Format

Send to

Choose Destination
JAMA. 2000 May 17;283(19):2579-84.

Inequality in quality: addressing socioeconomic, racial, and ethnic disparities in health care.

Author information

1
Family Medicine Center, 885 S Ave, Rochester, NY 14620, USA. Kevin_Fiscella@urmc.rochester.edu

Abstract

Socioeconomic and racial/ethnic disparities in health care quality have been extensively documented. Recently, the elimination of disparities in health care has become the focus of a national initiative. Yet, there is little effort to monitor and address disparities in health care through organizational quality improvement. After reviewing literature on disparities in health care, we discuss the limitations in existing quality assessment for identifying and addressing these disparities. We propose 5 principles to address these disparities through modifications in quality performance measures: disparities represent a significant quality problem; current data collection efforts are inadequate to identify and address disparities; clinical performance measures should be stratified by race/ethnicity and socioeconomic position for public reporting; population-wide monitoring should incorporate adjustment for race/ethnicity and socioeconomic position; and strategies to adjust payment for race/ethnicity and socioeconomic position should be considered to reflect the known effects of both on morbidity. JAMA. 2000;283:2579-2584.

PMID:
10815125
DOI:
10.1001/jama.283.19.2579
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Silverchair Information Systems
Loading ...
Support Center