Disparities of care in veterans with Parkinson's disease

被引:29
|
作者
Cheng, E. M. [1 ,2 ]
Siderowf, A. D. [3 ,4 ]
Swarztrauber, K. [5 ]
Lee, M. [6 ,7 ]
Vassar, S. [1 ,2 ]
Jacob, E. [1 ]
Eisa, M. S. [8 ]
Vickrey, B. G. [1 ,2 ]
机构
[1] VA Greater Los Angeles Healthcare Syst, PADRECC, Los Angeles, CA 90073 USA
[2] Univ Calif Los Angeles, Dept Neurol, Los Angeles, CA 90024 USA
[3] Philadelphia VA Med Ctr, PADRECC, Philadelphia, PA USA
[4] Univ Penn, Dept Neurol, Philadelphia, PA 19104 USA
[5] Providence Hlth Syst, Providence Med Grp, Newberg, OR USA
[6] VA Greater Los Angeles Healthcare Syst, VA Ctr Study Healthcare Provider Behav, Los Angeles, CA USA
[7] Univ Calif Los Angeles, Sch Publ Hlth, Dept Biostat, Los Angeles, CA 90024 USA
[8] Neurol Neurosurg & Spine Clin S Georgia, Valdosta, GA USA
关键词
Parkinson's disease; disparities; quality indicators; quality of care;
D O I
10.1016/j.parkreldis.2007.05.001
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Disparities of Parkinson's disease (PD) care have not been assessed. Methods: We examined the medical records of 309 (83%) non-Hispanic White and 65 (17%) non-White Los Angeles veterans with PD from 1998 to 2004 to determine if care quality as measured by 10 PD indicators different by race/ethnicity. Results: In multivariate modeling, adherence to indicators was higher among non-Hispanic Whites (71% vs. 65%, risk ratio 1.15, 95% CI [1.07-1.32]) compared to non-Whites. Differences in adherence by race/ethnicity were greatest for depression treatment (P<0.05). Conclusions: We detected disparities in quality of PD care, particularly in depression treatment. Future research should determine causes for these so that interventions can be designed to reduce such disparities. Published by Elsevier Ltd.
引用
收藏
页码:8 / 14
页数:7
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