主要医疗服务提供者的医疗补助小组代表他们服务的社区吗?
在PubMed上查看摘要
概括
此摘要是机器生成的。主要医疗服务提供者对医疗补助计划的注册人群并不反映当地的种族和民族多样性. 非西班牙裔白人经常被代表过多,而黑人和西班牙裔人面临代表不足,特别是在城市地区.
科学领域
- 医疗服务研究
- 医疗公平
- 获得初级保健服务
背景情况
- 医疗补助注册人获得初级保健的差异可能源于提供者接受问题.
- 与当地医疗补助人口相比,初级保健提供者 (PCP) 组的种族和种族组成尚未得到充分了解.
研究的目的
- 量化PCP医疗补助小组的种族/种族组成与其服务区域内的医疗补助人口的多样性之间的对齐.
- 确定不同种族和民族的PCP小组代表性的差异.
主要方法
- 来自44个州的2019年转型医疗补助统计信息系统 (T-MSIS) 分析文件的横截面分析.
- 为PCP (医生,执业护士,医生助理) 计算的小组代表率 (PRR),比较小组中的种族/民族比例与县级医疗补助人口.
- 根据提供者专业,农村和卫生专业人员短缺地区 (HPSA) 的情况进行分层分析.
主要成果
- 非西班牙裔白人 (NHW) 招生人数过多 (PRR=1.28),而非西班牙裔黑人 (NHB) (PRR=0.98) 和西班牙裔 (PRR=0.82) 招生人数总体上不足.
- 在农村和城市地区, NHW 招生人数在各个专业中都过多.
- 在城市地区,无论HPSA身份如何,NHB和西班牙裔在PCP小组中的代表都不足.
结论
- 医疗补助PCP小组并不反映他们所服务的人口的种族和民族多样性.
- 黑人和西班牙裔在城市初级保健小组中的代表性不足突出了关键的获取差异.
- 解决提供者组合的差异对于改善公平的初级保健服务至关重要.
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