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在接受冠状动脉旁路移植术的 TRICARE 患者中,并未观察到手术护理质量的种族差异。

No Racial Disparities In Surgical Care Quality Observed After Coronary Artery Bypass Grafting In TRICARE Patients.

机构信息

Muhammad Ali Chaudhary (

Elzerie de Jager is a research fellow in the Center for Surgery and Public Health, Brigham and Women's Hospital and Harvard Medical School.

出版信息

Health Aff (Millwood). 2019 Aug;38(8):1307-1312. doi: 10.1377/hlthaff.2019.00265.

Abstract

In the US, racial disparities in outcomes following coronary artery bypass grafting (CABG) are well documented. TRICARE insurance data represent a large population with universal insurance that allows for the robust assessment of the impact of such insurance on disparities in health care. This study examined racial differences in specific aspects of surgical care quality following CABG, using metrics endorsed by the National Quality Forum that included the prescription of beta-blockers and statins at discharge and thirty-day readmissions. There were no risk-adjusted differences in outcomes between African American and white patients insured through TRICARE. Our study provides a window into the potential impacts of universal insurance and an equal-access health care system on racial disparities in surgical care quality following CABG.

摘要

在美国,冠状动脉旁路移植术(CABG)后结果的种族差异有充分的记录。TRICARE 保险数据代表了一个拥有普遍保险的庞大人群,这使得对这种保险对医疗保健差异的影响进行强有力的评估成为可能。本研究使用国家质量论坛认可的指标,检查了 CABG 后手术护理质量的具体方面的种族差异,这些指标包括出院时和三十天内再入院时β受体阻滞剂和他汀类药物的处方。通过 TRICARE 投保的非裔美国人和白人患者在结果方面没有经过风险调整的差异。我们的研究为了解普遍保险和公平获得医疗保健系统对 CABG 后手术护理质量的种族差异的潜在影响提供了一个窗口。

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