Promoting Health Equity And Eliminating Disparities Through Performance Measurement And Payment

被引:47
作者
Anderson, Andrew C. [1 ,2 ]
O'Rourke, Erin [2 ]
Chin, Marshall H. [3 ,4 ]
Ponce, Ninez A. [5 ,6 ,7 ]
Bernheim, Susannah M. [8 ,9 ]
Burstin, Helen [10 ]
机构
[1] Univ Maryland, College Pk, MD 20742 USA
[2] Natl Qual Forum, Washington, DC USA
[3] Univ Chicago, Dept Med, Healthcare Eth, 5841 S Maryland Ave, Chicago, IL 60637 USA
[4] Univ Chicago, RWJF Finding Answers Solving Dispar Payment & Del, Chicago, IL 60637 USA
[5] Univ Calif Los Angeles, Dept Hlth Policy & Management, Los Angeles, CA USA
[6] Univ Calif Los Angeles, Ctr Global & Immigrant Hlth, Los Angeles, CA USA
[7] Univ Calif Los Angeles, UCLA Ctr Hlth Policy Res, Fielding Sch Publ Hlth, Los Angeles, CA USA
[8] Yale New Haven Med Ctr, Ctr Outcomes Res & Evaluat, Qual Measurement, 20 York St, New Haven, CT 06504 USA
[9] Yale Sch Med, Dept Internal Med, New Haven, CT USA
[10] Council Med Specialty Soc, Washington, DC USA
关键词
BLOOD-PRESSURE CONTROL; ACCOUNTABLE CARE ORGANIZATIONS; AFRICAN-AMERICANS; ETHNIC DISPARITIES; RANDOMIZED-TRIAL; HYPERTENSION; MANAGEMENT; DISEASE; INTERVENTIONS; PREVENTION;
D O I
10.1377/hlthaff.2017.1301
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
Current approaches to health care quality have failed to reduce health care disparities. Despite dramatic increases in the use of quality measurement and associated payment policies, there has been no notable implementation of measurement strategies to reduce health disparities. The National Quality Forum developed a road map to demonstrate how measurement and associated policies can contribute to eliminating disparities and promote health equity. Specifically, the road map presents a four-part strategy whose components are identifying and prioritizing areas to reduce health disparities, implementing evidence-based interventions to reduce disparities, investing in the development and use of health equity performance measures, and incentivizing the reduction of health disparities and achievement of health equity. To demonstrate how the road map can be applied, we present an example of how measurement and value-based payment can be used to reduce racial disparities in hypertension among African Americans.
引用
收藏
页码:371 / 377
页数:7
相关论文
共 43 条
[1]   Impact of pay for performance on inequalities in health care: systematic review [J].
Alshamsan, Riyadh ;
Majeed, Azeem ;
Ashworth, Mark ;
Car, Josip ;
Millett, Christopher .
JOURNAL OF HEALTH SERVICES RESEARCH & POLICY, 2010, 15 (03) :178-184
[2]  
American Heart Association, HIGH BLOOD PRESS AFR
[3]  
[Anonymous], 2001, CROSS QUAL CHASM NEW
[4]  
[Anonymous], 2017, ROADM PROM HLTH EQ E
[5]  
Association of Asian Pacific Community Health Organizations, 2010, HIHGL ROL EN SERV CO
[6]  
Bartolome Rowena E, 2016, Perm J, V20, P53, DOI 10.7812/TPP/15-052
[7]   Analysis Raises Questions On Whether Pay-For-Performance In Medicaid Can Efficiently Reduce Racial And Ethnic Disparities [J].
Blustein, Jan ;
Weissman, Joel S. ;
Ryan, Andrew M. ;
Doran, Tim ;
Hasnain-Wynia, Romana .
HEALTH AFFAIRS, 2011, 30 (06) :1165-1175
[8]   Can stories influence African-American patients' intentions to change hypertension management behaviors? A randomized control trial [J].
Bokhour, Barbara G. ;
Fix, Gemmae M. ;
Gordon, Howard S. ;
Long, Judith A. ;
DeLaughter, Kathryn ;
Orner, Michelle B. ;
Pope, Charlene ;
Houston, Thomas K. .
PATIENT EDUCATION AND COUNSELING, 2016, 99 (09) :1482-1488
[9]   Racial differences in blood pressure control: Potential explanatory factors [J].
Bosworth, Hayden B. ;
Powers, Benjamin ;
Grubber, Janet M. ;
Thorpe, Carolyn T. ;
Olsen, Maren K. ;
Orr, Melinda ;
Oddone, Eugene Z. .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2008, 23 (05) :692-698
[10]   Racial Differences in Two Self-Management Hypertension Interventions [J].
Bosworth, Hayden B. ;
Olsen, Maren K. ;
Grubber, Janet M. ;
Powers, Benjamin J. ;
Oddone, Eugene Z. .
AMERICAN JOURNAL OF MEDICINE, 2011, 124 (05) :468.e1-468.e8