利用电子健康记录数据识别威斯康星州健康结果和护理方面的实质性种族和族裔差异。
Identifying Substantial Racial and Ethnic Disparities in Health Outcomes and Care in Wisconsin Using Electronic Health Record Data.
机构信息
Department of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin,
Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
出版信息
WMJ. 2021 Mar;120(S1):S13-S16.
BACKGROUND
Our goal was to identify racial and ethnic disparities in health outcome and care measures in Wisconsin.
METHODS
We used electronic health record data from 25 health systems submitting to the Wisconsin Collaborative for Healthcare Quality to identify disparities in measures, including vaccinations, screenings, risk factors for chronic disease, and chronic disease management.
RESULTS
American Indian/Alaska Native and Black populations experienced substantial disparities across multiple measures. Asian/Pacific Islander, Hispanic/Latino, and White populations experienced substantial disparities for 2 measures each.
DISCUSSION
Reducing health disparities is a statewide imperative. Root causes of health disparities, such as systemic racism and socioeconomic factors, should be addressed for groups experiencing multiple disparities, with focused efforts on selected measures when indicated.
背景
我们的目标是确定威斯康星州健康结果和护理措施方面的种族和民族差异。
方法
我们使用向威斯康星州医疗保健质量合作组织提交的 25 个卫生系统的电子健康记录数据，确定了包括疫苗接种、筛查、慢性病风险因素和慢性病管理在内的措施方面的差异。
结果
美国印第安人/阿拉斯加原住民和黑人在多个指标上存在显著差异。亚洲/太平洋岛民、西班牙裔/拉丁裔和白人在两个指标上存在显著差异。
讨论
减少健康差异是全州范围内的当务之急。健康差异的根本原因，如系统性种族主义和社会经济因素，应针对多个指标的群体得到解决，并在必要时针对特定指标进行重点努力。
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