了解将公平纳入整个国家医疗保健系统质量改善的背景
Leslie R M Hausmann1,2, Carolyn Lamorte1, Jamie L Estock1
1Center for Health Equity Research and Promotion (CHERP), Veterans Affairs (VA) Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
医疗保健质量改善 (QI) 努力往往缺乏整合健康公平的工具. 这项研究使用了采访来开发一个以用户为中心的工具,VA初级保健股权仪表板,以支持以股权为重点的QI.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高科学 提高质量
- 卫生公平研究 卫生公平研究
背景情况:
- 医疗保健系统旨在提供公平的护理,但缺乏将公平纳入质量改进 (QI) 过程的实际工具.
- 现有的QI框架往往不能充分解决健康差异或提供可行的减轻策略.
研究的目的:
- 报告采访的调查结果,这些调查结果为开发一个以用户为中心的工具提供了信息,该工具旨在支持以股权为中心的QI.
- 在将健康公平数据和考虑纳入现有 QI 工作流程中识别实际需求和挑战.
主要方法:
- 在三个退伍军人事务 (VA) 医疗中心与14名医疗管理人员和临床工作人员进行了半结构化采访.
- 采用快速定性分析来提取与当前QI实践和股权数据的潜在整合相关的主题.
主要成果:
- 承认在检查医疗保健差异方面具有价值,但指出大多数质量指标缺乏必要的数据.
- 确定需要通过QI倡议解决不平等问题的指导,并强调QI流程设计的重要性.
结论:
- 采访的主题指导了VA国家初级保健公平仪表板的开发.
- 了解组织的QI流程对于构建有效的工具至关重要,这些工具可以促进在临床环境中与健康公平的参与.
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