Orr S T, Miller C A, James S A
Med Care. 1984 Sep;22(9):848-53. doi: 10.1097/00005650-198409000-00009.
Black children make substantially less use of health services than do their white counterparts, despite their demonstrably poorer health status. This relationship is true regardless of income. Various authors have suggested that such differences are due to system-related barriers to access to care by black children. Alternatively, others have noted that blacks have cultural patterns related to health and illness, and these culturally determined beliefs and behaviors may account for the observed differences. The present study compared use of health services by black and white children within a system of care that has sought to decrease barriers to access to care by black children. Within this system, black and white children used health services in a similar fashion, suggesting that system-related factors that assure equity of access to health services may be more important than client-related cultural factors, or that these cultural factors may be overcome.
尽管黑人儿童的健康状况明显较差，但他们使用医疗服务的频率却远低于白人儿童。这种关系与收入无关。许多作者认为，这种差异是由于黑人儿童在获取医疗服务时存在与系统相关的障碍。另外，也有人指出，黑人有与健康和疾病相关的文化模式，这些由文化决定的信仰和行为可能解释了观察到的差异。本研究比较了黑人儿童和白人儿童在一个旨在减少黑人儿童获取医疗服务障碍的医疗系统中使用医疗服务的情况。在这个系统中，黑人和白人儿童使用医疗服务的方式相似，这表明确保医疗服务公平获取的系统相关因素可能比与患者相关的文化因素更重要，或者这些文化因素可能被克服。
