追求平等之外的目标：质量改进的承诺与挑战。
Aiming beyond equality to reach equity: the promise and challenge of quality improvement.
机构信息
Feinberg School of Medicine, Northwestern University, Chicago, USA
Division of Global Health Equity, Brigham and Women's Hospital, Boston, Massachusetts, USA.
出版信息
BMJ. 2021 Jul 20;374:n939. doi: 10.1136/bmj.n939.
Abstract
Quality improvement must move beyond only measuring average quality and change and focus on equity to support achieving the quality needed for effective universal health coverage, argue
摘要
质量改进必须不仅仅关注平均质量和变化，而必须转向公平，以支持实现有效全民健康覆盖所需的质量，作者主张。
相似文献
1
Aiming beyond equality to reach equity: the promise and challenge of quality improvement.
BMJ. 2021 Jul 20;374:n939. doi: 10.1136/bmj.n939.
2
Burden, access and disparities in kidney disease.
Nephrology (Carlton). 2019 Apr;24(4):373-379. doi: 10.1111/nep.13557. Epub 2019 Feb 6.
3
Gender disparities in water, sanitation, and global health.
Lancet. 2015 Aug 15;386(9994):650-1. doi: 10.1016/S0140-6736(15)61497-0.
4
[Applying an equity lens approach to evaluate the effects of health interventions].
Epidemiol Prev. 2014 Mar-Apr;38(2):82-3.
5
Introducing Rhode Island's Health Equity Zones.
R I Med J (2013). 2016 Nov 1;99(11):47-48.
6
Disparities within a disparity: Global health and health equity in geriatric oncology.
J Geriatr Oncol. 2020 Mar;11(2):200-202. doi: 10.1016/j.jgo.2019.06.007. Epub 2019 Jun 22.
7
The Time is Now: Equity and Inclusion in Newborn Quality Improvement.
Hosp Pediatr. 2021 Nov;11(11):e339-e342. doi: 10.1542/hpeds.2021-006279. Epub 2021 Oct 14.
8
Addressing Issues of Cancer Disparities, Equity, and Inclusion Through Systemized Quality Improvement.
JCO Oncol Pract. 2021 Aug;17(8):461-462. doi: 10.1200/OP.21.00282. Epub 2021 Jun 28.
9
Reducing Perinatal Health Disparities by Placing Equity at the Heart of Performance Improvement.
Obstet Gynecol. 2021 Mar 1;137(3):481-485. doi: 10.1097/AOG.0000000000004283.
10
England's new Office for Health Improvement and Disparities.
BMJ. 2021 Sep 24;374:n2323. doi: 10.1136/bmj.n2323.
引用本文的文献
1
Development of a Comprehensive Tool to Assess Rigor When Evaluating Quality Improvement Projects.
J Eval Clin Pract. 2025 Jun;31(4):e70193. doi: 10.1111/jep.70193.
2
Burnout and staff experiences of health inequalities in children's hospitals: a qualitative analysis.
BMJ Open. 2025 Feb 20;15(2):e095418. doi: 10.1136/bmjopen-2024-095418.
3
A realist review of how, why, for whom and in which contexts quality improvement in healthcare impacts inequalities.
BMJ Qual Saf. 2025 Jul 18;34(8):537-546. doi: 10.1136/bmjqs-2024-017386.
4
Trends in severe maternal morbidity following an institutional team goal strategy for disparity reduction.
Am J Obstet Gynecol MFM. 2024 Dec;6(12):101529. doi: 10.1016/j.ajogmf.2024.101529. Epub 2024 Oct 18.
5
Do primary care quality improvement frameworks consider equity?
BMJ Open Qual. 2024 Jul 24;13(3):e002839. doi: 10.1136/bmjoq-2024-002839.
6
Quality improvement in public-private partnerships in low- and middle-income countries: a systematic review.
BMC Health Serv Res. 2024 Mar 13;24(1):332. doi: 10.1186/s12913-024-10802-w.
7
A Public Health Critical Race Praxis Informed Congestive Heart Failure Quality Improvement Initiative on Inpatient General Medicine.
J Gen Intern Med. 2023 Aug;38(10):2236-2244. doi: 10.1007/s11606-023-08086-7. Epub 2023 Feb 27.
8
The Enhancing Oncology Model: Leveraging improvement science to increase health equity in value-based care.
J Natl Cancer Inst. 2023 Feb 8;115(2):125-130. doi: 10.1093/jnci/djac194.
9
Cystic fibrosis learning network telehealth innovation lab during the COVID-19 pandemic: a success QI story for interdisciplinary care and agenda setting.
BMJ Open Qual. 2022 May;11(2). doi: 10.1136/bmjoq-2022-001844.
10
Evaluations of effective coverage of maternal and child health services: A systematic review.
Health Policy Plan. 2022 Aug 3;37(7):895-914. doi: 10.1093/heapol/czac034.
本文引用的文献
1
Using implementation science to mitigate worsening health inequities in the United States during the COVID-19 pandemic.
Int J Equity Health. 2020 Oct 1;19(1):170. doi: 10.1186/s12939-020-01293-2.
2
The impacts of quality improvement on maternal and newborn health: preliminary findings from a health system integrated intervention in four Ethiopian regions.
BMC Health Serv Res. 2020 Jun 8;20(1):522. doi: 10.1186/s12913-020-05391-3.
3
Social Vulnerability and Racial Inequality in COVID-19 Deaths in Chicago.
Health Educ Behav. 2020 Aug;47(4):509-513. doi: 10.1177/1090198120929677. Epub 2020 May 21.
4
Cross-Cutting Themes to Advance the Science of Minority Health and Health Disparities.
Am J Public Health. 2019 Jan;109(S1):S21-S24. doi: 10.2105/AJPH.2019.304950.
5
Changes to Racial Disparities in Readmission Rates After Medicare's Hospital Readmissions Reduction Program Within Safety-Net and Non-Safety-Net Hospitals.
JAMA Netw Open. 2018 Nov 2;1(7):e184154. doi: 10.1001/jamanetworkopen.2018.4154.
6
Feasibility of Patient Navigation to Improve Breast Cancer Care in Malaysia.
J Glob Oncol. 2018 Nov;4:1-13. doi: 10.1200/JGO.17.00229.
7
High-quality health systems in the Sustainable Development Goals era: time for a revolution.
Lancet Glob Health. 2018 Nov;6(11):e1196-e1252. doi: 10.1016/S2214-109X(18)30386-3. Epub 2018 Sep 5.
8
A Community Health Worker Intervention to Increase Childhood Disease Treatment Coverage in Rural Liberia: A Controlled Before-and-After Evaluation.
Am J Public Health. 2018 Sep;108(9):1252-1259. doi: 10.2105/AJPH.2018.304555. Epub 2018 Jul 19.
9
Pathology of poverty: the need for quality improvement efforts to address social determinants of health.
BMJ Qual Saf. 2018 Jun;27(6):421-424. doi: 10.1136/bmjqs-2017-007552. Epub 2018 Mar 6.
10
Effects of women's groups practising participatory learning and action on preventive and care-seeking behaviours to reduce neonatal mortality: A meta-analysis of cluster-randomised trials.
PLoS Med. 2017 Dec 5;14(12):e1002467. doi: 10.1371/journal.pmed.1002467. eCollection 2017 Dec.
Zotero 插件