery systems on pediatric health care utilization and asthma management.
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