Clarke Sean P, Davis Bertha L, Nailon Regina E
University of Pennsylvania, USA.
West J Nurs Res. 2007 Oct;29(6):739-57. doi: 10.1177/0193945907303167. Epub 2007 Jul 13.
This exploratory study of patients in Pennsylvania (PA) and Virginia (VA) hospitals in 1998-1999 measures the segregation of care for Black patients receiving inpatient care for specific medical and surgical conditions. It also examined inpatient mortality risk for Black patients and the impact of treatment in heavily segregated hospitals on mortality for Blacks and non-Blacks. Segregation of hospital care was found across both states but was more pronounced in PA. Blacks did not experience higher mortality rates than non-Blacks either before or after controls for clinical risk factors in either state and for certain admission types had lower mortality. Both Black and non-Black surgical, heart failure, and lung disease patients treated in VA hospitals with more Black patients had poorer outcomes. Future research should examine how access, patient choice, hospital organization, processes of care, and factors related to nursing care might influence hospital outcomes for patients from different racial backgrounds.
这项针对1998 - 1999年宾夕法尼亚州（PA）和弗吉尼亚州（VA）医院患者的探索性研究，衡量了因特定内科和外科疾病接受住院治疗的黑人患者的护理隔离情况。它还研究了黑人患者的住院死亡风险，以及在高度隔离的医院接受治疗对黑人和非黑人死亡率的影响。在两个州都发现了医院护理隔离现象，但在宾夕法尼亚州更为明显。在控制临床风险因素之前和之后，两个州的黑人死亡率均不高于非黑人，并且对于某些入院类型，黑人死亡率更低。在黑人患者较多的弗吉尼亚州医院接受治疗的黑人和非黑人外科、心力衰竭及肺病患者，预后都较差。未来的研究应考察医疗可及性、患者选择、医院组织、护理流程以及与护理相关的因素如何影响不同种族背景患者的医院治疗结果。
