评估初级保健患者病历中种族类别的异质性
Junaid Hameed1, Clare Hornby1, Tanvi Rai1
1University of Oxford.
概括
英国的一般实践显示,他们在如何在线记录患者的种族方面存在显著差异. 由于种族数据缺乏标准化,这可能会损害医疗保健研究和减少健康不平等的努力.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 卫生社会学 卫生社会学
背景情况:
- 英国的全科医院在注册过程中收集患者的种族数据.
- 这些数据对临床护理和研究至关重要,包括风险建模.
- 已公布的种族类别标准存在,但前线实践的实施尚不清楚.
研究的目的:
- 在英国一般医院使用的在线患者登记表格上记录种族类别的变化.
- 将这些类别与英国官方人口普查分类进行比较.
主要方法:
- 在线注册表格的分析,来自牛津郡的67家普通诊所中的56家.
- 与2001年,2011年和2021年英国人口普查种族群体分类相比,列出的种族选项的比较.
主要成果:
- 在种族选项中发现了显著的异质性,范围从5到84个类别 (中位数为14),与人口普查名单 (16-19个类别) 相比.
- 只有少数实践使用官方人口普查清单;没有使用2021年清单.
- 45个实践使用了非标准列表,包括宗教等非种族类别,可能允许多个选择.
结论:
- 在初级保健中,不一致和非标准化的种族分类可能会损害健康数据的质量.
- 这种缺乏标准化可能会阻碍了解和解决健康不平等问题的努力.
- 初级医疗保健中的种族记录可能既没有标准化,也没有意义,影响研究和护理.
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