Racial disparity in healthcare utilization among patients with Irritable Bowel Syndrome: results from a multicenter cohort
Racial disparity in healthcare utilization among patients with Irritable Bowel Syndrome: results from a multicenter cohort
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DOI：
10.1111/nmo.14039
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发表时间：
2020-12-01
影响因子：
3.5
通讯作者：
Staller, Kyle
中科院分区：
文献类型：
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作者：
Silvernale, Casey;Kuo, Braden;Staller, Kyle
医疗保健方面的种族差异被定义为种族群体所获得的医疗保健服务的差异，而不是由于需求或偏好的差异。由于肠易激综合征（IBS）与社会因素高度相关，医疗保健差异是IBS社会文化模型的重要因素。我们使用医疗保健利用作为透镜来检查肠易激综合征中潜在的种族差异。方法回顾性匹配3823名自称为“西班牙裔”、“黑人”或“亚洲人”的IBS少数族裔患者与白人IBS对照，并检查2003年至2017年每个队列中接受胃肠病学咨询、胃肠病学治疗和IBS相关初级保健就诊的患者数量。少数族裔IBS患者接受胃肠病学咨询的可能性低于白人IBS对照组。黑人和亚裔IBS患者比白人IBS对照组更有可能进行IBS相关的初级保健访问。与白人IBS对照组相比，所有3个少数民族IBS队列接受了更多的胃肠病学治疗。结论与推论：少数族裔IBS患者比白人IBS患者更容易接受胃肠病学治疗。需要进一步的研究来确定少数IBS患者手术可能性的增加是否代表少数患者与其提供者之间的沟通差距或患者偏好。
Background Racial disparity in healthcare is defined as differences in healthcare services received by racial groups not due to difference in needs or preferences. As irritable bowel syndrome (IBS) is highly correlated with social factors, healthcare disparities are important factors in the sociocultural model of IBS. We used healthcare utilization as a lens to examine potential racial disparities in IBS.Methods We retrospectively matched 3823 IBS minority patients who self-identified as "Hispanic," "Black," or "Asian" to white IBS controls and examined the number of patients with gastroenterology consults, gastroenterology procedures, and IBS-related Primary Care visits within each cohort from 2003 to 2017.Key results Minority IBS patients were less likely to receive a gastroenterology consult than white IBS controls. Both Black and Asian IBS patients were more likely to have an IBS-related Primary Care visit than white IBS controls. All 3 minority IBS cohorts received significantly more gastroenterology procedures compared to white IBS controls.Conclusions & inferences Minority IBS patients are more likely to receive gastroenterology procedures than white IBS patients. Further studies are needed to determine whether increased procedure likelihood in minority IBS patients represents a communication gap between minority patients and their providers or patient preference.