Minority Health and Health Equity Archive

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Author: search.filters.author.Ayanian, John ZSubject: search.filters.subject.Policy

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    Responses of Massachusetts hospitals to a state mandate to collect race, ethnicity and language data from patients: a qualitative study
    (2010) Jorgensen, Selena; Thorlby, Ruth; Weinick, Robin M; Ayanian, John Z
    Abstract available at publisher's website.
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    Factors influencing the effectiveness of interventions to reduce racial and ethnic disparities in health care.
    (2010) Jones, Rhys G; Trivedi, Amal N; Ayanian, John Z
    Reducing racial and ethnic disparities in health care has become an important policy goal in the United States and other countries, but evidence to inform interventions to address disparities is limited. The objective of this study was to identify important dimensions of interventions to reduce health care disparities. We used qualitative research methods to examine interventions aimed at improving diabetes and/or cardiovascular care for patients from racial and ethnic minority groups within five health care organizations. We interviewed 36 key informants and conducted a thematic analysis to identify important features of these interventions. Key elements of interventions included two contextual factors (external accountability and alignment of incentives to reduce disparities) and four factors related to the organization or intervention itself (organizational commitment, population health focus, use of data to inform solutions, and a comprehensive approach to quality). Consideration of these elements could improve the design, implementation, and evaluation of future interventions to address racial and ethnic disparities in health care.
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    Creating A State Minority Health Policy Report Card: An evaluation of states’ capacity to address racial and ethnic health disparities.
    (2005) Trivedi, Amal N; Gibbs, Brian; Nsiah-Jefferson, Laurie; Ayanian, John Z; Prothrow-Stith, Deborah
    A state minority health policy report card may provide an important tool for evaluating and promoting state policies to reduce health disparities. This study develops criteria that can form the basis of such a state report card and assesses the performance of all fifty states on these measures. The results indicate wide variation among states, with geographic region being a significant predictor of performance on all four measures. Future research should be conducted on other predictors of state variation in minority health policy and connections between state policy and health outcomes for minorities.