在一个异质的医疗保健系统中,查性乳房扫描中的种族差异是连续性的
Anisha P Ganguly1,2, Kelsey K Baker3, Mary W Redman3
1Center for Innovation and Value, Parkland Health and Hospital System, Dallas, Texas, USA.
黑人女性面临更低的乳房扫描完成率,导致乳腺癌差异. 干预措施应侧重于增加提供者转诊和减少预定乳房造影的障碍.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 在健康方面存在差异.
背景情况:
- 乳房扫描查对于早期发现乳腺癌至关重要.
- 黑人和白人女性之间存在乳房扫描完成的差异.
- 在查连续过程中研究不足的差异点有助于结果差距.
研究的目的:
- 为了比较黑人和白人女性之间的乳房镜转诊率和完成率.
- 根据种族来识别查乳房扫描连续性的差异.
- 评估不同年龄段的种族和乳房镜完成之间的关联.
主要方法:
- 一项回顾性研究比较了40-74岁的黑人和白人女性.
- 分析乳房学转诊,安排和完成步骤.
- 多变量后勤回归来评估种族和乳房镜完成之间的关联.
主要成果:
- 黑人女性的乳房扫描完成率较低 (21%vs27%在50-74岁年龄组).
- 经过调整后的分析显示,黑人种族与15%-26%较低的完成率有关.
- 排程后的磨损率最高,特别是黑人女性.
结论:
- 黑人种族与较低的调整性乳腺造影完成率有显著的关联.
- 干预措施的目的应该是增加提供者发起的转诊.
- 解决参加计划性乳房造影的障碍对于减少差异至关重要.
更多相关视频
11:34Building Up a High-throughput Screening Platform to Assess the Heterogeneity of HER2 Gene Amplification in Breast Cancers
Published on: December 5, 2017
09:55Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology
Published on: September 28, 2022
相关概念视频
Bias in Epidemiological Studies
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Introduction To Health Care Delivery System
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Traditional Level Of Health Care System
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
