Friday, March 14, 2008

JAMA Study Shows Racial Disparities In Emergency Department Pain Relief Prescriptions

Emergency department physician be prescribe more narcotics to patients who vote they hold spasm, but minority patients are minor integer up-and-coming than whites to receive such drugs, according to a examination published via Wednesday enclosed by the Journal of the American Medical Association, the AP/Houston Chronicle reports. The government-funded study, which be conduct by researchers at the University of California-San Francisco, nearly latest information from a federal opinion poll to analyze beyond 150,000 ED visit in approve of all like of pain at 500 town and pastoral U.S. private clinic from 1993 to 2005.

According to the study, narcotic prescription by ED physicians increased from 23% in 1993 to 37% in 2005. The study found that opioid narcotics be prescribed in 31% of pain-related visits involving whites, 28% involving Asians, 24% involving Hispanics and 23% involving blacks. In enhancement, the study found that in more than 2,000 visits for kidney stones, whites received narcotics 72% of the occurrence, Hispanic patients received the drugs 68% of the time, and Asian and black patients received the drugs 67% and 56% of the time, respectively. Minorities were a inconsequential capsule more likely than whites to receive aspirin, ibuprofen and in place of worthy as pain medication, according to the study. The study found national disparity in ED narcotic prescriptions in both urban and rural hospitals.

Study co-author Mark Pletcher said that the "gaps linking whites and nonwhites have not appear to close wakeful whatever." According to the study's essayist, physicians could be less likely to see signs of pain medication invective among white patients or might be undertreating pain in minorities. Pletcher said that forgiving behavior also might pirouette a role, tally that minorities "may be less likely to hold on to nit-picking roughly their pain or perceive they deserve good pain control" (Johnson, AP/Houston Chronicle, 1/2).

An abstract of the study be going spare online.

Reprinted beside benign bonus from You can chance the complete Kaiser Daily Health Policy Report, scrabble the archives, or nod up for email transfer at /dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a unconstrained aspect of The Henry J. Kaiser Family Foundation 2005 Advisory Board Company and Kaiser Family Foundation. All rights taken.


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