医生对心脏血管重建术建议中的种族/族裔差异。
Racial/ethnic variations in physician recommendations for cardiac revascularization.
作者信息
Ibrahim Said A, Whittle Jeff, Bean-Mayberry Bevanne, Kelley Mary E, Good Chester, Conigliaro Joseph
机构信息
Center for Health Equity Research and Promotion, Pittsburgh VA Healthcare System, University of Pittsburgh, Pittsburgh, PA 15240,
出版信息
Am J Public Health. 2003 Oct;93(10):1689-93. doi: 10.2105/ajph.93.10.1689.
Abstract
OBJECTIVES
We sought to examine whether physician recommendations for cardiac revascularization vary according to patient race.
METHODS
We studied patients scheduled for coronary angiography at 2 hospitals, one public and one private, between November 1997 and June 1999. Cardiologists were interviewed regarding their recommendations for cardiac resvacularization.
RESULTS
African American patients were less likely than Whites to be recommended for revascularization at the public hospital (adjusted odds ratio [OR] = 0.31; 95% confidence interval [CI] = 0.12, 0.77) but not at the private hospital (adjusted OR = 1.69; 95% CI = 0.69, 4.14).
CONCLUSIONS
Physician recommendations for cardiac revascularization vary by patient race. Further studies are needed to examine physician bias as a factor in racial disparities in cardiac care and outcomes.
摘要
目的
我们试图研究医生对心脏血运重建的建议是否因患者种族而异。
方法
我们研究了1997年11月至1999年6月期间在两家医院（一家公立医院和一家私立医院）安排进行冠状动脉造影的患者。就他们对心脏血运重建的建议对心脏病专家进行了访谈。
结果
在公立医院，非裔美国患者比白人患者被推荐进行血运重建的可能性更小（调整后的优势比[OR]=0.31；95%置信区间[CI]=0.12，0.77），但在私立医院并非如此（调整后的OR=1.69；95%CI=0.69，4.14）。
结论
医生对心脏血运重建的建议因患者种族而异。需要进一步研究以检查医生偏见作为心脏护理和结果中种族差异的一个因素。
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