从质量改善到平等改善项目:一个范围审查和框架
Jack Gallifant1,2, Molly Griffin3, Robin L Pierce4
1Laboratory for Computational Physiology, Massachusetts Institute of Technology, Cambridge, MA, USA.
iScience
|October 11, 2023
概括
平等改善项目 (EQIP) 对于解决健康差异至关重要. 这一审查为EQIP提供了一个框架,突出了通过追踪结果成功减少不平等的干预措施.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生公平研究 卫生公平研究
- 医疗保健管理的管理
背景情况:
- 越来越多的人认识到健康差异需要新的方法.
- 现有的质量改进项目 (QIP) 往往缺乏健康公平的重点.
- 需要对不同的人口群体的健康结果进行系统的数据收集.
研究的目的:
- 对平等改善项目 (EQIP) 进行范围审查.
- 通过健康公平镜头为质量改善制定一个新的框架提供信息.
- 确定有效减少健康差异的EQIP特征.
主要方法:
- 使用了一个范围审查方法.
- 研究的分析是基于它们是否实施干预措施或仅仅确定了群体差异.
- 专注于针对发现的健康差异的干预措施.
主要成果:
- 40项研究实施干预措施以解决发现的差异,与149项仅指出差异的研究形成鲜明对比.
- 大多数EQIP专注于基于种族的差异,发生在住院和门诊机构.
- 成功的EQIP使用了多学科团队,员工教育和持续的结果跟踪.
结论:
- 对于系统地解决和减少健康不平等问题,EQIP至关重要.
- 整合EQIP的框架可以激励健康公平的进展.
- 在EQIP中利用特定策略可以弥合健康不平等的差距.
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