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Published on: January 12, 2018
Racial/ethnic disparities and patient safety
1Center for the Advancement of Underserved Children, Department of Pediatrics, Medical College of Wisconsin and Children's Research Institute, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA. gflores@mcw.edu
Insights
Racial and ethnic disparities in pediatric patient safety are a growing concern. Addressing these requires collecting patient data, improving cultural competency, and offering language services for minority children.
Area of Science:
- Health Services Research
- Pediatric Patient Safety
- Health Equity
Background:
- Minority children will soon outnumber non-Latino white children in the U.S.
- Little is known about racial/ethnic disparities in pediatric patient safety.
- Existing research indicates significant disparities exist.
Purpose of the Study:
- To review existing literature on racial/ethnic disparities in pediatric patient safety.
- To propose a conceptual model for understanding these disparities.
- To identify strategies for improving patient safety for minority children.
Main Methods:
- A comprehensive literature review was conducted.
- Analysis of existing studies on racial/ethnic disparities in pediatric care.
- Development of a new conceptual model.
Main Results:
- Several racial/ethnic disparities in pediatric patient safety were identified.
- A conceptual model for understanding these disparities was proposed.
- Key areas for intervention were highlighted.
Conclusions:
- Improving patient safety for minority children is crucial.
- Strategies include collecting parental self-reported data (race/ethnicity, language, English proficiency).
- Enhancing healthcare provider cultural competency and providing language services are essential.
Abstract:
The number of racial/ethnic minority children will exceed the number of non-Latino white children in the United States by 2030, but little is known about racial/ethnic disparities in patient safety, particularly when it comes to children. A literature review revealed several racial/ethnic disparities in pediatric patient safety. A new conceptual model is proposed for understanding racial/ethnic disparities in patient safety. Evidence suggests that improving patient safety for minority children could be achieved by routinely collecting and monitoring parental self-reported data on race/ethnicity, language, and English proficiency; enhancing the cultural competency of health care providers and staff; and providing adequate language services for all limited English-proficient patients and their families.
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