服务于少数群体的医院与医院内部差距较低有关
Ya-Wen Chen1,2, Tommy D Kim2,3, Rose L Molina3
1Department of Surgery, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
The American surgeon
|September 19, 2023
概括
在医院内存在剖腹产率的种族差异,特别是在非少数民族服务和城市设施中. 解决设施层面的因素对于促进产科护理中的健康公平至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 健康 公平 研究 健康 公平 研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 产科护理的差异已被记录下来,但医院内部的变化仍未得到充分研究.
- 本研究评估了低风险组在医院一级的剖腹产率差异.
研究的目的:
- 为了评估医院内的剖腹产率的种族差异.
- 确定与这些差异相关的医院级因素.
主要方法:
- 使用全国性住院患者样本 (2008-2011) 的观察性研究.
- 包括黑色和白色患者的无子期,满期,单子,顶部怀孕.
- 主要结果:交付方式; 主要独立变量:种族.
主要成果:
- 在1,064,351名患者中,整体剖腹产率为14.1%.
- 服务于少数民族的医院和农村医院在医院内部的差异较小.
- 服务于非少数群体,城市医院和某些地区 (东北,西部) 的差异更大.
结论:
- 剖腹产产率在医院内部存在显著差异,这凸显了设施层面因素的重要性.
- 促进健康公平的政策必须解决医院特有的差异驱动因素以及结构性种族主义.
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