Clinical Uncertainty and Healthcare Disparities
Clinical Uncertainty and Healthcare Disparities
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临床不确定性和医疗保健差异
DOI：
10.1017/s0098858800002811
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发表时间：
2003
影响因子：
0.6
通讯作者：
M. Gregg Bloche
中科院分区：
文献类型：
--
作者：
A. Balsa;N. Seiler;T. Mcguire;M. Gregg Bloche
医学研究所的报告《不平等待遇：面对种族和民族差异》在其第一个发现中确认：“医疗保健中存在种族和民族差异，因为它们在许多情况下与更糟糕的结果有关，是不可接受的。”造成医疗保健方面种族和族裔差异的机制在医疗保健系统和临床诊疗两级发挥作用。研究表明，医疗保健系统的因素，包括保险覆盖面和医疗保健服务的其他决定因素的差异，在产生差距的作用。然而，研究还表明，即使通过统计方法控制了保险状况和其他获取措施，种族和族裔差异仍然存在。当研究人员试图通过各种方法来控制患者的临床特征时，这些差异仍然存在。通过比较白色患者与非洲裔美国人和拉丁美洲人之间的差异，特别有据可查，但据信它们会影响其他少数群体。因此，少数种族和族裔群体的许多成员得到的照顾较少或较差。
The Institute of Medicine Report, Unequal Treatment: Confronting Racial and Ethnic Disparities, affirms in its first finding: “Racial and ethnic disparities in healthcare exist and, because they are associated with worse outcomes in many cases, are unacceptable.” The mechanisms that generate racial and ethnic disparities in medical care operate at the levels of the healthcare system and the clinical encounter. Research demonstrates the role of healthcare system factors, including differences in insurance coverage and other determinants of healthcare access, in producing disparities. Research also shows, however, that even when insurance status and other measures of access are controlled for by statistical methods, racial and ethnic disparities persist. These disparities remain when researchers try by various methods to control for patients’ clinical characteristics. Disparities are especially well documented through comparisons between white patients and African Americans and Latinos, but they are believed to affect other minority groups. As a result, many members of minority racial and ethnic groups receive less or inferior care.
少数民族社区心理健康服务：文化响应假说的检验。
影响因子：
5.9
作者：
Sue,S;Fujino,DC;Hu,LT;Takeuchi,DT;Zane,NW
通讯作者：
Zane,NW