Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.
Med Care Res Rev. 2011 Dec;68(6):683-98. doi: 10.1177/1077558711404434. Epub 2011 May 2.
This study determines asthma-related health care access and utilization patterns for Latino children of Puerto Rican and Dominican origin residing in Rhode Island (RI) and Latino children residing in Puerto Rico (Island). Data included 804 families of children with persistent asthma recruited from clinics. Island children were less likely to receive regular asthma care and care from a consistent provider and more likely to have been to the emergency department and hospitalized for asthma than RI children. Island children were 2.33 times more likely to have used the emergency department for asthma compared with RI non-Latino White (NLW) children. Latino children residing in both Island and RI were less likely to have used specialty care and more likely to have had a physician visit for asthma in the past year than RI NLW children. The differences might reflect the effects of the different delivery systems on pediatric health care utilization and asthma management.
本研究旨在确定居住在罗得岛州（RI）的波多黎各裔和多米尼加裔拉丁裔儿童以及居住在波多黎各岛（岛）的拉丁裔儿童的哮喘相关医疗保健获取和利用模式。数据包括从诊所招募的 804 名患有持续性哮喘的儿童的家庭。与 RI 儿童相比，岛内儿童获得常规哮喘护理和固定提供者护理的可能性较小，而更有可能因哮喘前往急诊室和住院治疗。与 RI 非拉丁裔白人（NLW）儿童相比，岛内儿童因哮喘使用急诊室的可能性高 2.33 倍。居住在岛和 RI 的拉丁裔儿童使用专科护理的可能性较低，而在过去一年中因哮喘看医生的可能性高于 RI NLW 儿童。这些差异可能反映了不同的医疗服务体系对儿科医疗保健利用和哮喘管理的影响。
