儿科中家庭为中心的照护在不同种族和民族之间的差异。
Racial and ethnic disparities in pediatric experiences of family-centered care.
机构信息
UCLA Center for Healthier Children, Families and Communities, University of California-Los Angeles, 10990 Wilshire Avenue, Los Angeles, CA 90024, USA.
出版信息
Med Care. 2010 Apr;48(4):388-93. doi: 10.1097/MLR.0b013e3181ca3ef7.
BACKGROUND
Previous studies have examined racial and ethnic disparities in the receipt of family-centered care among children with special health care needs and health plan enrollees, but the extent of disparities in the general pediatric population remains unclear.
OBJECTIVE
To examine racial and ethnic disparities in the receipt of family-centered care among a general population of US children.
METHODS
Linked data from the Medical Expenditure Panel Survey and the National Health Interview Survey (2003-2006) were used to study 4 family-centered care items and an overall composite measure of family-centered care. Adjusted models examined the extent to which child characteristics, socioeconomic, and access to care factors explained racial and ethnic disparities in the provision of family-centered care.
RESULTS
Black children have similar experiences as white children on overall family-centered care and on each of the 4 components of family-centered care in models that adjust for child characteristics and socioeconomic factors. In contrast, differences in dimensions of and overall family-centered care between white children and Latino children, irrespective of interview language, persist after multivariate adjustment.
CONCLUSIONS
Future research should examine the extent to which Latino-white differences in the receipt of family-centered care can be narrowed with programs and policies geared at improving parental education, health literacy, the quality of provider communication, and quality improvement strategies for health care systems.
背景
先前的研究已经考察了在有特殊医疗需求的儿童和健康计划参保者中，获得以家庭为中心的护理方面的种族和民族差异，但在一般儿科人群中这种差异的程度仍不清楚。
目的
考察美国一般儿科人群中获得以家庭为中心的护理方面的种族和民族差异。
方法
使用来自医疗支出调查和国家健康访谈调查（2003-2006 年）的关联数据，研究了 4 项以家庭为中心的护理项目和一项以家庭为中心的护理综合指标。调整后的模型考察了儿童特征、社会经济以及获得医疗服务的因素在多大程度上解释了以家庭为中心的护理提供方面的种族和民族差异。
结果
在调整了儿童特征和社会经济因素的模型中，黑童在整体以家庭为中心的护理以及以家庭为中心的护理的 4 个组成部分方面与白童有相似的体验。相比之下，无论访谈语言如何，白童和拉丁裔儿童之间在以家庭为中心的护理的各个方面和整体水平上的差异，在多变量调整后仍然存在。
结论
未来的研究应该考察通过针对改善父母教育、健康素养、提供者沟通质量以及医疗保健系统质量改进策略的项目和政策，能否缩小拉丁裔与白人间获得以家庭为中心的护理方面的差异。
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