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首页> 外文期刊>Journal of health care for the poor and underserved >Availability of Health Care Provider Offices and Facilities in Minority and Integrated Communities in the US
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Availability of Health Care Provider Offices and Facilities in Minority and Integrated Communities in the US

机译：少数民族和综合社区的医疗保健提供商办公室和设施的可用性

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Objective. To examine the availability of health care provider offices and facilities in predominantly White, minority, and integrated primary care service areas (PCSA). Methods. National data from the American Community Survey and InfoUSA, linked at the PCSA-level, for 2005 (N=7,109) and 2014 (N=7,142). Associations between racial composition of PCSAs and numbers of health care offices and facilities were examined using multiple regression models. Results. After adjustment for PCSA socio-demographic characteristics, predominantly minority PCSAs had fewer diagnostic imaging centers and offices for physicians, mental health providers, dentists, and other health practitioners than White PCSAs (Adj IRR range: 0.68-0.80, all p<.01). Availability was also lower for integrated PCSAs, but reductions were smaller and involved fewer service types (Adj IRR range: 0.85-0.91, all p<.05). Conclusion. Minority and integrated communities have fewer provider offices and facilities for important health services, which may contribute to the persistent racial/ethnic disparities in health care access and use.
机译：客观的。审查主要是白人，少数民族和综合初级保健服务区（PCSA）的医疗保健提供者办公室和设施的可用性。方法。来自美国社区调查和Infousa的国家数据，在PCSA级联系，2005年（n = 7,109）和2014（n = 7,142）。使用多元回归模型检查PCSA的种族组成和卫生保健办公室数量和设施数量的关联。结果。在PCSA社会人口统计特征调整后，主要群体PCSAS对医生，心理健康供应商，牙医和其他健康从业者和其他健康从业者的诊断成像中心和办公室比白色PCSAS更少（ADJ IRR范围：0.68-0.80，所有P <.01） 。集成PCSA的可用性也降低，但减少较小，涉及更少的服务类型（ADJ FRAN范围：0.85-0.91，所有P <.05）。结论。少数民族和综合社区具有较少的提供商办公室和重要的保健服务设施，这可能有助于卫生保健访问和使用中的持久种族/种族差异。

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