Disparities in asthma hospitalization in Massachusetts
Disparities in asthma hospitalization in Massachusetts
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DOI：
10.2105/ajph.2004.050203
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发表时间：
2006-02-01
影响因子：
12.7
通讯作者：
Brandt, S
中科院分区：
文献类型：
--
作者：
Ash, M;Brandt, S
目的。我们研究了马萨诸塞州哮喘发病率的种族差异。
方法。我们使用1994年至2002年马萨诸塞州的病例组合数据来筛选和追踪个体哮喘发病率和住院情况，由此得到了1997年至2000年间首次因哮喘住院的10145名患者的样本。我们对这些患者在首次住院后的两年进行了追踪。由于哮喘被广泛认为是一种可预防的住院原因，我们将哮喘再次入院视为哮喘管理失败的一个标志。
结果。我们发现再次入院率存在显著的种族/民族差异，在控制了合并症、支付者类型和收入后这种差异仍然存在。我们估计哮喘重复住院的费用超过了所有哮喘住院费用的四分之一。
结论。哮喘再次入院率的种族/民族差异表明马萨诸塞州在哮喘治疗方面并非处于前沿。
Objectives. We examined racial disparities in asthma morbidity in Massachusetts.Methods. We used Massachusetts case-mix data from 1994 to 2002 to screen and track individual asthma morbidity and hospitalizations, which resulted in a sample of 10 145 patients who were first hospitalized for asthma between 1997 and 2000. We followed these patients for 2 years after their first hospitalization. Because asthma is widely considered a preventable cause of hospitalization, we interpreted a readmission for asthma as an indication of failed asthma management.Results. We found substantial racial/ethnic disparities in readmission rates that persisted after control for comorbidities, payer type, and income. We estimated that the costs of repeat hospitalizations for asthma are in excess of one quarter of all asthma hospitalization costs.Conclusion. Racial/ethnic disparities in asthma readmission rates show that Massachusetts is not on the frontier of asthma treatment.