在牛皮患者的住院时间和全身药物使用的种族差异
Rini Desai1, Chase Irwin2, Mariana McCune2
1University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA. rinidesai@arizona.edu.
Archives of dermatological research
|December 12, 2024
概括
在牛皮治疗中存在种族差异,非白人患者接受全身药物治疗的频率较低,住院时间较长. 这凸显了牛皮病护理中的不平等现象,影响了患者的治疗结果和医疗负担.
科学领域:
- 皮肤病学 皮肤病学
- 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:
- 牛皮需要全身治疗,因为慢性炎症.
- 无意识的种族偏见可能会影响牛皮的全身药物处方.
- 种族认同可能会影响牛皮的并发病率和住院率.
研究的目的:
- 为了检查种族对牛皮的全身药物处方的影响.
- 为了研究种族对牛皮患者住院时间的影响.
- 为了确定美国皮病治疗和住院护理中的种族差异.
主要方法:
- 利用了2020年医疗保健成本和利用计划 (HCUP) 国家住院样本 (NIS) 数据库.
- 包括住院患者 (年龄大于17岁) 与ICD-10编码的牛皮诊断.
- 使用后勤和负二项式回归,比较"非白人"和"白人"牛皮患者之间的人口统计和结果.
主要成果:
- 与白人患者相比,非白人牛皮患者 (西班牙裔,亚洲/太平洋岛民,美洲原住民) 接受全身药物治疗的几率明显较低.
- 所有非白人种族群体都经历了比白人患者更长的住院时间.
- 药物选择的差异与增加的住院负担和更长的住院时间有关.
结论:
- 在治疗牛皮的全身药物处方方面存在显著的种族差异.
- 非白色牛皮患者面临更长时间的住院治疗,这表明在护理方面存在潜在的不平等.
- 解决治疗决策中的无意识偏见对于改善牛皮患者的治疗结果和减少医疗保健差异至关重要.
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