计时不公正:种族差异在专业等待时间等待时间
Daniel A Asfaw1,2, Sarah H Gordon1,2, Michael Anne Kyle3
1Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts, USA.
Health services research
|April 3, 2025
概括
在获得专科护理方面,种族不平等仍然存在,少数民族退伍军人经历了更长的等待时间. 差距源于设施分配和专业混合,突出需要公平的资源分配.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 在医疗保健中的种族差异.
背景情况:
- 及时获得专业护理对于健康结果至关重要,但种族不平等仍然存在.
- 机会差异可能导致种族和族群之间的健康结果不平等.
研究的目的:
- 量化美国退伍军人卫生管理局 (VHA) 中根据种族和种族等待特殊护理时间的差异.
- 确定在获得医疗保健方面观察到的种族差异的潜在驱动因素.
主要方法:
- 对2018-2022年660万例VHA转诊和370万例社区护理转诊的行政数据进行分析.
- 利用多变量回归模型和Kitagawa-Oaxaca-Blinder分解来分析白人和少数民族退伍军人之间的差异.
- 检查了10个大量专业的等待时间,包括心脏病学,心理健康和骨科.
主要成果:
- 黑人患者面临的最长的平均等待时间是VHA (40.0天) 和社区护理 (52.9天).
- 在多个专业中观察到等待时间的种族差异.
- 设施分布和专业组合的差异是这些不平等的主要驱动因素.
结论:
- 与非西班牙裔白人退伍军人相比,少数民族退伍军人被不成比例地从等待时间较长的设施转移.
- 旨在改善服务不足地区的医疗保健供应和质量的政策对于减少获得护理的种族不平等至关重要.
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