Racial differences in behavioral inpatient diagnosis: examining the mechanisms using the 2004 Florida Inpatient Discharge Data.

This study used the 2004 Florida Inpatient Discharge Data to examine the existence and the underlying mechanisms of the African American (AA)/white differences in behavioral inpatient diagnosis across a diverse patient population. Findings suggest that discharges of AA patients in Florida were at le...

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Publicado en:Journal of Behavioral Health Services & Research Vol. 35; no. 3; pp. 347 - 358
Autores principales: Bao Y, Fisher J, Studnicki J, Bao, Yuhua, Fisher, John, Studnicki, James
Formato: research Journal Article
Publicado: Springer Nature Jul2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2008
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      pub: Springer Nature
      place: New York, New York
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        atl: Racial differences in behavioral inpatient diagnosis: examining the mechanisms using the 2004 Florida Inpatient Discharge Data.
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          Bao Y
          Fisher J
          Studnicki J
          Bao, Yuhua
          Fisher, John
          Studnicki, James
        affil: Department of Public Health, Weill Medical College of Cornell University, 411 E. 69th St., New York, NY 10021, USA
      sug:
        subj:
          Affective Disorders Diagnosis
          Affective Disorders Ethnology
          African Americans
          Psychotic Disorders Diagnosis
          Psychotic Disorders Ethnology
          White Persons
          Adolescence
          Adult
          Aged
          Attitude of Health Personnel
          Child
          Child, Preschool
          Diagnosis, Differential
          Female
          Florida
          Infant
          Male
          Middle Age
          Patient Discharge
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Infant: 1-23 months
          Middle Aged: 45-64 years
          Female
          Male
      ab: This study used the 2004 Florida Inpatient Discharge Data to examine the existence and the underlying mechanisms of the African American (AA)/white differences in behavioral inpatient diagnosis across a diverse patient population. Findings suggest that discharges of AA patients in Florida were at least twice as likely to have received a primary psychotic vs. affective or substance-related diagnosis, and this held true after between-hospital differences were controlled for. Furthermore, AA (vs. white) race was associated with a ratio of 3.3 in the population rate of hospitalization with a primary psychotic diagnosis, as compared to a ratio of 0.8 and 0.7 for affective and substance-related disorders, respectively. These findings demonstrated the wide existence of racial differences in behavioral inpatient diagnosis and the important role of clinician diagnostic behaviors as opposed to systems-level factors (such as racial differences in access to care and care-seeking behaviors) in leading to observed differences.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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