Analysis of the Cardiac Access Study

心脏通路研究分析

• 批准号: 6475318
• 负责人: Thomas Alexis LaVeist
• 金额: $ 25.79万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2004-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6475318
• 关键词: African American; angiography; behavioral /social science research tag; cardiovascular disorder; cardiovascular surgery; caucasian American; health care service utilization; health services research tag; health surveys; human data; racial /ethnic difference

DESCRIPTION: Previous research has documented substantial race differences in receipt of coronary angiography between Black and White cardiac patients. Differences have been found in bivariate as well as multivariate analyses which control for a variety of factors including clinical characteristics of the patient such as disease severity, income, insurance status, age, sex and type of hospital visited. Yet, in spite of this large literature the reasons for this difference have not yet been determined. The primary reason for this knowledge gap is that previously analyzed data sources to address this question have been inadequate. The present study seeks support to examine a unique data source designed to address the issue of race disparities in access and utilization of coronary angiography. The Cardiac Access Study database is an NHLBI-FUNDED study with comprehensive data on nearly 2,000 cardiac patients who were determined to be appropriate candidates for the coronary angiography. The database includes data from medical records, patient interviews and physician interviews. This project has three specific aims: 1. To determine the patient and provider characteristics, exclusive of symptomatology, that predict race differences in referral for coronary angiography; 2. To determine the barriers that result in race differences in receipt of cardiovascular surgical procedures among patients who have been referred; To determine the factors that predict delay in receipt of cardiovascular surgical procedures among patients who have been referred.

描述：以前的研究已经记录了实质性种族的差异 黑人和白色心脏患者之间的冠状动脉血管造影。 在双变量和多变量分析中发现了差异 控制各种因素，包括 疾病严重程度，收入，保险状况，年龄，性别等患者 访问的医院类型。然而，尽管有大量文献，原因 因为这种差异尚未确定。这样做的主要原因 知识差距是先前分析的数据源来解决这个问题 问题不足。本研究寻求支持以检查 独特的数据源旨在解决访问中种族差异的问题 和冠状动脉血管造影的利用。心脏访问研究数据库是 一项由NHLBI资助的研究，详细介绍了近2,000名心脏病患者 被确定为冠状动脉血管造影的合适候选者。 该数据库包括医疗记录，患者访谈和 医师访谈。该项目具有三个特定的目标： 1。确定患者和提供者特征，不包括 症状学，预测冠状动脉转诊的种族差异 血管造影； 2。确定导致种族接收差异的障碍 已转诊的患者的心血管手术程序； 确定预测心血管接收延迟的因素 已转诊的患者中的手术程序。