Integrating research on racial and ethnic disparities in health care over place and time.
Integrating research on racial and ethnic disparities in health care over place and time.
复制标题
整合有关不同地点和时间的医疗保健中的种族和民族差异的研究。
DOI：
10.1097/01.mlr.0000159975.43573.8d
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发表时间：
2005
期刊：
影响因子：
3
通讯作者：
Ayanian,JohnZ
中科院分区：
文献类型：
--
作者：
Zaslavsky,AlanM;Ayanian,JohnZ
与美国其他种族和民族相比，美国黑人的心血管死亡率要高得多，而且在过去15年里，他们在这一重要结果上的改善比美国白人少得多。1、2心血管治疗中导致这种死亡率差距的种族差异已被广泛记录在案。3-5然而，大量的缺陷限制了先前对卫生保健中种族和民族差异的研究在指导政策和改善临床实践和结果方面的有用性。即使是全国性的研究，也很少评估地区、地方卫生市场或医院之间的差异可能在多大程度上调解所观察到的医疗保健种族差异。横断面研究提供的关于随时间变化的信息很少。此外，许多研究只关注黑人和白人患者，对其他主要种族和民族的治疗和结果了解很少，包括拉丁裔、亚裔美国人、太平洋岛民和美国印第安人。
Black Americans have substantially higher rates of cardiovascular mortality than other racial and ethnic groups in the United States, and they have experienced much less improvement in this important outcome than white Americans over the past 15 years. 1, 2 Racial disparities in cardiovascular treatment contributing to this mortality gap have been extensively documented. 3–5Numerous deficiencies, however, limit the usefulness of prior studies of racial and ethnic disparities in health care to guide policy and improve clinical practice and outcomes. Even studies with national scope have rarely assessed the extent to which variations among regions, local health markets, or hospitals might mediate observed racial disparities in care. Cross-sectional studies provide little information on changes over time. Furthermore, many studies have focused solely on black and white patients, providing little understanding of treatments and outcomes for other major racial and ethnic groups, including Latinos, Asian Americans, Pacific Islanders, and American Indians.