30项推荐临床护理指标中的健康差异。

Health disparities in 30 indicators of recommended clinical care.

作者信息

Davis James W, Taira Deborah, Chung Richard S

机构信息

John A. Burns School of Medicine, Honolulu, HI, USA.

出版信息

J Healthc Qual. 2006 May-Jun;28(3):32-41. doi: 10.1111/j.1945-1474.2006.tb00609.x.

DOI:10.1111/j.1945-1474.2006.tb00609.x

PMID:17518012

Abstract

This article examines variations in clinical practice for 30 clinical indicators. Patients' age, gender, and morbidity and certain characteristics of their physicians affected whether they received recommended care. Recommended care increased with patient age for 13 significant clinical indicators and decreased with age for 7 others. Males received recommended care more often for 12 of 13 clinical indicators. Recommended care varied by physician specialties for health screenings, disease management, and medication use. Patients seeing physicians who treated a high volume of patients generally received better care. The variations in recommended care suggest potential targets for healthcare quality improvements.

摘要

本文研究了30项临床指标在临床实践中的差异。患者的年龄、性别、发病率以及其医生的某些特征会影响他们是否接受推荐治疗。对于13项重要临床指标，推荐治疗随患者年龄增加，而对于其他7项指标则随年龄降低。在13项临床指标中的12项上，男性更常接受推荐治疗。在健康筛查、疾病管理和药物使用方面，推荐治疗因医生专业不同而有所差异。看诊大量患者的医生所诊治的患者通常能得到更好的治疗。推荐治疗的差异为医疗质量改进指出了潜在目标。