衡量质量改进的公平性。

Measuring Equity for Quality Improvement.

机构信息

Department of Pediatrics, University of Wisconsin, 202 South Park Street, McConnell Hall, 4th Floor, Madison, WI 53715, USA.

Vermont Oxford Network, Burlington, VT 05401, USA; Department of Pediatrics, Robert Larner, MD, College of Medicine, University of Vermont, Burlington, VT 05405, USA; Department of Mathematics and Statistics, College of Engineering and Mathematical Sciences, University of Vermont, Burlington, VT 05405, USA.

出版信息

Clin Perinatol. 2023 Jun;50(2):531-543. doi: 10.1016/j.clp.2023.01.010. Epub 2023 Mar 21.

DOI:10.1016/j.clp.2023.01.010

PMID:37201995

Abstract

Applying an equity lens to quality improvement (QI) by collecting, reviewing, and using data that measure health disparities helps identify whether QI interventions improve outcomes evenly and equally across the population or have a greater impact in an advantaged or disadvantaged group. Methodological issues inherent in measuring disparities include appropriately selecting data sources; ensuring reliability and validity of equity data; choosing a suitable comparison group; and understanding between-group variation. The integration and utilization of QI techniques to promote equity is dependent on meaningful measurement to develop targeted interventions and provide a means of ongoing real-time assessment.

摘要

运用公平视角来进行质量改进（QI），通过收集、审查和使用衡量健康差异的数据，可以帮助确定 QI 干预措施是否在整个人群中均匀和平等地改善结果，或者是否对优势或劣势群体产生更大的影响。衡量差异所固有的方法问题包括：适当选择数据源；确保公平数据的可靠性和有效性；选择合适的比较组；以及了解组间差异。将 QI 技术整合和利用起来以促进公平，取决于进行有针对性的干预措施和提供实时评估手段的有意义的衡量。