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多样性提高绩效和结果。

Diversity improves performance and outcomes.

机构信息

Howard University College of Medicine, 520 W Street NW, Washington, D.C. 20059, USA.

Florida Atlantic University, 3200 College Ave, Liberal Arts, Room LA.435, Davie, FL 33314, USA.

出版信息

J Natl Med Assoc. 2019 Aug;111(4):383-392. doi: 10.1016/j.jnma.2019.01.006. Epub 2019 Feb 11.

Abstract

BACKGROUND

Research on the effects of increasing workplace diversity has grown substantially. Unfortunately, little is focused on the healthcare industry, leaving organizations to make decisions based on conflicting findings regarding the association of diversity with quality and financial outcomes. To help improve the evidence-based research, this umbrella review summarizes diversity research specific to healthcare. We also look at studies focused on professional skills relevant to healthcare. The goal is to assess the association between diversity, innovation, patient health outcomes, and financial performance.

METHODS

Medical and business research indices were searched for diversity studies published since 1999. Only meta-analyses and large-scale studies relating diversity to a financial or quality outcome were included. The research also had to include the healthcare industry or involve a related skill, such as innovation, communication and risk assessment.

RESULTS

Most of the sixteen reviews matching inclusion criteria demonstrated positive associations between diversity, quality and financial performance. Healthcare studies showed patients generally fare better when care was provided by more diverse teams. Professional skills-focused studies generally find improvements to innovation, team communications and improved risk assessment. Financial performance also improved with increased diversity. A diversity-friendly environment was often identified as a key to avoiding frictions that come with change.

CONCLUSIONS

Diversity can help organizations improve both patient care quality and financial results. Return on investments in diversity can be maximized when guided deliberately by existing evidence. Future studies set in the healthcare industry, will help leaders better estimate diversity-related benefits in the context of improved health outcomes, productivity and revenue streams, as well as the most efficient paths to achieve these goals.

摘要

背景

关于增加工作场所多样性影响的研究已经大量增加。不幸的是,很少有研究关注医疗保健行业,这使得组织只能根据多样性与质量和财务结果之间的关联的相互矛盾的发现做出决策。为了帮助提高基于证据的研究,本伞式综述总结了特定于医疗保健的多样性研究。我们还研究了专注于与医疗保健相关的专业技能的研究。目标是评估多样性、创新、患者健康结果和财务绩效之间的关联。

方法

搜索了医学和商业研究索引中自 1999 年以来发表的多样性研究。仅包括将多样性与财务或质量结果相关联的荟萃分析和大规模研究。研究还必须包括医疗保健行业或涉及相关技能,如创新、沟通和风险评估。

结果

符合纳入标准的十六项综述中的大多数都表明多样性、质量和财务绩效之间存在正相关关系。医疗保健研究表明,当由更多样化的团队提供护理时,患者通常会表现得更好。专注于专业技能的研究通常发现创新、团队沟通和改进的风险评估有所改善。多样性的增加也提高了财务绩效。一个对多样性友好的环境通常被认为是避免因变革而产生摩擦的关键。

结论

多样性可以帮助组织提高患者护理质量和财务业绩。在现有证据的指导下,有针对性地投资多样性可以实现最大的投资回报。未来在医疗保健行业进行的研究将帮助领导者更好地估计与多样性相关的利益,包括改善健康结果、生产力和收入流,以及实现这些目标的最有效途径。

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