Kebede Tefera Betru, Thuledi Makua
Challenges Experienced and Observed during the Implementation of Leprosy Strategies, Sidama Region, Southern Ethiopia: An inductive thematic analysis of qualitative study among health professionals who working with leprosy programs
PLoS neglected tropical diseases
study investigates geographic disparities aneurysmal subarachnoid hemorrhage asah care black patients aims explore association segregation treatment facilities understanding dynamics guide efforts improve healthcare outcomes marginalized populations cohort study evaluated regional differences segregation black patients asah association geographic variations disparities 2016 2020 national inpatient sample nis database queried admission data asah black patients compared white patients segregation treatment facilities calculated using dissimilarity index using multivariable logistic regression models regional disparities asah treatment functional outcomes mortality endoflife care black white patients association geographical segregation treatment facilities assessed 142285 black white patients diagnosed asah 2016 2020 pacific division index 055 greatest degree segregation treatment facilities south atlantic index 039 lowest compared lower segregation regions higher levels segregation global f test p 0001 associated lower likelihood mortality 091 95 ci 082100 p 0044 vs 075 95 ci 068083 p 0 001 p 0049 greater likelihood tracheostomy tube placement 145 95 ci 122173 p 0001 vs 187 95 ci 159221 p 0001 p 0 001 lower likelihood receiving palliative care 088 95 ci 076093 p 0001 vs 067 95 ci 059077 p 0001 p 0029 study demonstrates regional differences disparities black patients asah particularly endoflife care varying levels segregation regional treatment facilities playing associated role findings underscore need targeted interventions policy changes address systemic healthcare inequities reduce segregation ensure equitable access highquality care patients