Siriwardhana Chathura, Lim Eunjung, Aggarwal Lovedhi, Davis James, Hixon Allen, Chen John J
Department of Complementary and Integrative Medicine, University of Hawai'i John A. Burns School of Medicine, Honolulu, HI (CS, EL, JD, JJC).
Department of Family Medicine & Community Health, University of Hawai'i John A. Burns School of Medicine, Honolulu, HI (LA, AH).
Hawaii J Med Public Health. 2018 May;77(5):103-113.
We investigated racial/ethnic and county-level disparities in inpatient utilization for 15 clinical conditions among Hawaii's Medicaid population. The study was conducted using inpatient claims data from more than 200,000 Hawai'i Medicaid beneficiaries, reported in the year 2010. The analysis was performed by stratifying the Medicaid population into three age groups: children and adolescent group (1-20 years), adult group (21-64 years), and elderly group (65 years and above). Among the differences found, Asians had a low probability of inpatient admissions compared to Whites for many disease categories, while Native Hawaiian/Pacific Islanders had higher probabilities than Whites, across all age groups. Pediatric and adult groups from Hawai'i County (Big Island) had lower probabilities for inpatient admissions compared to Honolulu County (O'ahu) for most disease conditions, but higher probabilities were observed for several conditions in the elderly group. Notably, the elderly population residing on Kaua'i County (Kaua'i and Ni'ihau islands) had substantially increased odds of hospital admissions for several disease conditions, compared to Honolulu.
我们调查了夏威夷医疗补助人群中15种临床疾病住院治疗方面的种族/族裔差异以及县级差异。该研究利用了2010年报告的超过20万名夏威夷医疗补助受益人的住院理赔数据进行。分析通过将医疗补助人群分为三个年龄组来进行：儿童和青少年组（1至20岁）、成人组（21至64岁）以及老年组（65岁及以上）。在所发现的差异中，在许多疾病类别方面，与白人相比，亚洲人的住院几率较低，而在所有年龄组中，夏威夷原住民/太平洋岛民的住院几率高于白人。对于大多数疾病状况，夏威夷县（大岛）的儿科和成人组的住院几率低于檀香山县（瓦胡岛），但在老年组中，有几种疾病状况的住院几率较高。值得注意的是，与檀香山县相比，考艾县（考艾岛和尼豪岛）的老年人群因几种疾病状况住院的几率大幅增加。
