Research in the sociology of health care最新文献

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Health and Health Care Inequities, Infectious Diseases and Social Factors 健康和卫生保健不公平，传染病和社会因素

Research in the sociology of health care

Pub Date : 2022-03-28 DOI: 10.1108/s0275-4959202239

引用次数: 0

Trends in Health Disparities of Rural Latinos Pre- and Post-Accountable Care Organization Implementation. 农村拉丁美洲人健康差异的趋势:问责制医疗组织实施前后。

Research in the sociology of health care

Pub Date : 2022-01-01 DOI: 10.1108/s0275-495920220000039013

Judith Ortiz, Boondaniwon D Phrathep, Richard Hofler, Chad W Thomas

Purpose: We present findings from a longitudinal investigation, the purpose of which was to compare health disparities of rural Latino older adult patients diagnosed with diabetes to their non-Latino White counterparts.

Methodology/approach: A pre-post design was implemented treating Medicare Accountable Care Organization (ACO) participation by Rural Health Clinics (RHCs) as an intervention, and using diabetes-related hospitalizations to measure disparities. Data for a nationwide panel of 2,683 RHCs were analyzed for a study period of eight years: 2008 - 2015. In addition, data were analyzed for a subset of 116 RHCs located in Florida, Texas, and California that participated in a Medicare ACO in one or more years of the study period.

Findings: Two broad findings resulted from this investigation. First, for both the nationwide panel of RHCs and the three-state sample of "ACO RHCs," there was a decrease in the mean disparities in diabetes-related hospitalization rates over the eight-year study period. Second, in comparing a three-year time period after Medicare ACO implementation in 2012 to a four-year period before the implementation, a statistically significant difference in mean disparities was found for the nationwide panel.

Research limitations/implications: There are a number of factors that may contribute to the decrease in diabetes-related hospitalization rates for Latinos in more recent years. Future research will identify specific contributors to reducing diabetes-related hospitalization disparities between Latinos and the general population, including the possible influence of ACO participation by RHCs.

Originality/value of paper: This paper presents original research conducted using data related to rural Latino older adults. The data represent multiple states and an eight-year time period. The U.S. Latino population is growing at a rapid pace. As a group, they are at a high risk for developing diabetes, the complications of which are serious and costly to the patient and the U.S. healthcare system. With the continued growth of the Latino population, it is critical that their health disparities be monitored, and that factors that contribute to their health and well-being be identified and promoted.

目的:我们报告了一项纵向调查的结果，该调查的目的是比较诊断为糖尿病的农村拉丁裔老年患者与非拉丁裔白人患者的健康差异。方法/方法:实施了一项前后设计，将农村卫生诊所(RHCs)参与医疗保险责任医疗组织(ACO)作为干预措施，并使用糖尿病相关住院治疗来衡量差异。在2008年至2015年的8年研究期间，对全国2683名RHCs的数据进行了分析。此外，研究人员还分析了位于佛罗里达州、德克萨斯州和加利福尼亚州的116个rhc子集的数据，这些rhc在研究期间的一年或更长时间内参加了Medicare ACO。研究结果:这项调查得出了两个广泛的发现。首先，对于全国范围内的RHCs和三个州的“ACO RHCs”样本，在8年的研究期间，糖尿病相关住院率的平均差异有所减少。其次，在比较2012年Medicare ACO实施后的三年时间与实施前的四年时间，发现全国范围内的平均差距有统计学上的显著差异。研究局限性/意义:近年来，有许多因素可能导致拉丁裔糖尿病相关住院率下降。未来的研究将确定减少拉丁裔与普通人群之间糖尿病相关住院差异的具体因素，包括RHCs参与ACO的可能影响。论文的原创性/价值:本文介绍了使用与农村拉丁裔老年人相关的数据进行的原创性研究。这些数据代表了多个州和一个8年的时间段。美国拉丁裔人口正在快速增长。作为一个群体，他们患糖尿病的风险很高，糖尿病的并发症对患者和美国医疗系统来说都是严重和昂贵的。随着拉丁裔人口的持续增长，至关重要的是要监测他们的健康差距，并查明和促进有助于他们健康和福祉的因素。

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引用次数: 0

Index 指数

Research in the sociology of health care

Pub Date : 2020-09-28 DOI: 10.1108/s0275-495920200000038020

引用次数: 0

Prelims 预备考试

Research in the sociology of health care

Pub Date : 2020-09-28 DOI: 10.1108/s0275-495920200000038004

引用次数: 0

Race, Ethnicity, Gender and Other Social Characteristics as Factors in Health and Health Care Disparities 种族、民族、性别和其他社会特征是健康和医疗保健差异的因素

Research in the sociology of health care

Pub Date : 2020-09-28 DOI: 10.1108/s0275-4959202038

引用次数: 8

ER Use among Older Adult RHC Medicare Beneficiaries in the Southeastern United States. 美国东南部老年人RHC医疗保险受益人的急诊使用情况。

Research in the sociology of health care

Pub Date : 2020-01-01 Epub Date: 2020-09-28 DOI: 10.1108/S0275-495920200000038008

