Yang Jiao, Nijjar Aman, Quan Hude, Shah Baiju R, Rabi Doreen, Ignaszewski Andrew, Khan Nadia A
Division of Cardiology, University of British Columbia, BC, Canada.
Department of Medicine, University of British Columbia, BC, Canada; Center for Health Evaluation and Outcome Sciences, BC, Canada.
Prim Care Diabetes. 2014 Jul;8(2):165-70. doi: 10.1016/j.pcd.2013.11.001. Epub 2013 Nov 26.
We sought to determine whether there are differences in health resource utilization among South Asian (SA), Chinese and White patients with newly diagnosed diabetes mellitus.
We used province-wide administrative data from British Columbia, Canada (1997-2006) to determine proportion of patients with ≥2 visits/year for all outpatient and family physician (FP) visits, proportion of patients with at least one annual visit to specialists, ophthalmology/optometry and hospital admissions by ethnic group.
There were 9529 South Asian, 14,084 Chinese and 143,630 White patients with newly diagnosed diabetes in the study. Over 90% of each of the ethnic groups visited their FP ≥2 visits/year. Chinese patients were less likely to visit FP, ophthalmology/optometrists and specialists compared to White patients. SA patients had fewer ophthalmology/optometry visits compared to White populations. White patients had higher rates of hospitalization.
Although all groups had high proportion of patients with appropriate frequency of FP visits, other aspects of health care utilization varied significantly by ethnicity.
我们试图确定新诊断糖尿病的南亚、华裔和白人患者在卫生资源利用方面是否存在差异。
我们使用了加拿大不列颠哥伦比亚省的全省行政数据（1997 - 2006年）来确定所有门诊和家庭医生就诊每年就诊≥2次的患者比例、每年至少就诊一次专科医生、眼科/验光师的患者比例以及按种族划分的住院患者比例。
该研究中有9529名南亚患者、14084名华裔患者和143630名白人新诊断糖尿病患者。每个种族群体中超过90%的患者每年就诊家庭医生≥2次。与白人患者相比，华裔患者就诊家庭医生、眼科/验光师和专科医生的可能性较小。与白人人群相比，南亚患者的眼科/验光就诊次数较少。白人患者的住院率较高。
尽管所有群体中家庭医生就诊频率适宜的患者比例都很高，但医疗保健利用的其他方面因种族而异。
