Ford E, Cooper R, Castaner A, Simmons B, Mar M
Department of Preventive Medicine and Community Health, University of Illinois College of Medicine, Chicago.
Am J Public Health. 1989 Apr;79(4):437-40. doi: 10.2105/ajph.79.4.437.
To assess racial differences in health care utilization for coronary artery disease (CAD) the data of the National Hospital Discharge Survey (NHDS) from 1979-84 were examined. Discharge rates for acute myocardial infarction (AMI) were utilized as a measure of hospital-based incidence and relative need for the designated cardiac procedures. Although 35-74 year old Black men had discharge rates of AMI that were 77 per cent of those observed for White men, they underwent coronary arteriography half as often and were only a third as likely to have coronary artery bypass graft (CABG) surgery. Black women in this age range were hospitalized at a slightly higher rate than White women for AMI, yet experienced a 19 per cent lower rate of coronary arteriography and a 52 per cent lower rate of CABG surgery. These data suggest a racial bias in the pattern of care delivered for CAD in US hospitals at the present time.
为评估冠心病（CAD）医疗服务利用方面的种族差异，研究人员对1979 - 1984年国家医院出院调查（NHDS）的数据进行了检查。急性心肌梗死（AMI）的出院率被用作衡量以医院为基础的发病率以及对指定心脏手术的相对需求的指标。尽管35至74岁的黑人男性AMI出院率是白人男性的77%，但他们接受冠状动脉造影的频率仅为白人男性的一半，进行冠状动脉搭桥术（CABG）手术的可能性仅为白人男性的三分之一。这个年龄段的黑人女性因AMI住院的比例略高于白人女性，但冠状动脉造影率低19%，CABG手术率低52%。这些数据表明目前美国医院在CAD治疗模式上存在种族偏见。
