在最年长的老年患者中,多种疾病模式,医院使用和种族和种族的死亡率
Jinmyoung Cho1,2, Heather Allore3,4, Gelareh Rahimighazikalayeh5
1Department of Family and Community Medicine, Saint Louis University School of Medicine, 1008 S. Spring SLUCare Academic Pavilion 3rd Floor, 63110, St. Louis, MO, USA. jinmyoung.cho@health.slu.edu.
Journal of racial and ethnic health disparities
|February 21, 2024
概括
在多种健康状况如何影响医疗保健使用和85.5岁以上成年人死亡率方面存在种族种族差异. 了解这些差异对于改善对老年人口的护理至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 这是一个很棒的节目,这是一个很棒的节目.
- 最古老的-最古老的-最古老的
- (85岁以上) 经常被视为有弹性,但在他们的健康和医疗保健需求方面存在异质性.
- 在这个人口群体中,人们对多重疾病模式和医疗保健利用的种族种族差异知之甚少.
研究的目的:
- 检查多病态模式中的种族-民族差异.
- 分析这些模式与急诊室 (ED) 访问,诊所访问和老年人死亡率的关联.
主要方法:
- 利用了五年来综合医疗保健系统的行政和临床数据.
- 包括25,801名至少有两个慢性疾病的老年患者.
- 采用分层集群分析来识别跨种族族群 (白人,黑人,西班牙裔,其他) 的多病态模式,并使用统计模型分析与医疗保健利用率和死亡率的关联.
主要成果:
- 常见的多病症集群包括甲状腺功能低下症,阿尔茨海默病,骨和关节疾病,代谢综合征和肺血管疾病.
- 骨和关节疾病与ED和黑人和西班牙裔患者的诊所访问有显著的相关性,与白人患者不同.
- 在多病症集群与死亡率之间的关联中观察到类似的种族种族差异.
结论:
- 多种疾病模式及其对门诊和急救护理利用的影响因种族-种族而异.
- 需要进一步的研究来了解少数族裔患者在获得医院服务方面面临的障碍.
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