Lopez John P F, Burant Christopher J, Siminoff Laura A, Kwoh C Kent, Ibrahim Said A
St. Peters Hospital, Emergency Department, New Brunswick, NJ, USA.
J Natl Med Assoc. 2005 May;97(5):667-73.
There is a marked racial difference in the use of knee and hip replacement for osteoarthritis (OA). The reasons for this disparity remain unclear. We examined how African-American and white patients with symptomatic OA of the knee and/or hip compare with respect to their perceptions of care for knee and hip OA.
Survey of 596 male patients with OA of the knee and/or hip in primary care clinics at Cleveland VAMC.
African-American (44%) and white (56%) study participants were comparable with respect to age and clinical factors. African Americans were more likely to have VA insurance only [OR=1.93 (1.13-3.28)]. African Americans were less likely to report difficulty getting medical care when needed [OR=0.54 (0.34-0.88)]. Differences in the two groups regarding satisfaction with and confidence in the primary physician were not significant. The proportions of participants who received specialty care referrals were similar.
African-American patients reported having only VA insurance more often than white patients. Other aspects of perceived system and provider-based factors were similar between groups.
骨关节炎（OA）患者进行膝关节和髋关节置换的情况存在显著的种族差异。这种差异的原因尚不清楚。我们研究了患有膝关节和/或髋关节症状性OA的非裔美国患者和白人患者在对膝关节和髋关节OA护理的认知方面有何不同。
对克利夫兰退伍军人事务医疗中心初级保健诊所的596名患有膝关节和/或髋关节OA的男性患者进行调查。
非裔美国（44%）和白人（56%）研究参与者在年龄和临床因素方面具有可比性。非裔美国人仅拥有退伍军人事务部保险的可能性更高[比值比=1.93（1.13 - 3.28）]。非裔美国人报告在需要时难以获得医疗护理的可能性较小[比值比=0.54（0.34 - 0.88）]。两组在对初级医生的满意度和信心方面的差异不显著。接受专科护理转诊的参与者比例相似。
非裔美国患者报告仅拥有退伍军人事务部保险的情况比白人患者更常见。两组之间在感知到的基于系统和提供者的因素的其他方面相似。
