Moy Ernest, Dayton Elizabeth, Clancy Carolyn M
Agency for Healthcare Research and Quality (AHRQ), Rockville, Maryland, USA.
Health Aff (Millwood). 2005 Mar-Apr;24(2):376-87. doi: 10.1377/hlthaff.24.2.376.
Disparities in health care have been described extensively in the literature. The next step in resolving this national problem is to develop the necessary infrastructure for monitoring and tracking disparities. The congressionally mandated National Healthcare Disparities Report begins to build this infrastructure. The 2003 report addressed many of the methodological challenges inherent in measuring disparities. The recently released 2004 report continues the process by summarizing the status of U.S. health care disparities and beginning to track changes over time. Both reports emphasize the need to integrate activities to reduce disparities and to improve the quality of health care.
医疗保健方面的差异在文献中已有广泛描述。解决这个全国性问题的下一步是建立监测和跟踪差异所需的基础设施。国会授权的《国家医疗保健差异报告》开始构建这一基础设施。2003年的报告解决了衡量差异所固有的许多方法学挑战。最近发布的2004年报告通过总结美国医疗保健差异的状况并开始跟踪随时间的变化来延续这一进程。两份报告都强调需要整合各项活动以减少差异并提高医疗保健质量。