| Ethnic disparities in patient recall of physician recommendations of diagnostic and treatment procedures for coronary disease. | |
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MedLine Citation:
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PMID: 9786229 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Despite the proven benefits of many cardiac procedures, some are used less frequently for African Americans than for white patients with known or suspected coronary disease. This study explored differences between ethnic groups that may affect patient recall of physician recommendations of cardiac procedures. Also examined were patients' responses when asked about adhering to those recommendations. The data examined were collected from interviews with 1,333 African American and white hospital inpatients with known coronary disease admitted to the Birmingham-Black Health Seeking for Coronary Heart Disease Project (1989-1990) in Alabama. Respondents were asked to recall previous health care encounters, physician recommendations of cardiac procedures, and adherence to those recommendations. Compared with whites, fewer African American patients recalled physicians recommending some cardiac procedures. If procedure recommendations were recalled, no ethnic differences were found in patient recall of adhering to those recommendations. Predictors of recall of the recommended procedures were identified by multivariate logistic regression. Patients' knowledge of having coronary disease was the common factor that predicted their recall of all cardiac procedures. Other predictor variables included some cardiac risk factors and symptoms, socioeconomic status, and ethnicity. Although health care practice is influenced by many factors, it is important to examine variables that may lead to a reduction in ethnic disparities in coronary disease morbidity and mortality. |
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Authors:
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B K Sanderson; J M Raczynski; C E Cornell; M Hardin; H A Taylor |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: American journal of epidemiology Volume: 148 ISSN: 0002-9262 ISO Abbreviation: Am. J. Epidemiol. Publication Date: 1998 Oct |
Date Detail:
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Created Date: 1998-11-10 Completed Date: 1998-11-10 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 7910653 Medline TA: Am J Epidemiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 741-9 Citation Subset: IM |
Affiliation:
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Department of Medicine and Center for Health Promotion, University of Alabama at Birmingham, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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African Americans
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statistics & numerical data* Alabama / epidemiology Coronary Disease / diagnosis, ethnology*, therapy Female Humans Inpatients / statistics & numerical data* Logistic Models Male Mental Recall* Middle Aged Odds Ratio Physician's Practice Patterns* Questionnaires Referral and Consultation* Risk Factors |
| Grant Support | |
ID/Acronym/Agency:
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HL39197/HL/NHLBI NIH HHS |
| Comments/Corrections | |
Erratum In:
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Am J Epidemiol 1999 Mar 1;149(5):489 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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