Gaskin D J, Hoffman C
Georgetown University Medical Center, USA.
Med Care Res Rev. 2000;57 Suppl 1:85-107. doi: 10.1177/1077558700057001S05.
Using discharge data from 10 states, this study estimates the effects of race and ethnicity on the likelihood of being hospitalized for a preventable condition--an indicator of limited access to primary care. The authors find that African Americans and Hispanics are more likely to be hospitalized for preventable conditions. In particular, controlling for differences in patients' health care needs, socioeconomic status, insurance coverage, and the availability of primary care, Hispanic children, working-age African American adults, and elderly patients from both minority groups are at greater risk than are similar white patients.
利用来自10个州的出院数据,本研究估计了种族和族裔对因可预防疾病住院可能性的影响——这是初级保健可及性有限的一个指标。作者发现,非裔美国人和西班牙裔更有可能因可预防疾病住院。特别是,在控制了患者的医疗保健需求、社会经济地位、保险覆盖范围和初级保健可及性的差异后,西班牙裔儿童、工作年龄的非裔美国成年人以及两个少数群体的老年患者比类似的白人患者面临更大的风险。