Differences in Primary Care Management of Patients With Adult Attention Deficit Hyperactivity Disorder (ADHD) Based on Race and Ethnicity.

IF 2.7 3区 医学 Q2 PSYCHIATRY Journal of Attention Disorders Pub Date : 2024-03-01 Epub Date: 2024-01-12 DOI:10.1177/10870547231218038
Jillian Alai, Elisabeth F Callen, Tarin Clay, David W Goodman, Lenard A Adler, Stephen V Faraone
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Abstract

Objective: Examine differences in care patterns around adult ADHD between race (White/Non-White) and ethnic (Hispanic/Non-Hispanic) groups utilizing existing quality measures (QMs), concerning diagnosis, treatment, and medication prescribing.

Methods: The AAFP National Research Network in partnership with SUNY Upstate Medical used an EHR dataset to evaluate achievement of 10 ADHD QMs. The dataset was obtained from DARTNet Institute and includes 4 million patients of 873 behavioral and primary care practices with at least 100 patients from 2010 to 2020. Patients 18-years or older with adult ADHD were included in this analysis.

Results: White patients and Non-Hispanic/Latinx patients were more likely to achieve these QMs than Non-White patients and Hispanic/Latinx patients, respectively. Differences between groups concerning medication and monitoring demonstrate a disparity for Non-White and Hispanic/Latinx populations.

Conclusions: Using QMs in EHR data can help identify gaps in ADHD research. There is a need to continue investigating disparities of quality adult ADHD care.

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基于种族和民族的成人注意力缺陷多动障碍 (ADHD) 患者初级保健管理差异。
目标:利用现有的诊断、治疗和药物处方质量标准(QMs),研究不同种族(白人/非白人)和不同民族(西班牙裔/非西班牙裔)群体在成人多动症方面的护理模式差异:AAFP 国家研究网络与纽约州立大学上州医学中心合作,使用电子病历数据集评估 10 项 ADHD QMs 的实现情况。该数据集来自 DARTNet 研究所,包括 2010 年至 2020 年期间 873 家行为和初级保健诊所的 400 万名患者,这些诊所至少有 100 名患者。18岁或18岁以上的成人多动症患者被纳入本次分析:白人患者和非西班牙裔/拉丁裔患者分别比白人患者和西班牙裔/拉丁裔患者更有可能达到这些质量标准。非白人和西班牙裔/拉丁裔人群在用药和监测方面的组间差异显示出差距:结论:使用电子病历数据中的质量指标有助于发现多动症研究中的不足。有必要继续调查成人 ADHD 护理质量的差异。
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来源期刊
CiteScore
7.60
自引率
6.70%
发文量
71
审稿时长
6-12 weeks
期刊介绍: Journal of Attention Disorders (JAD) focuses on basic and applied science concerning attention and related functions in children, adolescents, and adults. JAD publishes articles on diagnosis, comorbidity, neuropsychological functioning, psychopharmacology, and psychosocial issues. The journal also addresses practice, policy, and theory, as well as review articles, commentaries, in-depth analyses, empirical research articles, and case presentations or program evaluations.
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