医疗保健团队分离与心脏病专家根据患者种族接受护理之间的关系在中西部州
Janina Quintero Bisonó1,2, Shannon M Knapp3,4, Dalancee Trabue3
1Department of Internal Medicine Indiana University Indianapolis Indiana USA.
Journal of the American Heart Association
|February 14, 2025
概括
医疗团队隔离没有影响心脏病学家的访问,但改善了心脏病患者的黑人患者的1年生存率. 隔离并没有影响30天再入院率,这表明对心血管保健差异的复杂影响.
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:
- 医疗团队隔离 (与白人患者相比,照顾黑人团队之间的异质程度) 与较差的健康结果有关.
- 医疗团队隔离对充足保险人口心血管保健的影响仍然不清楚.
- 这项研究调查了医疗保健团队隔离,患者种族和心血管保健结果之间的关联.
研究的目的:
- 评估黑人与白人患者医疗团队隔离与接受心脏病专家护理之间的关系.
- 检查医疗团队隔离对黑人与白人患者1年生存率和30天再入院率的影响.
- 分析心力衰竭,缺血性心脏病或膜性心脏病住院患者的这些关联.
主要方法:
- 使用了Optum的非识别的Clinformatics数据马特数据库 (2009-2020年).
- 采用了通用线性混合效应模型来分析患者种族和隔离指数 (SI) 对心脏病专家护理的影响.
- 评估了心脏病专家护理对1年生存率和30天再入院率的影响.
主要成果:
- 与白人患者相比,黑人患者接受心脏病专家护理的几率降低了31.3% (aOR 0.687;P=0.001).
- 医疗团队隔离与接受心脏病专家护理没有显著关联 (P=0.14).
- 对于心脏病学家看病的患者,增加隔离与黑人与白人患者的1年生存率增加有关 (P=0.02),对30天再入院没有显著影响 (P=0.86).
结论:
- 在印第安纳州的医院中,医疗团队隔离与接受住院心脏病患者心脏病专家护理的差异无关.
- 当心脏病专家参与时,黑人患者的隔离增加与白人患者相比,与黑人患者的1年生存率的改善相关.
- 医疗团队隔离对心血管疾病的30天再入院率没有影响.
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