Disparities in health care are driven by where minority patients seek care
Disparities in health care are driven by where minority patients seek care
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DOI：
10.1001/archinte.167.12.1233
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发表时间：
2007-06-25
影响因子：
--
通讯作者：
Weissman, Joel S.
中科院分区：
文献类型：
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作者：
Hasnain-Wynia, Romana;Baker, David W.;Weissman, Joel S.
背景资料：种族/民族的差异在医疗保健是有据可查的，但不知道是否差异发生在医院内或医院之间的具体住院治疗过程。我们评估了种族/民族的差距，使用医院质量联盟住院病人质量的护理Indicators.Methods：我们进行了一项观察性研究，使用患者水平的数据，急性心肌梗死（5护理措施），充血性心力衰竭（2措施），社区获得性肺炎（2措施），和患者咨询（4措施）。数据来自2002年第三季度至2005年第一季度向大学健康系统联盟报告的123家医院。结果：少数民族和非少数民族患者在13项质量指标中的8项上的护理质量存在一致的未校正差异（急性心肌梗死和充血性心力衰竭的血管紧张素转换酶抑制剂的差异为4.63和4.55个百分点[P
Background: Racial/ethnic disparities in health care are well documented, but less is known about whether disparities occur within or between hospitals for specific inpatient processes of care. We assessed racial/ethnic disparities using the Hospital Quality Alliance Inpatient Quality of Care Indicators.Methods: We performed an observational study using patient-level data for acute myocardial infarction (5 care measures), congestive heart failure (2 measures), community-acquired pneumonia (2 measures), and patient counseling (4 measures). Data were obtained from 123 hospitals reporting to the University HealthSystem Consortium from the third quarter of 2002 to the first quarter of 2005. A total of 320 970 patients 18 years or older were eligible for at least 1 of the 13 measures.Results: There were consistent unadjusted differences between minority and nonminority patients in the quality of care across 8 of 13 quality measures (from 4.63 and 4.55 percentage points for angiotensin-converting enzyme inhibitors for acute myocardial infarction and congestive heart failure [P