医疗保健质量的公平格局:对外科手术质量计划内努力的混合方法研究
Jessica K Liu1,2, Courtney E Collins3, Anoosha Moturu1,4
1Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois.
Journal of the American College of Surgeons
|December 10, 2024
概括
医疗保健公平努力存在,但缺乏必要的基础设施. 医院需要更好的资源,组织和流程,以有效地解决健康不平等问题,并改善人口健康结果.
科学领域:
- 医疗保健管理的管理
- 健康 公平 研究 健康 公平 研究
- 提高质量 提高质量
背景情况:
- 解决医疗保健不平等问题对于改善人口健康至关重要.
- 基础资源,组织和流程是健康公平倡议所必需的.
- 目前对医院卫生公平努力的支持格局在很大程度上是未知的.
研究的目的:
- 评估前线资源,组织和支持健康公平工作的过程的存在.
- 评估参与美国外科医生学院 (ACS) 质量计划的医院.
主要方法:
- 一种混合方法设计,结合了在线调查和半结构面试.
- 调查数据的描述性分析和面试成绩单的诱导编码.
- 来自调查和采访的数据的三角分析,以获得全面的发现.
主要成果:
- 36%的受邀节目完成了调查; 采访了5个节目领导.
- 所有领导人都报告了机构的策略和流程,以报告歧视.
- 调查显示,劳动力能力,参与度和组织方面的缺陷影响了公平努力.
结论:
- 现有的健康公平工作缺乏有效的前线实践所需的基础设施.
- 障碍包括肤浅的机构实施,缺乏优先级,以及数据不足.
- 机会包括加强领导层的参与度,增加资源,并制定明确的战略.
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