Racial/Ethnic Differences in Those Accompanying Medicare Patients to the Doctor: Insights from the 2013 Medicare Current Beneficiary's Survey.
Racial/Ethnic Differences in Those Accompanying Medicare Patients to the Doctor: Insights from the 2013 Medicare Current Beneficiary's Survey.
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DOI：
10.1007/s10903-017-0582-8
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发表时间：
2018-08
影响因子：
1.9
通讯作者：
Taira DA
中科院分区：
文献类型：
--
作者：
Sentell TL;Shen C;Landsittel D;Mays MH;Southerland J;King MH;Taira DA
令人惊讶的是，目前关于医疗保险受益人医疗保健同伴陪伴的人口层面细节很少，特别是按种族/民族划分。对于 2013 年医疗保险当前受益人获得护理公共使用数据的调查 (N = 12,253) 中的受访者来说，多变量模型根据种族/民族预测了医生陪同情况，并对混杂因素进行了调整。卡方分析按种族/民族比较了陪同人员及其原因。总体而言，37.5%的受益人有陪伴。在多变量分析中，非西班牙裔黑人（OR 1.18；95% CI 1.03–1.36）和西班牙裔（OR 1.47；95% CI 1.25–1.74）比非西班牙裔白人更有可能有伴奏。所有三个群体中超过 35% 的人都有人“做笔记”、“提问”和/或“解释事情”，这并不因种族/民族而异；在“解释说明”、“翻译”和“道义支持”方面存在显着差异。西班牙裔在这三者中的比例最高。许多医疗保险受益人都陪同医生预约，特别是在少数种族/族裔群体中，这一点应在政策和实践中予以考虑。
Surprisingly little current, population-level detail exists regarding companion accompaniment for health care among Medicare beneficiaries, particularly by race/ethnicity. For respondents in the 2013 Medicare Current Beneficiary’s Survey Access to Care public use data (N = 12,253), multivariable models predicted accompaniment to the doctor by race/ethnicity, adjusting for confounders. Chi square analyses compared, by race/ethnicity, who was accompanying and why. Overall, 37.5% of beneficiaries had accompaniment. In multivariable analyses, non-Hispanic blacks (OR 1.18; 95% CI 1.03–1.36) and Hispanics (OR 1.47; 95% CI 1.25–1.74) were significantly more likely than non-Hispanic whites to have accompaniment. Over 35% of all three groups had someone to “take notes,” “ask questions,” and/or “explain things,” which did not vary by race/ethnicity; significant differences were seen for “explain instructions,” “translate,” and “moral support.” Hispanics had the highest percentages for all three. Many Medicare beneficiaries have accompaniment to doctors’ appointments, particularly in minority racial/ethnic groups, which should be considered in policy and practice.
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影响因子：
2.9
作者：
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通讯作者：
Wodchis WP
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