迈向医疗保健公平的旅程:认可医院与联合委员会医疗保健公平标准的协调 预先实施
Jamie Patrianakos1, Scott C Williams1, Brian Johnson2
1Department of Research, The Joint Commission, Oakbrook Terrace, Illinois, USA.
Health equity
|March 24, 2025
概括
医院在医疗保健公平 (HCE) 的领导方面取得了进展,但在数据收集和护理提供方面需要改进. 实现HCE需要解决超出个体患者需求的健康的社会决定因素.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 卫生公平研究 卫生公平研究
背景情况:
- 联合委员会 (TJC) 引入了新的医疗保健公平 (HCE) 标准,以指导医院监测和加强护理公平.
- 本研究提供了对医疗保健领域在TJC标准发布后HCE实施方面的进展的基线评估.
研究的目的:
- 评估医院在满足联合委员会新的医疗保健公平标准方面取得的初步进展.
- 建立对医疗保健组织在HCE方面的进展的基线理解.
主要方法:
- 一项采用在线问卷的横截面观察性研究.
- 该调查评估了四个关键领域:领导力,协作,数据利用和护理提供,符合TJC的要求.
- 数据从2023年4月至6月从1625家符合条件的医院的样本中收集.
主要成果:
- 实现了20.9% (340家医院) 的响应率.
- 医院在领导力领域表现更强,但在其他领域的进展有限.
- 与行为健康/精神病学机构相比,非营利性医院和系统附属医院在HCE合规方面更先进.
结论:
- 虽然医院在特定的HCE领域取得了进展,但全面的健康公平需要更广泛的社会努力.
- 解决健康的社会决定因素对于实现全社区健康平等至关重要,它超越了个体患者的护理.
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