Paved with good intentions: Do public health and human service providers contribute to racial/ethnic disparities in health?
Paved with good intentions: Do public health and human service providers contribute to racial/ethnic disparities in health?
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DOI：
10.2105/ajph.93.2.248
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发表时间：
2003-02-01
影响因子：
12.7
通讯作者：
Fu, SS
中科院分区：
文献类型：
--
作者：
van Ryn, M;Fu, SS
有大量证据表明，在接受保健方面存在种族/族裔差异。供应商行为对这种差异的潜在贡献在很大程度上仍未得到探索。卫生和公共服务提供者的行为是否导致了护理和结果方面的系统性不平等？如果是这样，为什么会发生这种情况？作者以现有证据为基础，为研究提供者对种族/民族差异的贡献提供了一种综合、连贯和合理的方法。他们回顾了关于提供者对结果差异的贡献的证据，并描述了一个因果模型，该模型代表了一套综合的假设机制，通过这些机制，医疗保健提供者的行为可能会导致这些差异。
There is extensive evidence of racial/ethnic disparities in receipt of health care. The potential contribution of provider behavior to such disparities has remained largely unexplored. Do health and human service providers behave in ways that contribute to systematic inequities in care and outcomes? If so, why does this occur?The authors build on existing evidence to provide an integrated, coherent, and sound approach to research on providers' contributions to racial/ethnic disparities. They review the evidence regarding provider contributions to disparities in outcomes and describe a causal model representing an integrated set of hypothesized mechanisms through which health care providers' behaviors may contribute to these disparities.