Inequality in quality: addressing socioeconomic, racial, and ethnic disparities in health care.

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dc.contributor.authorFiscella, K
dc.contributor.authorFranks, P
dc.contributor.authorGold, M R
dc.contributor.authorClancy, C M
dc.date.accessioned2019-08-14T15:03:52Z
dc.date.available2019-08-14T15:03:52Z
dc.date.issued2000
dc.description.abstractSocioeconomic and racial/ethnic disparities in health care quality have been extensively documented. Recently, the elimination of disparities in health care has become the focus of a national initiative. Yet, there is little effort to monitor and address disparities in health care through organizational quality improvement. After reviewing literature on disparities in health care, we discuss the limitations in existing quality assessment for identifying and addressing these disparities. We propose 5 principles to address these disparities through modifications in quality performance measures: disparities represent a significant quality problem; current data collection efforts are inadequate to identify and address disparities; clinical performance measures should be stratified by race/ethnicity and socioeconomic position for public reporting; population-wide monitoring should incorporate adjustment for race/ethnicity and socioeconomic position; and strategies to adjust payment for race/ethnicity and socioeconomic position should be considered to reflect the known effects of both on morbidity. JAMA. 2000;283:2579-2584
dc.description.urihttp://jama.ama-assn.org/content/283/19/2579.short
dc.identifierhttps://doi.org/10.13016/b94p-moul
dc.identifier.citationFiscella, K and Franks, P and Gold, M R and Clancy, C M (2000) Inequality in quality: addressing socioeconomic, racial, and ethnic disparities in health care. JAMA : the journal of the American Medical Association, 283 (19). pp. 2579-2584.
dc.identifier.issn0098-7484
dc.identifier.otherEprint ID 2934
dc.identifier.urihttp://hdl.handle.net/1903/23566
dc.subjectAccess To Healthcare
dc.subjectDisparities
dc.subjectPolicy
dc.subjectdelivery of health care
dc.subjectethnic groups
dc.subjecthealth care quality
dc.subjectaccess
dc.subjectevaluation
dc.subjectpolicy perspectives
dc.subjectquality of health care
dc.subjectrace
dc.subjectsocioeconomic factors
dc.titleInequality in quality: addressing socioeconomic, racial, and ethnic disparities in health care.
dc.typeArticle

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