住院老年男性和女性的护理质量的差异
M L Pearson1, K L Kahn, E R Harrison
1Health Program of RAND, Santa Monica, CA 90407-2138.
JAMA
|October 14, 1992
概括
老年男性和女性在主要条件下获得类似的医院护理质量. 虽然在入院时存在小的性别差异,但整体的住院体验显示出更多的相似之处,而不是差异,缓解了对性别偏见的担忧.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年医学 老年医学
- 健康 公平 卫生 公平
背景情况:
- 医院护理的质量可能因患者的性别而异.
- 了解主要医疗条件的护理中的性别差异对于公平的医疗保健提供至关重要.
研究的目的:
- 调查患有充血性心力衰竭,急性心肌梗塞,肺炎和脑血管事故的老年患者在医院护理质量的显著性别差异.
主要方法:
- 观察性研究分析了来自五个州65岁以上的11,242名医疗保险患者的数据.
- 利用了入院病率,流程,利用率和结果的双变量和多变量比较.
- 从1981年至1986年期间从297家医院收集的数据.
主要成果:
- 住院生病的性别差异因疾病而异;女性的护理过程略有差.
- 总的来说,在男性和女性患者之间的护理过程和结果中观察到许多相似之处.
- 护理质量的轻微变化似乎不是由性别偏见驱动的.
结论:
- 在考虑到入院时的疾病和其他因素之后,老年男性和女性通常经历了类似的医院护理质量.
- 虽然没有完全消除,但在住院期间临床决策中对性别偏见的担忧在很大程度上得到了缓解.
- 这项研究强调了老年男性和老年女性在主要医疗条件下获得的护理的整体平等性.
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