让我们不要以质量的名义从我们的患者那里窃取股权
Chelsea D Hicks1,2, Heather Barnett2,3, Jennifer Shi2,4
1Department of Pediatrics, University of Washington, Seattle, WA, United States.
Frontiers in public health
|June 23, 2025
概括
医疗保健质量改善必须整合健康公平措施,以确保公平的患者护理. 实现医疗保健公平是一种权利和社会目标,需要患者,提供者和组织之间的协调.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 质量改进 (QI) 过程是医疗保健服务的标准.
- 当前的QI指标往往缺乏针对健康公平的具体措施.
- 不公平护理对患者的影响在很大程度上仍未得到量化.
研究的目的:
- 突出将健康公平纳入医疗保健质量指标的关键需求.
- 倡导一个范式的转变,公平是高质量的护理的核心.
- 为调整健康公平和质量测量提出可行的建议.
主要方法:
- 对现有质量指标框架的文献审查.
- 分析当前医疗保健标准中质量和公平性之间的分离.
- 开发概念框架,将股权融入QI.
主要成果:
- 现有的质量指标没有充分解决医疗保健公平问题.
- 在QI中缺乏公平措施,可能会使护理差异持续存在.
- 患者,提供者和组织之间的协调对于实现健康公平至关重要.
结论:
- 医疗保健质量指标必须不断发展,明确包括健康公平.
- 获得公平的护理是基本权利,也是高质量的医疗保健的必要组成部分.
- 为了在实践中追求和实施健康公平,存在成功的策略.
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