入院高齢者男性と女性の医療の質の違い
M L Pearson1, K L Kahn, E R Harrison
1Health Program of RAND, Santa Monica, CA 90407-2138.
JAMA
|October 14, 1992
まとめ
高齢の男性と女性は,主要な条件のために,同様の病院のケアを受けています. 入院時の病気における少量の性差は存在するが,総合的な入院経験は違いよりも類似性が多く,性バイアスに関する懸念を緩和している.
科学分野:
- 医療サービス 研究 医療サービス
- ゲリアトリック・メディシン (老年医学)
- 健康の平等,健康の平等について
背景:
- 病院での医療の質は,患者の性別によって異なります.
- 主要な疾患のケアにおけるジェンダーの違いを理解することは,公平な医療提供に不可欠です.
研究 の 目的:
- kongestive heart failure,急性心筋梗塞,肺炎, cerebrovascular accident を患っている高齢者の病院での医療の質における重要なジェンダーによる格差を調査する.
主な方法:
- 5つの州で65歳以上の11,242人のメディケア患者のデータを分析した観察研究.
- 入院病率,プロセス,利用,および結果の測定値の二変数および多変数比較を使用しました.
- 1981年から1986年の間に297の病院から収集されたデータです.
主要な成果:
- 入院病の性別差は,疾患によって異なっており,女性は少し悪化した介護過程を示した.
- 全体として,男性と女性の患者の治療過程と治療結果において,多くの類似点が見られた.
- 介護の質のわずかな変動は,性バイアスによって引き起こされるようには見えなかった.
結論:
- 高齢の男性と女性は,入院時の病気やその他の要因を考慮した後,一般的に同様の病院のケア品質を経験しました.
- 完全に排除されていないが,入院中の臨床意思決定における性バイアスに関する懸念は,大部分緩和されている.
- この研究は,高齢の男性と女性が主要な健康状態で受ける介護の全体的な平等性を強調しています.
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