医疗保险对非裔美国结直肠癌患者群体的影响。
The impact of health insurance on an African-American population with colorectal cancer.
作者信息
Dawkins F W, Laing A E, Smoot D T, Perlin E, Tuckson W B
机构信息
Department of Medicine, Howard University Cancer Center, Washington, DC, USA.
出版信息
J Natl Med Assoc. 1995 Apr;87(4):301-3.
This study evaluates the impact of health insurance as a substitute for social class on tumor location, presentation, stage, grade, and age-adjusted survival in an African-American population. Patients were stratified by insurance into two groups: group 1 (private insurance and Medicare parts A & B) and group 2 (Medicaid, Medical Charity, self-pay, uninsured, or unemployed). A total of 212 patients were evaluated. Of these, 210 patients were insured or had Medical Charity, and two were uninsured. The type of health insurance did not significantly affect age-adjusted survival. However, age and stage at presentation were positive predictors of age-adjusted survival. Higher socioeconomic status was associated with group 1 health insurance.
本研究评估了医疗保险作为社会阶层替代因素，对非裔美国人群体中肿瘤位置、表现、分期、分级及年龄调整生存率的影响。患者根据保险情况分为两组：第1组（私人保险和医疗保险A部分及B部分）和第2组（医疗补助、医疗慈善、自费、未参保或失业）。总共评估了212名患者。其中，210名患者参保或享受医疗慈善，两名未参保。医疗保险类型对年龄调整生存率无显著影响。然而，就诊时的年龄和分期是年龄调整生存率的正向预测因素。较高的社会经济地位与第1组医疗保险相关。
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