Race and economic status influence health care choicesFebruary 1st, 2008 - 4:40 pm ICT by admin
Washington, Feb 1 (ANI): A new study has demonstrated that race and economic status influence health care choices, by revealing that African Americans and low-income patients are less likely to consent to post-surgery epidural pain relief, than their white or more well off counterparts.
The research from physicians at the University of Pennsylvania School of Medicine studied how race, economic and educational status may affect health care choices when access to care isnt a factor.
Overall analysis showed that education and income were not as important as race in determining epidural acceptance, but the researchers say the costs of improper pain treatment after surgery are large for any patient group.
Epidurals are more effective for relieving postoperative pain, and higher levels of pain have been linked to the development of chronic pain, says E. Andrew Ochroch, MD, an associate professor and director of clinical research in the Department of Anesthesiology and Critical Care.
Consequently, if African Americans are either denied or denying themselves epidural for pain relief, then they may be at greater risk for postoperative complications, he added.
For the study, prospective surgery patients were screened using a short, scripted interview developed by a panel of anesthesiologists, neurologists and chronic pain specialists, to assess what they already knew about epidurals and what experiences, if any, theyd had with the technique before.
Physicians collected data from 1,193 patients between late August 2004 and early January 2005.
64 percent of all patients said they would accept an epidural if it was recommended by an anesthesiologist, while 36 percent said they would refuse. When asked if an additional recommendation from the surgeon would make them consent, acceptance rose to 78 percent.
But when examining differences based on race, African American patients were less likely to say they would accept an epidural under any circumstances.
Socio-economic status also appeared to influence consent. Participants who worked full- or part-time were more likely to accept an epidural compared to those who were unemployed.
Even at higher income levels, white patients were more likely than black patients to accept an epidural.
The study is published in the journal Anesthesia and Analgesia. (ANI)
- Chronic statin therapy linked to reduced postoperative mortality - Dec 26, 2010
- Acupuncture the best bet to ease pain - May 02, 2010
- Obese patients at higher risk from major complications after surgery - Apr 19, 2011
- Traffic accidents may hasten chronic widespread pain: Study - Mar 21, 2011
- Study sheds light on chronic lower back pain condition 'Spondyloarthritis' - Nov 08, 2010
- Chronic pain takes a toll on primary care providers as well as patients - Dec 17, 2010
- Racial disparities in head, neck cancer more to do with society than biology - Sep 27, 2010
- Minimally invasive surgery helps chronic sinusitis patients get relief - Jan 28, 2010
- Drug promises to reduce chronic pain, expedite mobility after knee replacement surgery - Oct 20, 2008
- Smoking, chronic pain linked in women - Sep 29, 2011
- St. Jude to provide latest medical technologies to India - Apr 19, 2012
- New finding to make morphine a safer, more effective drug - Mar 25, 2011
- Having epidurals during labour may protect key muscles - Aug 26, 2010
- It's possible to have an active life after disc surgery: Study - Jan 22, 2011
- Gastric bypass surgery lead to better long-term results - Feb 22, 2011
Tags: african american patients, anesthesiologist, critical care, economic status, educational status, epidurals, health care choices, income patients, influence health, late august, neurologists, pain specialists, patient group, pennsylvania school, postoperative complications, school of medicine, scripted, surgery patients, university of pennsylvania, university of pennsylvania school of medicine