了解宫癌医疗保健支出中的种族差异
Jerusha Daggolu1, Marjan Zakeri1, Sujit Sansgiry1
1University of Houston College of Pharmacy, Pharmaceutical Health Outcomes and Policy, Houston, TX.
Journal of managed care & specialty pharmacy
|August 1, 2024
概括
在宫癌护理支出中存在种族差异. 西班牙裔和非裔美国患者的医疗保健费用明显低于白人患者,突出了医疗保健方面的不平等.
科学领域:
- 卫生经济学 卫生经济学
- 健康差异研究 研究健康差异研究
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 宫癌的治疗是有效的,局部病例的5年生存率为92% .
- 2020年,美国对宫癌治疗的年度国家支出为23亿美元.
- 有限的现实数据存在于宫癌医疗保健支出中的种族差异.
研究的目的:
- 评估在美国被诊断患有宫癌的患者的年度医疗保健支出中的种族差异.
主要方法:
- 使用医疗支出小组调查数据 (2014-2019) 的回顾性观察队列研究 (2014-2019).
- 分析包括描述性加权分析和年度医疗保健支出未经调整的分析.
- 调整后的线性回归与日志转换评估了跨种族群体的年度医疗保健支出总和分类.
主要成果:
- 确定了826名宫癌患者;大多数是白人 (81.2%) 和45-64岁 (44.65%).
- 平均每年医疗保健总支出:白人为11537美元,非裔美国人为10659美元,西班牙裔美国人为8726美元.
- 经过调整后的分析显示,西班牙裔群体的支出占白人群体的35%和非洲裔群体的46% (P < 0.001,P = 0.02).
- 西班牙裔队列对办公室 (47%) 和门诊 (57%) 访问的调整成本明显低于白人患者.
- 非洲裔美国人队伍的家庭医疗保健支出比白人患者低49% (P = 0.03).
- 西班牙裔队列的总支出 (不包括Rx) 比非裔美国患者低57% (P = 0.02).
结论:
- 在宫癌患者的种族群体之间存在显著的医疗保健支出差异.
- 解决医疗保健支出中的种族差异对于解决健康不平等至关重要.
- 调查结果强调需要有针对性的干预措施,以减少财务负担并改善公平的护理.
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