扫描中的区域和社会经济差异
Vincent Sachs1, Christopher Scoma2, Kashif Shaikh3
1Department of Internal Medicine, University of South Florida, United States.
Journal of cardiovascular computed tomography
|August 17, 2024
概括
冠状动脉 (CAC) 扫描利用率在美国因地区和社会经济因素而异. 非洲裔美国人和女性面临较低的使用率,突出了心血管保健获得的差异.
科学领域:
- 心血管医学 心血管医学
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 心血管疾病 (CVD) 的结果受到社会经济地位的强烈影响,这表明现有的护理差异.
- 这项研究调查了这些差异是否延伸到冠状动脉 (CAC) 扫描的利用.
- 这项研究考察了影响CAC扫描使用的区域和社会经济因素,与冠状动脉疾病 (CAD) 患病率相关.
研究的目的:
- 描述美国CAC扫描利用的区域差异.
- 为了确定影响CAC扫描利用的社会经济变量.
- 分析CAC扫描在CAD患病率和并发症的背景下使用的情况.
主要方法:
- 一项横截面研究,将县级CAC利用数据与CAD流行率和社会经济变量整合起来.
- 来自医院索赔,医疗保险服务和独立成像中心 (2022) 的CAC利用数据.
- 社会经济数据,包括种族,教育和收入,来自CDC,国家慢性病预防和健康促进中心和美国国税局.
主要成果:
- 美国808个县的CAC利用率差异很大,平均每1000人1.62次扫描.
- 西部地区的利用率最高 (3.09/1,000),而中西部的利用率最低 (1.24/1,000).
- 较高的CAC利用与更大的白人/高加索人群和更高的人均收入相关. 使用率较低与非洲裔美国人人口较高和女性比例较高有关.
结论:
- 在美国CAC扫描的使用中存在显著的区域和社会经济差异.
- 尽管心脏病负担较高,但非裔美国人表现出较低的CAC扫描利用率.
- 这种不一致需要有针对性的干预措施来解决结构性障碍,并促进心血管保健中的健康公平.
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