医疗保健组织之间的协作学习,以提高质量和推进种族平等
Ivan A Copado1, Amanda L Brewster1, Sarah D Epstein1
1Division of Health Policy and Management, School of Public Health, University of California, Berkeley, California, USA.
Health equity
|September 21, 2023
概括
马萨诸塞州蓝十字蓝盾 (BCBSMA) 赞助的一个学习协作帮助提供者测试干预措施,以减少护理中的种族差异. 虽然资金和专业知识至关重要,但可持续性需要更多的资源.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 提高质量 提高质量
背景情况:
- 由马萨诸塞州蓝十字蓝盾 (BCBSMA) 领导,由卫生保健改进研究所 (IHI) 促进的全州学习协作,旨在减少医疗保健质量的种族和民族差异.
- 该倡议侧重于改善癌症查,高血压和糖尿病管理等领域的护理.
研究的目的:
- 检查利益相关者的经验与学习协作,旨在减少种族和种族差异的医疗保健质量.
- 评估协作学习和为解决这些差异而实施的干预措施的有效性.
主要方法:
- 对44个主要利益相关方的采访进行了定性分析,包括BCBSMA,IHI,提供者团体和外部专家的代表.
- 干预措施的重点是改善种族,种族和语言 (REaL) 数据收集,药剂师主导的药物管理,交通便利以及社区卫生工作者的参与.
主要成果:
- 利益相关者报告说,学习协作促进了提供者团体进行干预测试.
- 最初的基础设施和试点资金是必不可少的,但组织需要比预期更多的资源.
- 质量改善和健康公平方面的专业知识对于干预成功至关重要,预计将来还需要.
结论:
- BCBSMA学习协作支持提供者加强REaL数据收集和试点以公平为重点的干预措施.
- 合作促进了对创新方法的学习,以减少护理质量的种族差异.
- 可持续性问题凸显了在实施减少健康差异的倡议方面持续需要专业专业知识的需求.
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