Suppr超能文献

亚裔美国人亚群获得初级保健预约的差异,以及一致性的影响。

Disparities in Access to Primary Care Appointments Among Asian American Subgroups, and the Impact of Concordance.

机构信息

Tulane School of Public Health and Tropical Medicine, 1440 Canal St. Suite 2200, New Orleans, LA, 70112, USA.

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

出版信息

J Racial Ethn Health Disparities. 2024 Jun;11(3):1339-1344. doi: 10.1007/s40615-023-01612-7. Epub 2023 Apr 26.

Abstract

While Asian Americans experience disparate access to health services, little is known about the extent to which providers discriminate against Asian American patients. Further, research on Asian American health disparities tends to group Asian American ethnicities together, overlooking potential within-group differences. We deployed a field experiment to assess whether Asian American ethnic sub-groups experience discrimination in appointment scheduling. We further explored the impact of racial concordance between Asian patients and physicians. Overall, we did not detect significant differences in appointment offer rates between White and Asian American patients. However, we found that Asian Americans experienced longer wait times driven primarily by the treatment of patients of Chinese and Korean descent. Physician offices, surprisingly, offered concordant Asian patients appointments at significantly lower rates. The disparities Asian Americans experience relative to White Americans through longer waits for primary care appointments are not consistent across sub-groups. Increased attention to the unique experiences of people of Asian descent in accessing health services is warranted.

摘要

尽管亚洲裔美国人在获得医疗服务方面存在差异,但对于医疗服务提供者是否歧视亚洲裔美国患者,人们知之甚少。此外,关于亚洲裔美国人健康差距的研究往往将亚洲裔美国人归为一个群体,忽略了群体内部的潜在差异。我们开展了一项实地实验,以评估亚洲裔美国人的亚群体在预约安排方面是否受到歧视。我们进一步探讨了亚洲患者和医生之间种族一致性的影响。总的来说,我们没有发现白人和亚洲裔美国患者的预约提供率有显著差异。然而,我们发现,亚洲裔美国人的预约等待时间更长,主要是因为对中国和韩国裔患者的治疗。令人惊讶的是,医生办公室为亚洲裔患者提供的预约服务比例明显较低。与白人相比,亚洲裔美国人在接受初级保健预约方面的等待时间更长,这一差距在不同亚群体中并不一致。需要更加关注亚洲裔人士在获得医疗服务方面的独特经历。

相似文献

1
Disparities in Access to Primary Care Appointments Among Asian American Subgroups, and the Impact of Concordance.
J Racial Ethn Health Disparities. 2024 Jun;11(3):1339-1344. doi: 10.1007/s40615-023-01612-7. Epub 2023 Apr 26.
2
Association of Simulated Patient Race/Ethnicity With Scheduling of Primary Care Appointments.
JAMA Netw Open. 2020 Jan 3;3(1):e1920010. doi: 10.1001/jamanetworkopen.2019.20010.
3
Racial and Ethnic Disparities in Diabetes Screening Between Asian Americans and Other Adults: BRFSS 2012-2014.
J Gen Intern Med. 2017 Apr;32(4):423-429. doi: 10.1007/s11606-016-3913-x. Epub 2016 Nov 15.
4
Access to New Clinic Appointments for Patients With Cancer.
JAMA Netw Open. 2024 Jun 3;7(6):e2415587. doi: 10.1001/jamanetworkopen.2024.15587.
5
Racial and cultural minority experiences and perceptions of health care provision in a mid-western region.
Int J Equity Health. 2018 Mar 16;17(1):33. doi: 10.1186/s12939-018-0744-x.
6
Asian American Access to Care in the Affordable Care Act Era: Findings from a Population-Based Survey in California.
J Gen Intern Med. 2019 Nov;34(11):2660-2668. doi: 10.1007/s11606-019-05328-5. Epub 2019 Sep 11.
7
Reducing racial/ethnic disparities in diabetes: the Coached Care (R2D2C2) project.
J Gen Intern Med. 2013 Oct;28(10):1340-9. doi: 10.1007/s11606-013-2452-y.
8
Exploring racial/ethnic disparities in hypertension care among patients served by health centers in the United States.
J Clin Hypertens (Greenwich). 2019 Apr;21(4):489-498. doi: 10.1111/jch.13504. Epub 2019 Mar 12.
9
Access to Orthopaedic Care for Spanish-Speaking Patients in California.
J Bone Joint Surg Am. 2019 Sep 18;101(18):e95. doi: 10.2106/JBJS.18.01080.
10
Factors associated with health care access and outcome.
Soc Work Health Care. 2012;51(6):506-30. doi: 10.1080/00981389.2012.671244.

本文引用的文献

1
Exploring U.S. Shifts in Anti-Asian Sentiment with the Emergence of COVID-19.
Int J Environ Res Public Health. 2020 Sep 25;17(19):7032. doi: 10.3390/ijerph17197032.
2
Preference for patient-provider ethnic concordance in Asian Americans.
Ethn Health. 2021 Apr;26(3):448-459. doi: 10.1080/13557858.2018.1514457. Epub 2018 Aug 25.
3
Racial and Ethnic Disparities in Diabetes Screening Between Asian Americans and Other Adults: BRFSS 2012-2014.
J Gen Intern Med. 2017 Apr;32(4):423-429. doi: 10.1007/s11606-016-3913-x. Epub 2016 Nov 15.
4
Asian American mental health: a call to action.
Am Psychol. 2012 Oct;67(7):532-44. doi: 10.1037/a0028900.
5
Barriers to healthcare among Asian Americans.
Soc Work Public Health. 2010 May;25(3):286-95. doi: 10.1080/19371910903240704.
6
Predictors of adherence to screening mammography among Korean American women.
Prev Med. 2004 Sep;39(3):474-81. doi: 10.1016/j.ypmed.2004.05.006.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验