Assessing Factors Influencing Commitment to a Disparities Reduction Intervention: Social Justice Attitudes and Organizational Mission

被引:1
作者
Marsteller, Jill [1 ,9 ]
Hsu, Yea-Jen [1 ]
Weeks, Kristina [2 ]
Oduwole, Modupe T. [3 ]
Boonyasai, Romsai D. [4 ,5 ]
Avornu, Gideon B. [3 ]
Dietz, Katherine [3 ]
Zhou, Zehui [1 ,6 ]
Brown, Deven [3 ,7 ]
Hines, Anika [8 ]
Chung, Suna [1 ]
Lubomski, Lisa A. [2 ]
Carson, Kathryn [1 ]
Ibe, Chidinma A. [3 ]
Cooper, Lisa [3 ]
机构
[1] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA
[2] Johns Hopkins Med, Armstrong Inst Patient Safety & Qual, Baltimore, MD USA
[3] Johns Hopkins Univ, Sch Med, Baltimore, MD USA
[4] Agcy Healthcare Res & Qual, Rockville, MD USA
[5] Johns Hopkins Univ, Baltimore, MD USA
[6] Yale Univ, Publ Hlth, New Haven, CT USA
[7] Johns Hopkins Ctr Hlth Equ, Community Advisory Board, Baltimore, MD USA
[8] Virginia Commonwealth Univ, Sch Med, Richmond, VA USA
[9] Johns Hopkins Bloomberg Sch Publ Hlth, Hlth Policy & Management, 624 N Broadway, Baltimore, MD 21205 USA
基金
美国国家卫生研究院;
关键词
healthcare disparities; quality improvement; hypertension; social justice; organization and administration; HEALTH; CARE; HYPERTENSION; DETERMINANTS;
D O I
10.1097/JHQ.0000000000000385
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
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.
引用
收藏
页码:209 / 219
页数:11
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