Matt T Bagwell, Thomas T H Wan

PurposeThis study analyzed individual factors of race and dual eligibility on emergency room (ER) utilization of older adult Medicare patients treated by RHCs in CMS Region 4.Methodology/approachA prospective, longitudinal design was employed to analyze health disparities that potentially exist among RHC Medicare beneficiary patients (+65) in terms of ER use. The years of investigation were 2010 through 2012, using mixed multilevel, binary logistic regression.FindingsThis study found that dual eligible RHC patients utilized ER services at higher rates than non-dual eligible, Medicare only RHC patients at: 77%, 80%, and 66%, in 2010, 2011, and 2012, respectively; and above the White reference group, Black RHC Medicare patients utilized ER services at higher rates of: 18%, 20%, and 34%, in 2010, 2011, and 2012, respectively.Research limitations/implicationsRegarding limitations, cohort data observations within the window of 3 years were only analyzed; regarding generalizability, in different CMS regions, results will likely vary; and linking other variables together in the study was limited by the accessible data. Future research should consider these limitations, and attempt to refine. The findings support that dual Medicare and Medicaid eligibility, as a proxy measure of socio-economic status, and race continue to influence higher rates of ER utilization in CMS Region 4.Originality/valueIn terms of ER utilization disparities, persistently, as recent as 2012, Black, dual eligible RHC Medicare beneficiary patients age 65 and over may be twice as likely to utilize ER services for care than their counterparts in the Southeastern United States.

目的:本研究分析了种族和双重资格对CMS 4区RHCs治疗的老年医保患者急诊室(ER)利用的个体因素。方法/方法:采用前瞻性纵向设计来分析RHC医疗保险受益人(+65)在急诊室使用方面可能存在的健康差异。调查年份为2010年至2012年，采用混合多水平、二元逻辑回归。研究结果:本研究发现，2010年、2011年和2012年，双重资格的RHC患者使用急诊服务的比例分别高于非双重资格、仅医疗保险的RHC患者，分别为77%、80%和66%;在白人参照组之上，黑人RHC医保患者在2010年、2011年和2012年分别以18%、20%和34%的较高比率利用急诊服务。研究局限性/启示:关于局限性，仅分析了3年窗口内的队列数据观察;关于普遍性，在不同的CMS区域，结果可能会有所不同;在研究中将其他变量联系在一起受到可获得数据的限制。未来的研究应该考虑到这些局限性，并尝试改进。研究结果支持双重医疗保险和医疗补助资格，作为社会经济地位的代理措施，和种族继续影响CMS区域4较高的急诊室使用率。独创性/价值:就急诊室利用差异而言，持续存在，直到2012年，65岁及以上的黑人双重符合RHC医疗保险受益人患者使用急诊室服务的可能性是美国东南部同行的两倍。

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引用次数: 2

Thalassemic Women’s Biographical Trajectory: Retracing Gender Inequalities in Health Policies 地中海贫血妇女的传记轨迹：卫生政策中的性别不平等

Research in the sociology of health care

Pub Date : 2019-08-30 DOI: 10.1108/S0275-495920190000037014

V. Raffa

Originality/Value of PaperThey report on the urgency to deconstruct the social imagination according to which a woman is a “real” woman only if she is also a mother.

论文的独创性/价值他们报道了解构社会想象的紧迫性，根据这种想象，只有当女性也是母亲时，她才是“真正的”女性。

引用次数: 1

Underserved and Socially Disadvantaged Groups and Linkages with Health and Health Care Differentials 服务不足和社会弱势群体及其与健康和保健差异的联系

Research in the sociology of health care

Pub Date : 2019-08-30 DOI: 10.1108/s0275-4959201937

J. Kronenfeld

Looking specifically at the factors impacting on health and health care differentials, this book examines the health and health care issues of both patients and providers of care in the United States and around the globe. Chapters focus on linkages to policy, population concerns and patients and providers of care as ways to meet health care needs.

具体着眼于影响健康和医疗保健差异的因素，这本书探讨了美国和全球患者和医疗保健提供者的健康和医疗保健问题。各章侧重于与政策、人口问题以及病人和护理提供者之间的联系，以此作为满足保健需要的途径。

引用次数: 1

Hepatitis C and Support Groups in Rural Communities 农村社区的丙型肝炎和支持团体

Research in the sociology of health care

Pub Date : 2019-08-30 DOI: 10.1108/S0275-495920190000037011

Atsuko Kawakami, Juyeon Son, C. Henderson

Originality/Value of PaperChurches may have the most potential to bring about the needed changes in rural settings by fostering a supportive heath care environment in their communities.

纸的原创性/价值教堂可能最有潜力通过在其社区培养支持性的保健环境，在农村环境中带来所需的变化。

引用次数: 0

The Health of Migrant Women Working as Home Care Assistants in Italy: An Analysis of the Most Hazardous Factors of Home Care Work 意大利家庭护理助理移民妇女的健康状况：家庭护理工作最危险因素分析

Research in the sociology of health care

Pub Date : 2019-08-30 DOI: 10.1108/S0275-495920190000037019

F. Vianello

Originality/Value of PaperThe chapter offers an original contribution to sociological research on the occupational health hazards from a gender-specific perspective. First, it investigates workers’ health risks in an understudied and highly feminized and racialized occupational sector. It also analyzes the implications of both the emotional and the body work on the workers’ health. It deals with the correlation between cohabitation and health problems. Finally, it looks into the impact of workplace violence on workers’ health, which is a strongly gendered issue, and rooted in social processes that stigmatize and racialize migrant women employed as home care assistants.

论文的原创性/价值本章从性别角度对职业健康危害的社会学研究作出了原创性贡献。首先，它调查了一个未被充分研究、高度女性化和种族化的职业部门的工人健康风险。它还分析了情绪和身体工作对工人健康的影响。它处理同居和健康问题之间的关系。最后，报告探讨了工作场所暴力对工人健康的影响，这是一个强烈的性别问题，根植于对受雇担任家庭护理助理的移徙妇女进行污名化和种族化的社会进程。

引用次数: 0

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