Quality of care and racial health disparities: a strategic overview.
Quality of care and racial health disparities: a strategic overview.
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护理质量和种族健康差异：战略概述。
DOI：
10.1002/msj.20012
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Anderson,RebeccaM
中科院分区：
文献类型：
--
作者：
Chassin,MarkR;Anderson,RebeccaM
美国在健康和医疗保健方面存在巨大的种族和民族差异。西奈山医学院卫生政策系根据其质量改进经验制定了一项减少这些差异的战略。本文讨论了将质量改进原则应用于制定干预措施的效用，以消除有效治疗方法的不足，并减少因质量问题可能引起的差异。我们提出了健康方面种族差异的概念模型以及我们的未充分利用假设。描述了我们的差异研究策略和六西格玛质量改进方法之间的相似之处。最后，本文提供了一个例子，说明即使在赠款资助结束后，我们仍然能够在哈莱姆社区成功实施行之有效的健康改善计划。Mt Sinai J Med 75:7–12, 2008。© 2008 Mount Sinai School of Medicine
Substantial racial and ethnic disparities in health and health care exist in the United States. The Department of Health Policy at the Mount Sinai School of Medicine has developed a strategy for reducing those disparities that builds upon its quality improvement experience. This article discusses the utility of applying quality improvement principles to the development of interventions to eliminate underuse of effective treatments and reduce the disparities that may arise from this quality problem. We present a conceptual model of racial disparities in health and our underuse hypothesis. Parallels between our disparities research strategy and six sigma quality improvement methods are described. Finally, the article provides an example of how we have been able to successfully implement proven‐effective health improvement programs in the Harlem community even after grant funding has ended.Mt Sinai J Med 75:7–12, 2008.© 2008 Mount Sinai School of Medicine
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影响因子：
3
作者：
Lorig, KR;Sobel, DS;Holman, HR
通讯作者：
Holman, HR
DOI：
10.1001/jama.1995.03530090032018
发表时间：
1995
期刊：
JAMA
影响因子：
--
作者：
D. Davis;M. Thomson;A. Oxman;R. Haynes
通讯作者：
R. Haynes
影响因子：
158.5
作者：
Mangione-Smith, Rita;DeCristofaro, Alison H.;McGlynn, Elizabeth A.
通讯作者：
McGlynn, Elizabeth A.
影响因子：
3
作者：
Lorig, KR;Ritter, P;Holman, HR
通讯作者：
Holman, HR