Laboratory for Computational Physiology, Massachusetts Institute of Technology, Cambridge, MA, USA.
Division of Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Lancet Digit Health. 2023 Nov;5(11):e831-e839. doi: 10.1016/S2589-7500(23)00150-4.
The growing recognition of differences in health outcomes across populations has led to a slow but increasing shift towards transparent reporting of patient outcomes. In addition, pay-for-equity initiatives, such as those proposed by the Centers for Medicare and Medicaid, will require the reporting of health outcomes across subgroups over time. Dashboards offer one means of visualising data in the health-care context that can highlight essential disparities in clinical outcomes, guide targeted quality-improvement efforts, and ultimately improve health equity. In this Viewpoint, we evaluate all studies that have reported the successful development of a disparity dashboard and share the data collected and unintended consequences reported. We propose a framework for systematic equality improvement through incentivisation of the collecting and reporting of health data and through implementation of reward systems to reduce health disparities.
人们越来越认识到不同人群的健康结果存在差异，这导致对患者结果透明报告的关注度逐渐提高。此外，医保和医疗补助中心提出的公平付费计划等举措将要求随着时间的推移报告各亚组的健康结果。仪表板提供了一种在医疗保健环境中可视化数据的方法，可以突出临床结果方面的重要差异，指导有针对性的质量改进工作，并最终改善健康公平性。在本观点文章中，我们评估了所有报告成功开发差异仪表板的研究，并分享了收集的数据和报告的意外后果。我们通过激励健康数据的收集和报告以及实施奖励系统来减少健康差距，提出了一个系统地改善平等的框架。
