Finerman Ruthbeth, Blanchard-Horan Christina, Jowers Stacy, Brittman Susan
University of Memphis, TN, USA.
J Health Hum Serv Adm. 2003 Winter;26(3):269-97.
The Centers for Medicare and Medicaid Services (CMS) have begun a major national initiative to reduce disparities in health care for the underserved through their contracts with state quality improvement organizations (QIOs). This initiative has translated into state-level projects that are, in many cases, investigating these populations to determine how best to address their health care deficiencies and improve the quality of their care. Tennessee's campaign, coordinated by the Center for Healthcare Quality (CHQ), the state's QIO, focused on the use of formative research to gain insights into diversity among the underserved in different settings across the state. Results aided the design of a series of site-appropriate interventions aimed at improving the utilization of mammography screening among Tennessee's Dual Enrolled: Medicare beneficiaries who are also enrolled in Medicare.
医疗保险和医疗补助服务中心（CMS）已启动一项重大的全国性倡议，通过与州质量改进组织（QIO）签订合同，减少为服务不足人群提供医疗保健方面的差距。这一倡议已转化为州级项目，在许多情况下，这些项目正在对这些人群进行调查，以确定如何最好地解决他们的医疗保健缺陷并提高其护理质量。田纳西州的这项活动由该州的QIO——医疗保健质量中心（CHQ）协调，重点是利用形成性研究来深入了解该州不同地区服务不足人群的多样性。研究结果有助于设计一系列适合当地情况的干预措施，旨在提高田纳西州双重参保人群（同时参加医疗保险的医疗保险受益人）的乳房X光筛查利用率。
