Sustainable Approach to Justice, Equity, Diversity, and Inclusion Through Better Quality Measurement.
Circ Cardiovasc Qual Outcomes
; 17(5): e010791, 2024 May.
Article
em En
| MEDLINE
| ID: mdl-38618717
ABSTRACT
The US health care industry has broadly adopted performance and quality measures that are extracted from electronic health records and connected to payment incentives that hope to improve declining life expectancy and health status and reduce costs. While the development of a quality measurement infrastructure based on electronic health record data was an important first step in addressing US health outcomes, these metrics, reflecting the average performance across diverse populations, do not adequately adjust for population demographic differences, social determinants of health, or ecosystem vulnerability. Like society as a whole, health care must confront the powerful impact that social determinants of health, race, ethnicity, and other demographic variations have on key health care performance indicators and quality metrics. Tools that are currently available to capture and report the health status of Americans lack the granularity, complexity, and standardization needed to improve health and address disparities at the local level. In this article, we discuss the current and future state of electronic clinical quality measures through a lens of equity.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Indicadores de Qualidade em Assistência à Saúde
/
Equidade em Saúde
/
Disparidades em Assistência à Saúde
/
Registros Eletrônicos de Saúde
/
Determinantes Sociais da Saúde
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Circ Cardiovasc Qual Outcomes
Assunto da revista:
ANGIOLOGIA
/
CARDIOLOGIA
Ano de publicação:
2024
Tipo de documento:
Article