在西班牙裔人口小组中,关于医疗保健使用的种族一致性
Alyson Ma1, Jason Campbell1, Alison Sanchez2
1Knauss School of Business, Department of Economics, University of San Diego, 5998 Alcalá Park, San Diego, CA, 92110, USA.
Journal of racial and ethnic health disparities
|July 21, 2023
概括
患者提供者种族和种族一致性增加了西班牙裔子组的医疗保健使用. 然而,这种关联在不同的西班牙裔人口中存在很大差异,这凸显了针对性健康促进策略的需要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 卫生社会学 卫生社会学
背景情况:
- 患者-提供者种族和民族一致性是医疗保健获取和利用的关键因素.
- 了解不同西班牙裔子群体中的这些动态对于公平的医疗保健服务至关重要.
研究的目的:
- 调查不同西班牙裔族裔子群患者提供者种族和种族一致性和医疗保健利用之间的关联.
- 在不同西班牙裔人口中识别这种关联的变化.
主要方法:
- 利用多变量探针模型与医学支出小组调查 (2007-2017) 的数据.
- 分析了关于预防护理,新出现的健康问题和持续存在的健康问题访问的数据.
- 包括社会人口结构因素,健康特征,提供者沟通和位置特征.
主要成果:
- 西班牙裔患者提供者一致性与寻求预防性,新和持续护理的更高概率正相关.
- 这种关联的强度在西班牙裔子组之间有所不同,在墨西哥人中最低,在古巴人中最高.
- 当考虑与西班牙裔患者类别和外国出生的身份的相互作用时,结果仍然很强大.
结论:
- 在西班牙裔子组中,医疗保健利用的种族差异存在.
- 患者-提供者一致性显著影响医疗保健使用,但这种影响因特定的西班牙裔起源而异.
- 分类西班牙裔类别对于有效的社区健康促进和解决子组特定健康结果差异至关重要.
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