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Income disparities in needle biopsy patients prior to breast cancer surgery across physician peer groups

机译:针刺活组织检查患者在医生同伴群体乳腺癌手术前的收入差异

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Objective Evaluate income disparities in receipt of needle biopsy among Medicare beneficiaries and describe the magnitude of this variation across physician peer groups. Methods The Surveillance, Epidemiology and End Results (SEER)-Medicare database was queried from 2007–2009. Physician peer groups were constructed. The magnitude of income disparities and the patient-level and physician peer group-level effects were assessed. Results Among 9770 patients, 65.4% received needle biopsy. Patients with low income (median area-level household income?
机译:客观评估医疗保险人中针活检的收入差异,并描述了医生同行组的这种变化的大小。方法从2007-2009询问监测,流行病学和最终结果(SEER)--medicARE数据库。医生对等团体建成。评估收入差距和患者水平和医生对同期级别效应的程度。结果9770例患者,65.4%接受针活检。收入低的患者(中位数级家庭收入?<?$ 33K)与高收入患者(≥$ 50k)(68.6%)相比,接受针活检(58.5%)(68.6%;调整的赔率比0.77; 95 %置信区间(CI)0.65-0.91)。针活检基本上不同于医生同伴组(四分位数范围43.4-81.9%)。差距的大小范围为0.50(45%CI 0.23-1.07)的差距比(45%CI 0.23-1.07)至1.27(95%CI 0.60-2.68)。受到医生同伴组治疗的效果,治疗主要低收入患者在接收到活组织检查的效果几乎是成为低收入患者的效果的三倍。结论针活检继续消耗利用和收入的差异。这种差异的大小在医生同行组中基本上变化,表明需要进一步的工作来提高质量并减少不平等。

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