Can Characteristics of a Health Care System Mitigate Ethnic Bias in Access to Cardiovascular Procedures? Experience From the Military Health Services System

Taylor, Allen J.; Meyer, Gregg S.; Morse, R. W.; Pearson, Clarence E.

doi:10.1016/s0735-1097(97)00271-4

Cited by 42 publications

(20 citation statements)

References 16 publications

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“…Taylor, Meyer, Morse, and Pearson (1997) found no differences in rates of catheterization procedures between White and non-White patients in 125 military hospitals. Likewise, Mickelson, Blum, and Geraci (1997) found no differences between White and Hispanic patients in receipt of cardiovascular procedures following acute myocardial infarction.…”

Section: Heart Disease and Strokementioning

confidence: 77%

Health Disparities: A Primer for Public Health Social Workers

Keefe

2010

Social Work in Public Health

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Section: Heart Disease and Strokementioning

confidence: 77%

Health Disparities: A Primer for Public Health Social Workers

Keefe

2010

Social Work in Public Health

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“…Comparisons of the military and civilian healthcare systems found that the relative ranks of the distribution of diagnosis-related groups in the two systems were highly correlated (Spearman's ranged from 0.70 to 0.72) [36][37][38] . One comparison also found that the relative ranks of procedures performed in the two healthcare systems were also highly correlated (Spearman's = 0.74) [36] .…”

Section: Discussionmentioning

confidence: 99%

Hospital Admissions Associated with Traumatic Brain Injury in the US Army during Peacetime: 1990s Trends

Ivins¹,

Schwab²,

Baker³

et al. 2006

Neuroepidemiology

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Introduction: This paper examines 10-year trends in traumatic brain injury (TBI)-related hospitalization rates for active duty US Army personnel in the 1990s. It does this within the context of various factors, including enhanced injury prevention policies and changed hospital admission practices, that may have affected TBI hospitalization rates. It also compares TBI hospitalization rates in the Army to those from an age-comparable segment of the US civilian population over this time period. Methods: Crude (unadjusted) incidence rates for all active duty US Army personnel hospitalized with a TBI diagnosis from fiscal years (FY) 1990 to 1999 were calculated. Once the trends were identified, the percentage change in the overall rate, as well as the rates for different TBI severity levels, and in-hospital deaths from FY1990 and FY1999 were analyzed. Changes in age- and gender-specific rates as well as crude rates for cases with and without other injuries and cases treated in military and civilian hospitals were also analyzed. Rate ratios were used to compare aggregated 5-year TBI hospitalization rates in the Army to rates for civilians 17–49 years of age during the following time periods: 1990–1994 and 1995–1999. The rates used in the comparison were adjusted to control for differences in age and gender. Results: The overall incidence of TBI-related hospitalization in the Army decreased 75% from FY1990 to FY1999. The rates for all TBI severity levels decreased, but the rate for mild TBI decreased more than the rates for moderate and severe TBI. The rate of in-hospital deaths from TBI also decreased. Rates decreased similarly for males and females, across all age groups, as well as for cases with and without other injuries. TBI rates decreased for Army personnel treated in military hospitals but changed minimally for Army personnel treated in civilian hospitals. The Army’s TBI hospitalization rates were generally higher than civilian rates in the early 1990s but by the late 1990s, most of the Army’s rates were lower than or equal to the civilian rates. Conclusions: The incidence of TBI-related hospitalization in the active duty US Army decreased markedly (75%) during the 1990s. As a result, most of the Army’s TBI hospitalization rates were lower than civilian rates by the late 1990s. Effective injury prevention and changes in the Army population were two of the factors that likely contributed to the decrease in rates for all TBI severity levels, while changes in hospital admission practices likely contributed to the disproportionate decrease in the Army’s rates for mild TBI.

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“…This often can lead to conflicts between the older generation and Pakistani adolescents in issues such as religious attitudes, dress, and extrafamilial relationships. These problems are distinct from those experienced by their Caucasian counterparts who encounter parental conflicts in regard to family relations, delinquency, or personal loss (Handy, Chithiramohan, Ballard, & Silveira, 1991;Roberts & Cawthorpe, 1995;Taylor et al, 1997). Roberts and Cawthorpe's (1995) study also suggested, through an examination of psychiatric referral figures, that young Pakistani members of the community (second to third generation), especially girls, are increasing users of the health care system.…”

Section: Ethnicity Mental Health and Young Peoplementioning

confidence: 96%

An Exploratory Study Examining Attitudes Toward Mental Health and Mental Health Services Among Young South Asians in the United Kingdom

Randhawa

Stein²

2007

Journal of Muslim Mental Health

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Research findings to date highlight the underutilization of mental health services by minority ethnic families. However, research in this area has been adult focused and concentrated on the views of parents. This study therefore seeks to redress that imbalance within the research arena by making children the focus of consultation on mental health issues. The article presents results from an exploratory study, commissioned by the Association for Professionals in Services for Adolescents, to explore the views of young South Asians in Luton and Bedford toward mental health and mental health services. Overall, only one in five of the respondents was aware of clinics available to support children, adolescents, or families who are experiencing emotional or behavioral difficulties. The role of schools emerged to be potentially very influential in the study. Schools were seen as a focal point from which young people could gain information regarding support services, and were also perceived as a good venue from which to offer clinics. In this study, 65% of the young respondents who stated they would not access a support clinic to assist them with their difficulties were of South Asian origin. Similarly, 66% of the respondents who stated that their friends or family were unlikely to use the clinic for support were of South Asian origin. Notably, however, the level of awareness of services was the same across all ethnic groups. Therefore, the difference in the This study was funded by the Association for Professionals in Services for Adolescents.

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Can Characteristics of a Health Care System Mitigate Ethnic Bias in Access to Cardiovascular Procedures? Experience From the Military Health Services System

Abstract: There is a limited relation between ethnicity and the use of invasive cardiac procedures in the MHSS. These data raise the promise that characteristics of a health care system can mitigate ethnic bias in medicine.

Cited by 42 publications

References 16 publications

Health Disparities: A Primer for Public Health Social Workers

Health Disparities: A Primer for Public Health Social Workers

Hospital Admissions Associated with Traumatic Brain Injury in the US Army during Peacetime: 1990s Trends

An Exploratory Study Examining Attitudes Toward Mental Health and Mental Health Services Among Young South Asians in the United Kingdom

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