心脏计算机断层扫描中的种族推偏见:差异,差异或歧视?
Benjamin J W Chow1, Saad Balamane2, Anahita Tavoosi2
1University of Ottawa Heart Institute, Department of Medicine (Cardiology), Canada; University of Ottawa, Department of Radiology, Canada.
观察到心脏CT (CCT) 转诊的种族差异,白人患者的转诊率高于非白人患者. 这些转诊模式独立于医生的种族或经验,突出了解决诊断测试中的系统偏差的需要.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 健康差距 研究 研究 研究 研究
背景情况:
- 医疗保健的现有差异可能会对患者的治疗结果产生负面影响.
- 了解诊断测试中的种族偏见对于公平的医疗保健至关重要.
- 心脏CT (CCT) 的使用是这种差异可能表现出来的领域.
研究的目的:
- 调查诊断心脏CT (CCT) 转诊中的种族差异.
- 为了确定种族偏见对CCT利用的潜在影响.
- 在患者和医生人口统计学方面分析转诊模式.
主要方法:
- 从2006年2月到2021年11月,对CCT转介的回顾性分析.
- 包括患者的种族,推医生的种族和流域人口人口统计数据.
- 索引 CCT 转介频率到流域内的各自种族群体.
主要成果:
- 白人患者 (82.5%) 与其在流域人口中所占比例相比,不成比例地被转介给CCT.
- 非白人种族群体与其人口规模相比,CCT推率较低 (推指数:白人1.2与白人1.2). 非白色的0.6,p < 0.001).没有白色的.
- 观察到的种族推差异在所有少数群体和年龄类别中都存在,不管医生是种族还是实践多年.
结论:
- 在心脏CT转诊率中发现了显著的种族差异.
- 这些差异并非由疾病流行率,医生种族或医生经验来解释.
- 需要进一步的研究来了解这些差异的根本原因,并制定减轻偏见的策略.
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