Jha Ashish K, Orav E John, Zheng Jie, Epstein Arnold M
Harvard School of Public Health, Boston, Massachusetts, USA.
Health Aff (Millwood). 2008 Mar-Apr;27(2):528-37. doi: 10.1377/hlthaff.27.2.528.
The site of care may play an important role in health care disparities. We examined the 5 percent of U.S. hospitals with the highest proportion of elderly Hispanic patients and found that these hospitals cared for more than half of elderly Hispanics. These hospitals were more often for-profit, with higher rates of Medicaid patients and low nurse-staffing levels. They also provided a modestly lower quality of care for common medical conditions. Our finding that care for Hispanics is concentrated among a small number of hospitals provides an opportunity for targeted efforts to improve care for this group of Americans.
医疗服务地点可能在医疗保健差异方面发挥重要作用。我们研究了美国老年西班牙裔患者比例最高的5%的医院,发现这些医院照料着超过一半的老年西班牙裔患者。这些医院更多是营利性的,医疗补助患者比例更高,护士配备水平较低。它们对常见病症提供的护理质量也略低。我们发现对西班牙裔患者的护理集中在少数医院,这为有针对性地努力改善对这一美国人群体的护理提供了机会。