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Titolo:
RACIAL-DIFFERENCES IN CARE AMONG HOSPITALIZED-PATIENTS WITH PNEUMOCYSTIS-CARINII PNEUMONIA IN CHICAGO, NEW-YORK, LOS-ANGELES, MIAMI, AND RALEIGH-DURHAM
Autore:
BENNETT CL; HORNER RD; WEINSTEIN RA; DICKINSON GM; DEHOVITZ JA; COHN SE; KESSLER HA; JACOBSON J; GOETZ MB; SIMBERKOFF M; PITRAK D; GEORGE WL; GILMAN SC; SHAPIRO MF;
Indirizzi:
LAKESIDE VET ADM MED CTR,333 E HURON ST CHICAGO IL 60611 NORTHWESTERN UNIV,DEPT MED CHICAGO IL 60611 DUKE UNIV,DEPT MED DURHAM NC 00000 COOK CTY HOSP,DEPT MED CHICAGO IL 60612 UNIV MIAMI,DEPT MED CORAL GABLES FL 33124 SUNY HLTH SCI CTR,DEPT MED BROOKLYN NY 11203 UNIV ROCHESTER,DEPT MED ROCHESTER NY 00000 RUSH MED COLL,DEPT MED CHICAGO IL 60612 NYU,DEPT MED NEW YORK NY 10016 UNIV ILLINOIS,DEPT MED CHICAGO IL 00000 UNIV CALIF LOS ANGELES,DEPT MED LOS ANGELES CA 90024 RAND CORP SANTA MONICA CA 00000 VET ADM,WESTERN REG SPECIAL STUDIES GRP LONG BEACH CA 00000 VET ADM MED CTR DURHAM NC 27705 VET ADM MED CTR MIAMI FL 33125 VET ADM MED CTR BRONX NY 10468 VET ADM MED CTR SEPULVEDA CA 91343 VET ADM MED CTR CHICAGO IL 00000 VET ADM MED CTR LOS ANGELES CA 00000 VET ADM MED CTR LONG BEACH CA 90822
Titolo Testata:
Archives of internal medicine
fascicolo: 15, volume: 155, anno: 1995,
pagine: 1586 - 1592
SICI:
0003-9926(1995)155:15<1586:RICAHW>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
EXPERIENCE; AIDS; MORTALITY; DISEASE; CITY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
17
Recensione:
Indirizzi per estratti:
Citazione:
C.L. Bennett et al., "RACIAL-DIFFERENCES IN CARE AMONG HOSPITALIZED-PATIENTS WITH PNEUMOCYSTIS-CARINII PNEUMONIA IN CHICAGO, NEW-YORK, LOS-ANGELES, MIAMI, AND RALEIGH-DURHAM", Archives of internal medicine, 155(15), 1995, pp. 1586-1592

Abstract

Background: While strategies for medical care for human immunodeficiency virus-related Pneumocystis carinii pneumonia (PCP) are well established, racial variations in care have not been evaluated. Objective: To determine whether sociodemographic characteristics influence patterns of care and patient outcomes, by analyzing the use of diagnostic tests and anti-PCP medications and in-hospital mortality rates for persons who were hospitalized with human immunodeficiency virus-related PCP. Methods: Retrospective chart review of a cohort of 627 Veterans Administration (VA) patients and 1547 non-VA patients with empirically treated or cytologically confirmed PCP who were hospitalized from 1987 to 1990. Outcomes included representative aspects of the process of care for PCP and short-term mortality rates. Results: Among VA patients, black and Hispanic patients were not significantly different from white patients with regard to in-hospital mortality rates, use and timing ofa bronchoscopy, or receipt of timely anti-PCP medications. Among non-VA patients, black and Hispanic patients were more likely to die in the hospital and less likely to undergo a diagnostic bronchoscopy in thefirst 2 days of hospitalization. These racial and ethnic group differences in the use of a bronchoscopy and in-hospital mortality among non-VA patients were almost fully accounted for by differences in health insurance status and hospital characteristics. Conclusions: Racial factors do not appear to be an important determinant of the intensity of diagnostic or therapeutic care among patients who are hospitalized with PCP. Variations in care are largely attributable to differences in health insurance and admitting hospital characteristics.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 05:15:00