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Gabrina L Dixon1, Michelle-Marie Peña2, Angela M Ellison3
1Division of Hospital Medicine (GL Dixon), Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington, DC.
Academic pediatrics
|October 20, 2024
概括
患者安全和质量改善 (QI) 倡议可以解决儿科护理中的健康不平等问题. 关注结构性种族主义和评估QI数据是促进少数群体青年平等的关键.
科学领域:
- 儿科医疗保健股权的公平性
- 患者安全和质量改善 (QI)
背景情况:
- 在少数群体青年的护理质量和健康结果方面存在着记录的不平等现象.
- 以公平为重点的患者安全和质量改善 (QI) 对于解决这些差异至关重要.
研究的目的:
- 提供关于儿科住院护理方面的不平等的证据.
- 描述根源原因,强调结构性种族主义.
- 突出应用公平原则在患者安全和QI方面的框架.
主要方法:
- 审查现有的文献和框架.
- 分析与儿科患者安全性和QI相关的数据.
- 开发最佳实践和建议.
主要成果:
- 证据表明,在儿科医院护理方面存在重大不平等现象.
- 结构性种族主义被认为是这些差异的根本原因之一.
- 概述了将公平性纳入患者安全和质量信息的框架和最佳实践.
结论:
- 在儿科住院护理中推进公平需要有意识地关注患者安全和QI.
- 通过股权镜头评估QI数据对于识别和纠正差异至关重要.
- 为医疗保健系统提供建议,以改善少数群体青年的结果.
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