Adjusting Quality Measures For Social Risk Factors Can Promote Equity In Health Care
Adjusting Quality Measures For Social Risk Factors Can Promote Equity In Health Care
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DOI：
10.1377/hlthaff.2020.01764
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发表时间：
2021-04-01
期刊：
影响因子：
9.7
通讯作者：
Glance, Laurent G.
中科院分区：
文献类型：
--
作者：
Nerenz, David R.;Austin, J. Matthew;Glance, Laurent G.
使用临床风险因素对质量措施进行风险调整已被广泛接受；使用社会风险因素进行风险调整仍然存在争议。我们在此认为，社会风险调整在特定情况下是适当且必要的，并且当存在支持或反对给定措施调整的有效经验论据时，社会风险调整应该是默认选项。社会风险调整是避免加剧医疗体系不平等的重要途径。
Risk adjustment of quality measures using clinical risk factors is widely accepted; risk adjustment using social risk factors remains controversial. We argue here that social risk adjustment is appropriate and necessary in defined circumstances and that social risk adjustment should be the default option when there are valid empirical arguments for and against adjustment for a given measure. Social risk adjustment is an important way to avoid exacerbating inequity in the health care system.