Analysis of the Cardiac Access Study

心脏通路研究分析

• 批准号: 6666972
• 负责人: Thomas Alexis LaVeist
• 金额: $ 18.16万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2005-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6666972
• 关键词: African American; angiography; behavioral /social science research tag; cardiovascular disorder; cardiovascular surgery; caucasian American; health care service utilization; health services research tag; health surveys; human data; racial /ethnic difference

DESCRIPTION: Previous research has documented substantial race differences in receipt of coronary angiography between Black and White cardiac patients. Differences have been found in bivariate as well as multivariate analyses which control for a variety of factors including clinical characteristics of the patient such as disease severity, income, insurance status, age, sex and type of hospital visited. Yet, in spite of this large literature the reasons for this difference have not yet been determined. The primary reason for this knowledge gap is that previously analyzed data sources to address this question have been inadequate. The present study seeks support to examine a unique data source designed to address the issue of race disparities in access and utilization of coronary angiography. The Cardiac Access Study database is an NHLBI-FUNDED study with comprehensive data on nearly 2,000 cardiac patients who were determined to be appropriate candidates for the coronary angiography. The database includes data from medical records, patient interviews and physician interviews. This project has three specific aims: 1. To determine the patient and provider characteristics, exclusive of symptomatology, that predict race differences in referral for coronary angiography; 2. To determine the barriers that result in race differences in receipt of cardiovascular surgical procedures among patients who have been referred; To determine the factors that predict delay in receipt of cardiovascular surgical procedures among patients who have been referred.

描述：之前的研究已经记录了显着的种族差异 接受黑人和白人心脏病患者的冠状动脉造影。 在双变量和多变量分析中发现了差异 它控制了多种因素，包括临床特征 患者，例如疾病严重程度、收入、保险状况、年龄、性别和 访问过的医院类型。然而，尽管有如此大量的文献，但原因 对于这种差异尚未确定。造成这种情况的主要原因 知识差距是以前分析的数据源来解决这个问题 问题已经不充分。本研究寻求支持来检验 旨在解决访问方面的种族差异问题的独特数据源 和冠状动脉造影的应用。心脏通路研究数据库是 一项 NHLBI 资助的研究，包含近 2,000 名心脏病患者的综合数据 被确定为冠状动脉造影的合适候选人。 该数据库包括来自医疗记录、患者访谈和 医生访谈。该项目有三个具体目标： 1. 确定患者和提供者的特征，不包括 症状学，预测冠状动脉转诊的种族差异 血管造影； 2. 确定导致种族差异的障碍 已转诊患者的心血管外科手术； 确定预测心血管疾病接收延迟的因素 已转诊患者的外科手术。