Developing Equity Report Cards for Residents Training in Primary Care

Area of Science:

• Health Services Research
• Medical Education
• Health Equity

Background:

• Residency programs often lack health equity data for patient populations.
• Understanding patient care disparities is crucial for trainee education.

Purpose of the Study:

• To develop and assess the feasibility of creating health equity report cards for internal and family medicine residents.
• To identify disparities in ambulatory quality measures within resident patient panels.

Main Methods:

• Developed equity report cards using available health equity indicators for ambulatory quality measures.
• Determined patient attribution methods based on encounter proportion.
• Utilized chi-square tests to analyze differences in quality measure satisfaction between groups.

Main Results:

• Patient attribution based on the highest proportion of encounters was the most effective method.
• Aggregate reporting across all residents was feasible for most measures due to insufficient individual panel sizes.
• Significant health inequities were identified in four out of five examined quality measures.

Conclusions:

• Aggregate health equity reports for primary care residents are feasible.
• These reports effectively document disparities in healthcare quality across multiple indicators.
• The findings highlight the need for integrating health equity data into residency training.