Ornelas Carolina, Fadadu Raj P, Richardson Morrise A, Agboghidi Omonivie H, Davis Jonathan D
School of Public Health, University of California, Berkeley, Berkeley, California, USA.
School of Medicine, University of California, San Francisco, San Francisco, California, USA.
Health Equity. 2021 Jan 25;5(1):30-34. doi: 10.1089/heq.2020.0082. eCollection 2021.
Heart failure (HF) disproportionately impacts African Americans. We evaluated existing quality improvement (QI) initiatives and patient and provider perceptions of barriers to HF care to develop equity-centered QI recommendations. We performed a literature review, interviewed providers and patients (=11), and conducted a root cause analysis at a safety net hospital in San Francisco, California. We have identified four elements to foster a more equitable HF care model: screening for social determinants of health, technological innovation, optimization of space, and implicit bias training. QI initiatives for HF should integrate health equity elements in their design and implementation.
心力衰竭（HF）对非裔美国人的影响尤为严重。我们评估了现有的质量改进（QI）举措以及患者和医疗服务提供者对HF护理障碍的看法，以制定以公平为中心的QI建议。我们进行了文献综述，采访了医疗服务提供者和患者（n = 11），并在加利福尼亚州旧金山的一家安全网医院进行了根本原因分析。我们确定了四个要素来促进更公平的HF护理模式：筛查健康的社会决定因素、技术创新、空间优化和隐性偏见培训。HF的QI举措应在其设计和实施中纳入健康公平要素。
