在医疗补助资助的幼儿中,阿片类药物分配的种族/民族模式
Laksika B Sivaraj1,2, Khoa Truong1, William T Basco3
1Department of Public Health Sciences, Clemson University, Clemson, SC 29634, USA.
儿童阿片类药物处方对于呼吸道和损伤条件存在种族差异. 白人儿童获得了更多的呼吸道阿片类药物处方,而西班牙裔儿童则获得了更多的伤害阿片类药物处方,随着时间的推移,差异越来越大.
科学领域:
- 儿科药理学 儿科药理学
- 健康差异研究 研究健康差异研究
- 公共卫生政策 公共卫生政策
背景情况:
- 儿童的阿片类药物处方模式需要检查,特别是在种族和种族差异方面.
- 了解这些差异对于公平的医疗保健服务至关重要.
研究的目的:
- 调查3岁及以下儿童的呼吸系统 (RESP) 和损伤 (INJURY) 诊断的门诊阿片类药物处方的种族/种族差异.
- 分析三个不同的三年期内这些发行率的趋势.
主要方法:
- 分析南卡罗来纳州医疗补助机构对3岁及以下儿童的门诊病患索赔数据.
- 计算每1000次RESP和INJURY诊断的阿片类药物处方的三年率,按种族/民族群体分层.
主要成果:
- 在所有种族/民族群体中,RESP条件的阿片类药物开放率下降. 白人儿童的发病率始终高于黑人和西班牙裔儿童.
- 对伤害状况的阿片类药物开放率也总体下降. 西班牙裔儿童的分发率最高,其次是白人儿童. 随着时间的推移,INJURY处方的差异越来越大,与白人和黑人儿童相比,西班牙裔儿童越来越多地获得了更多的处方.
结论:
- 儿童类阿片类药物处方在呼吸系统和受伤相关门诊诊所的处方中仍然存在显著的种族/民族差异.
- 这些差异,特别是损伤迹象,在研究期间扩大了,突出了干预的关键领域,以确保公平的护理.
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