Race- and place-based disparities in multiple sclerosis care: A qualitative study of patient experiences.

IF 2.5 Q2 CLINICAL NEUROLOGY
Kavya Bhattiprolu, Brett L Opelt, Miranda R Jones, Abbey J Hughes, Meghan Beier, Ellen M Mowry, Keshia M Pollack Porter, Lisa A Cooper, Jagriti Jackie Bhattarai
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Abstract

Background: Multiple sclerosis is a neurodegenerative and neuroinflammatory disease causing a variety of symptoms, involving physical and cognitive domains. Previous research has demonstrated that racial disparities are prevalent in multiple sclerosis neurological outcomes, with Black individuals facing worse disease outcomes than their White counterparts.

Objective: To examine the race- and place-based differences in experiences with multiple sclerosis care among Black and White participants.

Methods: Qualitative data were collected from 20 adults with multiple sclerosis during four focus groups and ten individual semi-structured interviews. Focus groups and interviews were audio-recorded, transcribed, and coded in NVivo. Thematic analysis was used to identify dominant themes.

Results: Thematic analysis resulted in the following themes: health care quality, health literacy, patient-provider communication, multiple sclerosis, place, and race. Similarities and differences between Black and White participants were identified that may be fruitful areas for intervention to reduce existing disparities.

Conclusions: Both Black and White participants described positive experiences they have had with their multiple sclerosis care. However, only Black participants discussed the role of health insurance and facing discrimination. Only White participants reported residing in an area with access to many providers.

多发性硬化症治疗中的种族和地域差异:患者经历的定性研究。
背景:多发性硬化症是一种神经退行性和神经炎症性疾病,引起多种症状,涉及身体和认知领域。先前的研究表明,种族差异在多发性硬化症的神经预后中很普遍,黑人比白人面临更糟糕的疾病结果。目的:研究黑人和白人在多发性硬化症治疗经历方面的种族和地域差异。方法:对20例多发性硬化症患者进行4个焦点组和10个半结构化访谈,收集定性数据。在NVivo中对焦点小组和访谈进行录音、转录和编码。主题分析用于确定主导主题。结果:专题分析得出以下主题:卫生保健质量、卫生素养、医患沟通、多发性硬化症、地域和种族。确定了黑人和白人参与者之间的相同点和不同点,这可能是有效的干预领域,以减少现有的差距。结论:黑人和白人参与者都描述了他们在多发性硬化症治疗过程中的积极经历。然而,只有黑人与会者讨论了医疗保险的作用和面临的歧视。只有白人参与者报告居住在一个可以获得许多医疗服务的地区。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.70
自引率
0.00%
发文量
54
审稿时长
15 weeks
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