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多样性在加利福尼亚州医疗保健需求中的作用。

The role of diversity in the health care needs of California.

作者信息

Drake M V, Lowenstein D H

机构信息

Department of Ophthalmology, University of California, San Francisco 94143, USA.

出版信息

West J Med. 1998 May;168(5):348-54.

PMID:9614792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1304978/
Abstract

Socioeconomic, racial, and ethic diversity influence many facets of health care, including access to health services, the morbidity and mortality of disease, and the process of training health care professionals. California has an increasingly diverse population, and it is essential that the University of California medical schools carefully address the role of diversity in medical education and in education for the many other professionals who have a key role in the provision of care and services to Californians. In this paper, we provide evidence in support of the belief that the University of California system must train a physician workforce that reflects the racial, ethnic, and socioeconomic characteristics of California's population in order to provide equitable health care to all segments of the state's people.

摘要

社会经济、种族和民族多样性影响医疗保健的许多方面,包括获得医疗服务的机会、疾病的发病率和死亡率,以及医疗保健专业人员的培训过程。加利福尼亚州的人口日益多样化,因此加利福尼亚大学医学院必须认真对待多样性在医学教育以及对众多其他在为加利福尼亚人提供护理和服务方面发挥关键作用的专业人员的教育中的作用。在本文中,我们提供证据支持以下观点:加利福尼亚大学系统必须培养一支反映该州人口种族、民族和社会经济特征的医生队伍,以便为该州各阶层人民提供公平的医疗保健服务。

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本文引用的文献

1
Effects of race and income on mortality and use of services among Medicare beneficiaries.种族和收入对医疗保险受益人的死亡率及服务使用情况的影响。
N Engl J Med. 1996 Sep 12;335(11):791-9. doi: 10.1056/NEJM199609123351106.
2
Ethnic differences in risk and prognostic factors for breast cancer.乳腺癌风险和预后因素的种族差异。
Cancer. 1995 Jul 15;76(2):268-74. doi: 10.1002/1097-0142(19950715)76:2<268::aid-cncr2820760217>3.0.co;2-1.
3
The role of black and Hispanic physicians in providing health care for underserved populations.黑人医生和西班牙裔医生在为服务不足人群提供医疗保健方面的作用。
N Engl J Med. 1996 May 16;334(20):1305-10. doi: 10.1056/NEJM199605163342006.
4
Evaluation of the pain response by Mexican American and Anglo American women and their nurses.对墨西哥裔美国女性和英裔美国女性及其护士的疼痛反应进行评估。
J Adv Nurs. 1993 Mar;18(3):451-9. doi: 10.1046/j.1365-2648.1993.18030451.x.
5
Ethnicity as a risk factor for inadequate emergency department analgesia.种族作为急诊科镇痛不足的一个风险因素。
JAMA. 1993;269(12):1537-9.
6
Access to prenatal care following major Medicaid eligibility expansions.在医疗补助计划主要资格扩大后获得产前护理的情况。
JAMA. 1993 Mar 10;269(10):1285-9.
7
Physician utilization disparities between the uninsured and insured. Comparisons of the chronically ill, acutely ill, and well nonelderly populations.未参保者与参保者之间医生利用情况的差异。慢性病患者、急性病患者和健康非老年人群的比较。
JAMA. 1993 Feb 10;269(6):787-92.
8
The effect of providing health coverage to poor uninsured pregnant women in Massachusetts.为马萨诸塞州未参保贫困孕妇提供医保覆盖的效果。
JAMA. 1993 Jan 6;269(1):87-91.
9
Regular source of ambulatory care and medical care utilization by patients presenting to a public hospital emergency department.公立医院急诊科患者门诊护理的常规来源及医疗护理利用情况。
JAMA. 1994;271(24):1909-12.
10
The effect of ethnicity on physician estimates of pain severity in patients with isolated extremity trauma.种族对单纯肢体创伤患者疼痛严重程度的医生评估的影响。
JAMA. 1994;271(12):925-8.