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建立一个将健康公平纳入学习型健康系统的框架。

Developing a framework for integrating health equity into the learning health system.

作者信息

Brooks Danielle, Douglas Megan, Aggarwal Neelum, Prabhakaran Shyam, Holden Kisha, Mack Dominic

机构信息

Bridges, Washington, DC.

National Center for Primary Care, Morehouse School of Medicine, Atlanta, Georgia.

出版信息

Learn Health Syst. 2017 Jul;1(3). doi: 10.1002/lrh2.10029. Epub 2017 Jun 26.

DOI:10.1002/lrh2.10029
PMID:30294677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6173483/
Abstract

While there have been gains in the overall quality of health care, racial and ethnic disparities in health outcomes continue to persist in the United States. The Learning Health System (LHS) has the potential to significantly improve health care quality using patient-centered design, data analytics, and continuous improvement. To ensure that health disparities are also being addressed, targeted approaches must be used. This document sets forth a practical framework to incorporate health equity into a developing LHS. Using a case study approach, the framework is applied to 2 projects focused on the reduction of health disparities to highlight its application.

摘要

尽管美国医疗保健的整体质量有所提高,但健康结果方面的种族和族裔差异仍持续存在。学习型健康系统(LHS)有潜力通过以患者为中心的设计、数据分析和持续改进来显著提高医疗保健质量。为确保健康差异也能得到解决,必须采用有针对性的方法。本文档提出了一个将健康公平纳入发展中的学习型健康系统的实用框架。通过案例研究方法,该框架应用于两个旨在减少健康差异的项目,以突出其应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfa/6508555/111cdcf9336d/LRH2-1-e10029-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfa/6508555/111cdcf9336d/LRH2-1-e10029-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cfa/6508555/111cdcf9336d/LRH2-1-e10029-g001.jpg

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State-Level Progress in Reducing the Black-White Infant Mortality Gap, United States, 1999-2013.1999 - 2013年美国在缩小黑人和白人婴儿死亡率差距方面的州级进展。
Am J Public Health. 2017 May;107(5):775-782. doi: 10.2105/AJPH.2017.303689. Epub 2017 Mar 21.
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Counties eliminating racial disparities in colorectal cancer mortality.消除结直肠癌死亡率种族差异的县。
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Community Asthma Initiative to Improve Health Outcomes and Reduce Disparities Among Children with Asthma.
开发并实施一门专注于医疗保健公平性的敏感性培训课程。
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Impact of hospital and health system initiatives to address Social Determinants of Health (SDOH) in the United States: a scoping review of the peer-reviewed literature.美国医院和卫生系统应对健康的社会决定因素(SDOH)举措的影响:同行评议文献的范围综述
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