Analysis of the Cardiac Access Study

描述：以前的研究已经记录了大量的种族差异， 接受黑人和白色心脏病患者之间的冠状动脉造影。 在双变量和多变量分析中发现了差异 其控制多种因素，包括 患者，如疾病严重程度，收入，保险状况，年龄，性别和 访问的医院类型。然而，尽管有大量的文献， 这种差异尚未确定。其主要原因 知识差距是以前分析的数据源，以解决这一问题 问题是不充分的。本研究报告寻求支持， 独特的数据来源，旨在解决获得服务方面的种族差异问题 和冠状动脉造影的应用。心脏通路研究数据库是 一项由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术的合适候选人。 该数据库包括来自医疗记录、患者访谈和 医生面试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 心脏病学，可以预测冠心病转诊的种族差异 血管造影术; 2.确定导致种族差异的障碍， 转诊患者的心血管外科手术; 为了确定预测心血管治疗延迟的因素， 外科手术的病人谁被转介。

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.