在西班牙裔和白人人口中,与质量护理相关的风险-一个跨部门比较研究
Ching-Fang Tiffany Tzeng1, Thomas Swoboda2, Charles Huggins3
1Department of Emergency Medicine, Baylor & Scott White All Saints Medical Center, 1400 8th Ave., Fort Worth, TX 76104, USA.
Healthcare (Basel, Switzerland)
|January 26, 2024
概括
健康的不良社会决定因素,延迟和歧视的护理显著降低了最佳的护理质量. 解决这些因素对于改善所有患者的医疗保健体验和结果至关重要.
科学领域:
- 医疗保健 质量 研究 研究
- 健康差异 在健康上的差异
- 患者体验研究 患者体验研究
背景情况:
- 优质的医疗保健整合了有效的治疗方法和积极的患者体验.
- 关键因素包括有效性,安全性,及时性,公平性和以患者为中心.
- 了解质量护理方面的差异对于改善医疗保健至关重要.
研究的目的:
- 调查与白人和西班牙裔人口中质量护理相关的因素.
- 检查健康的社会决定因素 (SDOH),延迟护理和歧视之间的关系.
- 为了识别障碍,以获得最佳的医疗保健质量.
主要方法:
- 使用健康信息国家趋势调查6 (HINTS 6) 数据进行的横截面研究.
- 分析包括在过去12个月内获得医疗保健的3611名成年人.
- 多变量逻辑回归调整为社会人口学变量.
主要成果:
- 糟糕的健康社会决定因素 (SDOH) 与优质护理 (OR 0.61) 有负相关性.
- 延迟需要的医疗护理与较低质量的护理有很强的联系 (OR 0.34).
- 经历歧视性护理显著降低了感知到的质量护理 (OR 0.29).
结论:
- 负 SDOH 与护理质量下降和延迟或歧视护理的可能性增加有关.
- 针对SDOH和打击护理延迟/歧视的干预措施对于提高医疗保健质量至关重要.
- 解决这些系统性问题对于为各种人群实现公平有效的医疗保健至关重要.
相关概念视频
02:16Surveys
14.8K
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
14.8K
02:55Stereotypes, Prejudice, and Discrimination
90.2K
Humans are very diverse and although we share many similarities, we also have many differences. The social groups we belong to help form our identities (Tajfel, 1974). These differences may be difficult for some people to reconcile, which may lead to prejudice toward people who are different. Prejudice is a negative attitude and feeling toward an individual based solely on one’s membership in a particular social group (Allport, 1954; Brown, 2010). Prejudice is common against people who...
90.2K
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
128
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
128
02:20Longitudinal Research
12.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.0K
01:26Longitudinal Studies
163
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
163
01:29Documentation in Long-Term and Home Healthcare Setting
892
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
892