在黑人患者的电话护理管理计划中评估种族一致性
Melanie Canterberry1, Aina Katsikas, Amanda K Sutherland
1Humana Healthcare Research, 101 E Main St, Louisville, KY 40202.
护理经理和黑人医疗保险优势受益人之间的种族一致性没有影响关闭护理差距. 这项研究发现,共同种族对改善医疗保健需求的满足没有影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 在医疗保健中的种族一致性
背景情况:
- 电话护理管理计划旨在改善医疗保险优势受益人获得医疗保健的机会和结果.
- 理论上,医疗保健提供者和患者之间的种族一致性会影响患者参与和健康结果.
- 了解影响关怀差距缩小因素对于优化医疗保健提供至关重要.
研究的目的:
- 调查电话护理管理人员和黑人医疗保险优势受益人之间的种族一致性是否会影响解决已识别的医疗保健差距.
- 评估种族一致与种族不一致的护理经理关系对缩小护理质量差距的影响.
主要方法:
- 一个现实世界的电话护理管理计划的回顾性分析,涉及12,636名黑人医疗保险优势受益者.
- 对在基线至少有一个护理质量差距的受益人进行了种族一致性检查 (黑人与白人护理经理).
- 使用后勤回归来分析种族一致性对90天内差距缩小的影响,并根据受益人特征进行调整.
主要成果:
- 总共有12,636名黑人受益者被纳入;10.2%的受益者有种族一致的护理经理,89.8%的受益者有种族不一致的护理经理.
- 受益人-护理经理的种族一致性没有显著影响个人层面的护理差距的弥补 (OR,0.98;95% CI,0.90-1.08).
- 种族一致性也没有显著影响差距关闭差距水平 (OR,0.99;95% CI,0.88-1.12).
结论:
- 在这项电话护理管理计划中,护理管理人员和黑人受益者之间的种族一致性没有影响解决护理质量中发现的差距的速度.
- 这些发现表明,在这个特定的计划中,其他因素可能比种族一致性更为关键,以缩小驾驶护理差距.
- 进一步的研究可能会探索替代干预措施,以提高不同受益人群的护理管理效率.
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