Literature DB >> 25787874

Sustained Reduction in Health Disparities Achieved through Targeted Quality Improvement: One-Year Follow-up on a Three-Year Intervention.

Ran D Balicer1, Moshe Hoshen2, Chandra Cohen-Stavi2, Sivan Shohat-Spitzer3, Calanit Kay4, Haim Bitterman2,5, Nicky Lieberman4, Orit Jacobson4, Efrat Shadmi2,3.   

Abstract

OBJECTIVE: To assess a quality improvement disparity reduction intervention and its sustainability. DATA SOURCES/STUDY
SETTING: Electronic health records and Quality Index database of Clalit Health Services in Israel (2008-2012). STUDY
DESIGN: Interrupted time-series with pre-, during, and postintervention disparities measurement between 55 target clinics (serving approximately 400,000 mostly low socioeconomic, minority populations) and all other (126) clinics. DATA COLLECTION/EXTRACTION
METHODS: Data on a Quality Indicator Disparity Scale (QUIDS-7) of 7 indicators, and on a 61-indicator scale (QUIDS-61). PRINCIPAL
FINDINGS: The gap between intervention and nonintervention clinics for QUIDS-7 decreased by 66.7 percent and by 70.4 percent for QUIDS-61. Disparity reduction continued (18.2 percent) during the follow-up period.
CONCLUSIONS: Quality improvement can achieve significant reduction in disparities in a wide range of clinical domains, which can be sustained over time. © Health Research and Educational Trust.

Keywords:  Health disparities; intervention; quality improvement

Mesh：

Year:  2015        PMID： 25787874      PMCID： PMC4693854          DOI： 10.1111/1475-6773.12300

Source DB:  PubMed          Journal:  Health Serv Res        ISSN： 0017-9124            Impact factor:   3.402


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