Assessing Factors Influencing Commitment to a Disparities Reduction Intervention: Social Justice Attitudes and Organizational Mission.
Assessing Factors Influencing Commitment to a Disparities Reduction Intervention: Social Justice Attitudes and Organizational Mission.
复制标题
评估影响减少差异干预措施承诺的因素：社会正义态度和组织使命。
DOI：
10.1097/jhq.0000000000000385
复制
发表时间：
2023
期刊：
影响因子：
--
通讯作者：
RICHLIF
中科院分区：
文献类型：
--
作者：
Marsteller,JillA;Hsu,Yea-Jen;Weeks,Kristina;Oduwole,Modupe;Boonyasai,RomsaiT;Avornu,GideonD;Dietz,KatherineB;Zhou,Zehui;Brown,Deven;Hines,Anika;Chung,Suna;Lubomski,Lisa;Carson,KathrynA;Ibe,Chidinma;Cooper,LisaA;RICHLIF
这项混合方法的研究旨在了解领导者和医疗保健专业人员的看法是关于差异的原因，文化能力和动机，然后再启动一个减少高血压护理差异的项目，对比联邦合格的卫生中心（CIMHC）的看法，并在非CIMHC系统。我们采访了六个参与初级保健系统的领导人，并对提供者和工作人员进行了调查。与非社区卫生服务机构相比，社区卫生服务机构的受访者报告了更积极的文化能力态度和行为，更高的动机来实施该项目，更少地关注照顾弱势患者的障碍;然而，平等主义信念在所有人中是相似的。定性分析表明，难民署人道主义协调员的组织使命反映了他们在为弱势群体服务方面的关键作用。所有系统领导人都意识到向得不到充分服务的群体提供保健的挑战，但这两种系统仍需要采取综合举措，解决健康的社会决定因素，提高文化能力。这项研究提供了对改善慢性病护理感兴趣的初级保健组织领导者和提供者的看法和动机的见解。它还为护理差异方案提供了一个例子，以了解参与者的承诺和价值观，从而制定干预措施并设定进展基线。
This mixed-methods study aims to understand what the perceptions of leaders and healthcare professionals are regarding causes of disparities, cultural competence, and motivation before launching a disparity reduction project in hypertension care, contrasting perceptions in Federally Qualified Health Centers (FQHCs), and in a non-FQHC system. We interviewed leaders of six participating primary care systems and surveyed providers and staff. FQHC respondents reported more positive cultural competence attitudes and behavior, higher motivation to implement the project, and less concern about barriers to caring for disadvantaged patients than those in the non-FQHC practices; however, egalitarian beliefs were similar among all. Qualitative analysis suggested that the organizational missions of the FQHCs reflect their critical role in serving vulnerable populations. All system leaders were aware of the challenges of provider care to underserved groups, but comprehensive initiatives to address social determinants of health and improve cultural competence were still needed in both system types. The study provides insights into the perceptions and motivations of primary care organizational leaders and providers who are interested in improving chronic care. It also offers an example for care disparity programs to understand commitment and values of the participants for tailoring interventions and setting baseline for progress.