American Medical Association, 515 N. State St., Chicago, IL 60654, USA.
Acad Med. 2012 Jun;87(6):687-8. doi: 10.1097/ACM.0b013e3182539d5d.
Physician membership organizations vary in the extent of their engagement in activities to address health disparities. Increasing engagement of those organizations not already highly active in this critical area is, thus, an opportunity. Studies that provide definitional contours of key issues, like disparities, are necessary and must be iteratively refined. However, parallel activities of intervention with measured outcomes to assess the effects of these interventions are necessary to truly address major problems in the health care system. To date, work in the problem definition category exceeds work toward intervention in and mitigation of these problems with measured outcomes. Many problems in health care, including disparities, are now sufficiently understood that it is time to shift focus toward bold intervention with measured outcomes. Optimal approaches that yield superior outcomes generally require collaboration across the provider-payer spectrum and the private sectors, including physicians, hospitals, insurers, etc. Stakeholders are now free to act in such coordinated fashion; it only requires social capital that permits cooperation and compromise. Interventions for problems such as health care disparities can be developed in the private sector and mirrored by government payers if physicians and organizations can get real about collaborating to implement outcomes-based initiatives to improve the health of all patients.
医师会员组织在参与解决健康差异问题的活动方面存在差异。因此，增加那些在这一关键领域尚未高度活跃的组织的参与度是一个机会。提供关键问题（如差异）定义轮廓的研究是必要的，必须不断完善。然而，需要进行干预和衡量结果的平行活动，以评估这些干预措施的效果，从而真正解决医疗保健系统中的主要问题。迄今为止，在问题定义类别的工作超过了针对这些问题的干预和缓解工作，这些问题都有可衡量的结果。医疗保健中的许多问题，包括差异，现在已经得到了足够的理解，现在是时候将重点转移到有可衡量结果的大胆干预上了。通常，产生更好结果的最佳方法需要跨越提供者-付款人范围以及私营部门（包括医生、医院、保险公司等）进行合作。利益相关者现在可以自由地以这种协调的方式采取行动；这只需要允许合作和妥协的社会资本。如果医生和组织能够真正合作实施基于结果的举措，以改善所有患者的健康，那么可以在私营部门制定针对医疗保健差异等问题的干预措施，并由政府支付方效仿。
