卫生系统质量与糖尿病护理中的种族和民族平等之间的关系
Michelle S Wong1, Chi-Hong Tseng2, Ernest Moy3
1HSR Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA 90073, United States.
Health affairs scholar
|July 11, 2024
概括
糖尿病护理质量的种族和民族差异仍然存在,即使在高性能医疗机构. 将公平纳入质量措施对于改善对所有退伍军人的护理至关重要.
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:
- 医疗保健质量措施可能会掩盖种族和种族不平等.
- 即使在具有高整体质量评级的设施中,护理方面的差异也可能存在.
研究的目的:
- 检查整体医疗保健质量与糖尿病护理质量的种族/种族差异之间的关系.
- 评估退伍军人卫生管理局 (VA) 门诊护理机构中的这些差异.
主要方法:
- 对从2020年3月1日到2021年2月28日接受VA门诊护理的退伍军人国家数据集的分析.
- 评估与糖尿病相关的质量指标的设施级绩效.
- 跨种族和种族群体 (美洲印第安人/阿拉斯加本土人,黑人,西班牙裔,白人,夏威夷本土人/其他太平洋岛民) 的糖尿病护理质量的比较.
主要成果:
- 在表现最好的VA医疗中心 (VAMC) 中发现了糖尿病护理质量的种族和种族差异.
- 与白人退伍军人相比,美国印第安人/阿拉斯加原住民 (AIAN),黑人和西班牙裔退伍军人获得优质护理的预测概率较低.
- 在AIAN和夏威夷原住民/其他太平洋岛民退伍军人的差异在表现较差的VAMC中更为严重.
结论:
- 医疗保健公平仍然是一个重要问题,即使在整体质量高的设施中也是如此.
- 将公平纳入质量措施是推动各种退伍军人群体改善医疗保健的关键.
- 解决差异需要一种专注的方法,而不仅仅是一般的质量评估.
关键词:
糖尿病 糖尿病患者 糖尿病患者质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量测量质量种族和民族健康平等.退伍军人的退伍军人更多相关视频
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