Immigrant children with asthma arrive at community health centers (CHCs) less than white children, while Latino children (who prefer to speak either English or Spanish) are more likely to visit CHCs for intensive care, routine, and general immunization, according to the new. great reading. The low use rate of black children is accompanied by more frequent emergency department visits compared to other groups. Differences in benefits at the CHC level indicate that there are a number of factors beyond their control that influence disparity in health care benefits. The study, published in Family Physician’s BookThe National Center for Health and Welfare Support (Nimhd), a subsidiary of national labor unions.
A seven-year observational study conducted across 18 states using electronic health data of 41,276 children with asthma found 54% of black children it has less than double visits per year, while for whites and Latino children who prefer Spanish, it is 49.2% and 30.1%, respectively. The average standard of care for children with asthma is two visits a year. The researchers compared acute asthma visits in CHCs, and similar uses in hospital emergency rooms by race, ethnicity, and language.
Leading researchers at the University of Oregon Health and Science, Portland, the study is the first to show that the hospital system and emergency department are different for Latino immigrants and Spanish who prefer to be compared with them. white children. Previous studies have documented differences in the use of emergency department related to asthma. However, no one showed long-term symptoms of different racial, ethnic, and linguistic backgrounds in different care settings (hospital, emergency department, patient) accounting for health conditionSocial problems of health and routine care.
In addition, the researchers tried to understand how the use of intensive care could reflect social factors across different regions and influence measures, including issues of poverty, cultural diversity in CHCs, and various influences of segregation and social deprivation. These and other factors are described in the NIMHD analysis framework.
The researchers found that the majority of children in the study had a wealth gap, but black children were more often than not. Seven out of 10 (73%) lived in homes that were less than 138% of federal poverty level, compared with 54% to 58% in white Latino children. Financial instability may affect these children, the inability of caregivers to take time off work or fill out prescriptions resulting in limited use of primary care, and further complications that may require urgent care. Eliminating the deficit that many Black Americans face may improve the outcome of asthma for that population.
CHCs in this study may be dedicated to the care of the Latino community by finding staff / employees who may be of Latino descent and language services that provide culturally related Ummar Baqi uses these same hospitals.
While some studies show that in less isolated and socially isolated areas, immigrants have better health outcomes (including the use of primary care) than non-immigrants. These differences suggest that the long-term effects of racism may have an impact on the study results.
“Findings from this study show a wide range of pediatric patients and health inequalities. There are a number of social factors and measures that can affect for health status in a community with a single diagnosis, and these must be explored for mutual understanding and understanding. addressing health disparities, “said NIMHD Director Eliseo J. Pérez-Stable, MD
“Our research shows that the CHC delivery system may be more effective at reducing headaches in some contexts and organizations than others. communities in need of care, “said Jorge Kaufmann, ND, MS, of the Department of Family Medicine, Oregon University Health and Science, lead author on the study.
Jorge Kaufmann et al, Ethnic and Ethnic Differences in the Supervision of the Use of Asthma in Children, Family Physician’s Book (2022). DOI: 10.1370 / afm.2771
National Institutes of Health
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