医疗保健提供者对孕妇患者的物质使用检测实践中的差异
Virginia Lijewski1, Heather Straub2, Kaylin Klie3
1Department of Obstetrics and Gynecology, University of Colorado, Aurora, USA. Virginia.Lijewski@cuanschutz.edu.
Journal of racial and ethnic health disparities
|June 27, 2025
概括
医疗保健提供者 医疗保健提供者
科学领域:
- 医疗保健中的差异
- 医学伦理学医学伦理学
- 患者护理 患者护理
背景情况:
- 药物使用查对于患者护理至关重要.
- 根据患者人口统计数据,查实践可能存在差异.
- 社会脆弱性 (SV) 是影响医疗保健获取和结果的关键因素.
研究的目的:
- 评估医疗保健提供者的物质使用查和测试实践.
- 根据患者的种族和社会脆弱性,识别查中的潜在差异.
- 测试种族和SV独立和共同影响查率的假设.
主要方法:
- 一个2x2的因数图片设计调查被管理到OB/GYN,助产士和家庭医学提供者.
- 维涅特展示了具有相同医疗特征的患者,但在种族 (黑人与白人) 和社会脆弱性 (SV) 层面上有两分歧.
- 描述性统计和千平方/费舍尔精确测试被用来分析报告的查/测试实践中的差异.
主要成果:
- 医疗服务提供者报告说,患者的社会脆弱性 (SV) 影响了对药物使用的查/测试的决定 (例如,住房问题,药物使用史).
- 黑人种族和高VS的组合显著影响了提供者的报告决策,影响了住房,药物使用史和妊娠年龄的考虑.
- 提供者更有可能引用患者住房和药物使用史作为因素,当与SV患者呈现时.
结论:
- 患者的社会脆弱性 (SV) 对药物使用查和测试建议的提供者决定产生重大影响.
- 患者种族和SV的交集表明对报告的查/测试实践的影响最大.
- 标准化的机构协议是必要的,以减轻提供者偏见和在药物使用查中的歧视,确保公平的患者护理.
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