慢性病患者的初级保健患者的酒精查中的不平等
Nina Mulia1, Yachen Zhu1, Aryn Z Phillips2
1Alcohol Research Group, Public Health Institute, Emeryville, California.
American journal of preventive medicine
|July 31, 2024
概括
在卫生改革后,初级保健部门的酒精查增加了,但种族差异仍然存在,特别是在私人保险的慢性病患者中. 解决这些不平等问题对于公平的预防保健至关重要.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 常规的酒精查有助于预防酒精加重慢性疾病的患者的发病率和死亡率.
- 卫生改革扩大了保险覆盖范围,并在初级保健机构内促进了酒精查.
- 本研究调查了健康改革后的酒精查趋势及其相关差异.
研究的目的:
- 评估卫生改革后,患有慢性疾病的成年人中酒精查率的增加.
- 在酒精查中识别和分析与保险相关的和种族/民族差异.
- 了解卫生政策对提供预防服务的影响.
主要方法:
- 分析了2013-2019年关于药物使用和健康的国家调查数据 (N=46,014).
- 包括接受初级保健的患有酒精相关慢性疾病的成年人.
- 多变量后勤回归用于检查时间查趋势和保险和种族/种族差异.
主要成果:
- 2013年至2019年期间,整体酒精查患病率从69%增加到77%.
- 2014-2015年,医疗补助和私人保险患者的查量显著增加.
- 观察到种族差异,黑人和亚裔美国患者比白人患者接受查的可能性较低,特别是在那些有私人保险和高血压,心脏病和糖尿病等特定疾病的人群中.
结论:
- 在慢性病患者的初级保健中,酒精查在卫生改革后有所增加.
- 在查方面存在持续的种族差异,特别是在某些慢性疾病的私人保险人中.
- 需要进一步努力,以解决不平等获得预防护理的根本原因.
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