Kairys Jo Ann, Orzano John, Gregory Patrice, Stroebel Christine, DiCicco-Bloom Barbara, Roemheld-Hamm Beatrix, Kobylarz Fred A, Scott John G, Coppola Lisa, Crabtree Benjamin F
Center for Healthy Families and Cultural Diversity, Department of Family Medicine, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Qual Manag Health Care. 2002 Summer;10(4):1-14. doi: 10.1097/00019514-200210040-00004.
The U.S. health care system serves a diverse population, often resulting in significant disparities in delivery and quality of care. Nevertheless, most quality improvement efforts fail to systematically assess diversity and associated disparities. This article describes application of the multimethod assessment process (MAP) for understanding disparities in relation to diversity, cultural competence, and quality improvement in clinical practice. MAP is an innovative quality improvement methodology that integrates quantitative and qualitative techniques and produces a system level understanding of organizations to guide quality improvement interventions. A demonstration project in a primary care practice illustrates the utility of MAP for assessing diversity.
美国医疗保健系统服务于多样化的人群，这常常导致医疗服务的提供和质量出现显著差异。然而，大多数质量改进工作未能系统地评估多样性及相关差异。本文介绍了多方法评估过程（MAP）在理解临床实践中与多样性、文化能力和质量改进相关的差异方面的应用。MAP是一种创新的质量改进方法，它整合了定量和定性技术，并对组织产生系统层面的理解，以指导质量改进干预措施。在一家初级保健机构开展的示范项目说明了MAP在评估多样性方面的效用。
