@article {Cheng138作者={埃里克·m . Cheng和Salomeh Keyhani和苏珊探讨和琳达·s·威廉姆斯和保罗·l·赫伯特和戴安娜l . Ordin和黎明m . Bravata}, title ={低使用颈动脉成像minority-serving医院},体积={79}={2},页面= {138 - 144}= {2012},doi = {10.1212 / WNL。出版商0 b013e31825f04c5} = {Wolters Kluwer健康,公司代表美国神经病学学会},文摘={护理目标:我们决定网站是否解释了之前确定种族差异在颈动脉成像。首页方法:回顾性队列研究中,数据被从图表的退伍军人获得与缺血性中风住院127在2007年退伍军人管理医院。大量的排除标准被应用于获得一个样品应该收到了颈动脉成像。Minority-serving医院被定义为医院排名前10 \ %的中风患者的比例是黑人。人口水平多元逻辑回归模型与调整相关的病人在医院被用来计算预测概率颈动脉成像的种族和minority-service医院的地位。引导被用来获得95 \ %置信区间(CIs)。结果:样本包括1534名白人患者和628名黑人患者。近40 \ %的所有黑人患者承认1 13 minority-serving医院。没有种族差异在收到发现颈动脉成像nonminority为医院服务。然而,预测概率的白人患者接受颈动脉成像nonminority-serving医院(89.7 \ %、95 \ % CI[92.1 \ 87.3 \ %, %])明显高于白人患者(78.0 \ %(87.8 \ 68.3 \ %,%)和黑色的病人(70.5 \ %[81.6 \ 59.3 \ %,%])在minority-serving医院。 Conclusions: Underuse of carotid artery imaging occurred most often among patients hospitalized at minority-serving hospitals. Further work is required to explore why site of care is a mechanism for racial disparities in this clinically important diagnostic test. CI=confidence interval; CMS=Centers for Medicare and Medicaid Services; CTA=CT angiography; FY=fiscal year; MRA=magnetic resonance angiography; OQP=Offices of Quality and Performance; PCS=Patient Care Services; VA=Veterans Health Administration; VAMC=Veterans Affairs Medical Center; WVMI=West Virginia Medical Institute}, issn = {0028-3878}, URL = {//www.ez-admanager.com/content/79/2/138}, eprint = {//www.ez-admanager.com/content/79/2/138.full.pdf}, journal = {Neurology} }