RT期刊文章SR电子T1低使用颈动脉成像minority-serving医院摩根富林明神经病学神经学乔FD Lippincott Williams &威尔金斯SP 138 144 10.1212 / WNL O首页P。0 b013e31825f04c5 VO 79是2 A1 Eric m . Cheng A1 Salomeh Keyhani A1苏珊探讨A1琳达·威廉斯A1保罗·l·赫伯特A1戴安娜l . Ordin A1黎明m . Bravata年2012 UL //www.ez-admanager.com/content/79/2/138.abstract 首页AB目的:护理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。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的前10%的中风患者比例是黑人。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。将近40%的黑人患者承认13比1 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。 However, the predicted probability of receiving carotid artery imaging for white patients at nonminority-serving hospitals (89.7%, 95% CI [87.3%, 92.1%]) was significantly higher than both white patients (78.0% [68.3%, 87.8%] and black patients (70.5% [59.3%, 81.6%]) at minority-serving hospitals. 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