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初级医疗预约就诊中歧视的中介因素。

Mediators of Discrimination in Primary Care Appointment Access.

作者信息

Wisniewski Janna, Walker Brigham, Tinkler Sarah, Stano Miron, Sharma Rajiv

机构信息

Tulane School of Public Health and Tropical Medicine, 1440 Canal St. Suite 1900, New Orleans, LA 70112.

Portland State University, P.O. Box 751, Portland, OR 97207.

出版信息

Econ Lett. 2021 Mar;200. doi: 10.1016/j.econlet.2021.109744. Epub 2021 Jan 21.

DOI:10.1016/j.econlet.2021.109744
PMID:33746314
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7968854/
Abstract

We examine how differences in questions asked and information provided by physicians' offices contribute to differences in new-patient appointment offers. Data is from a 2013-16 field experiment involving calls to a random sample of US primary care physicians on behalf of simulated new patients differentiated by race/ethnicity (Black, Hispanic, White), sex, and insurance. We find that the rates and stated reasons for denial of appointment offers differ substantially across patient groups.

摘要

我们研究了医生办公室所提问题和提供信息的差异如何导致新患者预约机会的差异。数据来自2013 - 2016年的一项实地实验,该实验涉及代表按种族/族裔(黑人、西班牙裔、白人)、性别和保险类型区分的模拟新患者致电美国初级保健医生的随机样本。我们发现,不同患者群体在预约申请被拒的比例和所述原因方面存在很大差异。

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本文引用的文献

1
Association of Simulated Patient Race/Ethnicity With Scheduling of Primary Care Appointments.模拟患者种族/民族与初级保健预约安排的关联。
JAMA Netw Open. 2020 Jan 3;3(1):e1920010. doi: 10.1001/jamanetworkopen.2019.20010.
2
"Are you accepting new patients?" A pilot field experiment on telephone-based gatekeeping and Black patients' access to pediatric care.“你们是否接收新病人?”基于电话的守门行为和黑人患者获得儿科护理的初步实地试验。
Health Serv Res. 2019 Feb;54 Suppl 1(Suppl 1):234-242. doi: 10.1111/1475-6773.13089. Epub 2018 Dec 3.
3
State Medicaid fees and access to primary care physicians.州医疗补助费用与初级保健医生的可及性。
Health Econ. 2018 Mar;27(3):629-636. doi: 10.1002/hec.3591. Epub 2017 Sep 24.
4
Increased Likelihood of Missed Appointments ("No Shows") for Racial/Ethnic Minorities in a Safety Net Health System.在一个安全网医疗系统中,少数族裔错过预约(“爽约”)的可能性增加。
J Prim Care Community Health. 2016 Jan;7(1):38-40. doi: 10.1177/2150131915599980. Epub 2015 Aug 18.
5
US health spending trends by age and gender: selected years 2002-10.2002 - 2010年特定年份美国按年龄和性别的医疗支出趋势
Health Aff (Millwood). 2014 May;33(5):815-22. doi: 10.1377/hlthaff.2013.1224.
6
The impact of primary care: a focused review.初级保健的影响:一项重点综述。
Scientifica (Cairo). 2012;2012:432892. doi: 10.6064/2012/432892. Epub 2012 Dec 31.
7
Physicians may need more than higher reimbursements to expand Medicaid participation: findings from Washington State.医师可能需要更多的报酬才能扩大参与医疗补助计划:华盛顿州的调查结果。
Health Aff (Millwood). 2013 Sep;32(9):1560-7. doi: 10.1377/hlthaff.2012.1010.