Asthma/COPD Disparities in Diagnosis and Basic Care Utilization Among Low-Income Primary Care Patients.
Asthma/COPD Disparities in Diagnosis and Basic Care Utilization Among Low-Income Primary Care Patients.
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DOI：
10.1007/s10903-018-0798-2
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发表时间：
2019-06
影响因子：
1.9
通讯作者：
Marino M
中科院分区：
文献类型：
--
作者：
Heintzman J;Kaufmann J;Ezekiel-Herrera D;Bailey SR;Cornell A;Ukhanova M;Marino M
在美国，拉丁裔和非西班牙裔白人之间的阻塞性肺病结局不同。关于这些疾病过程中的诊断率和初级保健就诊频率的客观数据很少。我们使用电子健康记录数据对2009-2013年间在俄勒冈州社区卫生中心就诊的34，849名低收入患者进行回顾性队列分析，以评估拉丁裔和非西班牙裔白色患者之间诊断和就诊率的联合种族/民族和保险差异。阻塞性肺疾病的总体患病率为18%。拉美裔阻塞性肺疾病诊断的几率较低（OR=0.37，95%CI =0.30-0.44）。在2009年之前确诊的人中，2009-2013年期间，未投保者（无论种族/族裔）的就诊率低于投保者。本研究确定了拉丁裔和非西班牙裔白人之间阻塞性肺病诊断的种族/民族差异，证实了调查研究中观察到的趋势，但控制了重要的混杂因素。健康保险与基本护理利用率相关，表明缺乏健康保险可能会降低拉丁美洲和非西班牙裔白色患者的阻塞性肺疾病护理质量。
Obstructive pulmonary disease outcomes in the United States differ between Latinos and non-Hispanic whites. There is little objective data about diagnosis prevalence and primary care visit frequency in these disease processes. We used electronic health record data to perform a retrospective cohort analysis of 34,849 low-income patients seen at Oregon community health centers between 2009–2013 to assess joint racial/ethnic and insurance disparities in diagnosis and visit rates between Latino and non-Hispanic white patients. The overall study prevalence of obstructive lung disease was 18%. Latinos had lower odds of obstructive lung disease diagnosis (OR=0.37, 95% CI=0.30–0.44). Among those diagnosed prior to 2009, the uninsured (regardless of race/ethnicity) had lower visit rates during 2009–2013 than the insured. This study identified racial/ethnic disparities in the diagnosis of obstructive pulmonary disease between Latinos and non-Hispanic Whites, confirming trends observed in survey research but controlling for important confounders. Health insurance was associated with basic care utilization, suggesting that lack of health insurance could lessen the quality of care for obstructive pulmonary disease in Latino and non-Hispanic white patients.
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影响因子：
8
作者：
Akinbami LJ;Simon AE;Rossen LM
通讯作者：
Rossen LM
影响因子：
1.4
作者：
Heintzman, John;Bailey, Steffani R.;Marino, Miguel
通讯作者：
Marino, Miguel
影响因子：
2.2
作者：
Foster, Alison;Jordan, Kelvin;Croft, Peter
通讯作者：
Croft, Peter
影响因子：
3.9
作者：
Heintzman, John;Bailey, Steffani R.;Marino, Miguel
通讯作者：
Marino, Miguel
影响因子：
1.9
作者：
Oraka, Emeka;Iqbal, Shahed;Garbe, Paul
通讯作者：
Garbe, Paul