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医院为少数族裔提供的护理质量是否低于白人?

Do hospitals provide lower-quality care to minorities than to whites?

作者信息

Gaskin Darrell J, Spencer Christine S, Richard Patrick, Anderson Gerard F, Powe Neil R, Laveist Thomas A

机构信息

African American Studies Department, University of Maryland, College Park, MD, USA.

出版信息

Health Aff (Millwood). 2008 Mar-Apr;27(2):518-27. doi: 10.1377/hlthaff.27.2.518.

Abstract

Using three years of state inpatient discharge data from thirteen states, we computed, for each hospital, race/ethnicity-specific quality measures using the Agency for Healthcare Research and Quality inpatient quality indicators and patient safety indicators. We found that risk-adjusted quality indicators for blacks, Hispanics, and Asians were not statistically worse than corresponding quality indicators for whites in the same hospital. We conclude that when whites and minorities are admitted to the hospital for the same reason or receive the same hospital procedure, they receive the same quality of care. Only a few hospitals provide lower quality of care to minorities than to whites.

摘要

利用来自13个州的三年州立住院患者出院数据,我们针对每家医院,使用医疗保健研究与质量局的住院患者质量指标和患者安全指标,计算了按种族/族裔划分的质量指标。我们发现,在同一家医院中,黑人、西班牙裔和亚裔的风险调整质量指标在统计学上并不比白人的相应质量指标差。我们得出结论,当白人和少数族裔因相同原因入院或接受相同的医院治疗时,他们接受的护理质量相同。只有少数医院为少数族裔提供的护理质量低于白人。

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