少数民族患者痴呆诊断评估质量：一项全国性研究。
Quality of dementia diagnostic evaluation for ethnic minority patients: a nationwide study.
机构信息
Memory Disorders Research Group, Danish Dementia Research Center, Department of Neurology, Neuroscience Center, Copenhagen University Hospital, Rigshospitalet, Denmark. rune.nielsen @ rh.regionh.dk
出版信息
Dement Geriatr Cogn Disord. 2011;31(5):388-96. doi: 10.1159/000327362. Epub 2011 Jul 1.
BACKGROUND/AIMS: Diagnostic evaluation of dementia for ethnic minority patients may be challenging. This study aimed to evaluate the quality of diagnostic evaluation of dementia for patients from ethnic minorities in Denmark.
METHODS
The Danish national hospital registers were used to identify patients from the main ethnic minority groups in Denmark, who were diagnosed with dementia in the period 2005-2007. Three raters independently reviewed the patients' medical records. Data were compared to data from a previous similar study in the general Danish population.
RESULTS
Fifty-seven medical records were reviewed. An acceptable diagnostic workup was documented in only 23% of the patients. Dementia diagnosis was confirmed in 35%. Significant differences in the quality of the diagnostic evaluation were found between patients from ethnic minorities and the general population.
CONCLUSION
There are significant ethnic disparities in the quality of diagnostic evaluations and outcome of dementia in the secondary healthcare sector.
背景/目的：少数民族患者的痴呆症诊断评估可能具有挑战性。本研究旨在评估丹麦少数民族患者痴呆症诊断评估的质量。
方法
使用丹麦国家医院登记处来确定 2005-2007 年间在丹麦被诊断为痴呆症的主要少数民族群体的患者。三位评估者独立审查了患者的病历。将数据与之前在丹麦普通人群中进行的类似研究的数据进行了比较。
结果
共审查了 57 份病历。仅 23%的患者记录了可接受的诊断工作，其中 35%被确诊为痴呆症。在少数民族患者和普通人群之间，诊断评估的质量存在显著差异。
结论
在二级保健领域，痴呆症的诊断评估质量和结果存在显著的种族差异。
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