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Reducing inequity in primary care clinics treating low socioeconomic Jewish and Arab populations in Israel.
- Source :
- Journal of Public Health; Jun2017, Vol. 39 Issue 2, p395-402, 8p
- Publication Year :
- 2017
-
Abstract
- Background An organization-wide inequity-reduction quality improvement (QI) initiative was implemented in primary care clinics serving disadvantaged Arab and Jewish populations. Using the Chronic Care Model (CCM), this study investigated the types of interventions associated with success in inequity reduction. Methods Semi-structured interviews were conducted with 80 staff members from 26 target clinics, and information about intervention types was coded by CCM and clinical domains (e.g. diabetes, hypertension and lipid control; performance of mammography tests). Relationships between type and number of interventions implemented and inequity reduction were assessed. Results Target clinics implemented 454 different interventions, on average 17.5 interventions per clinic. Interventions focused on Decision support and Community linkages were positively correlated with improvement in the composite quality score (P < 0.05). Conversely, focusing on a specific clinical domain was not correlated with a higher quality score. Conclusions Focusing on training team members in selected QI topics and/or tailoring interventions to meet community needs was key to the interventions' success. Such findings, especially in light of the lack of association between QI and a focus on a specific clinical domain, support other calls for adopting a systems approach to achieving wide-scale inequity reduction. [ABSTRACT FROM AUTHOR]
- Subjects :
- ARABS
CHRONIC diseases
CLINICAL medicine
STATISTICAL correlation
HEALTH services accessibility
HEALTH status indicators
INTERVIEWING
JEWS
RESEARCH methodology
EVALUATION of medical care
MEDICAL quality control
MINORITIES
PRIMARY health care
QUALITY assurance
RESEARCH
ORGANIZATIONAL structure
SOCIOECONOMIC factors
KEY performance indicators (Management)
Subjects
Details
- Language :
- English
- ISSN :
- 17413842
- Volume :
- 39
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 123579728
- Full Text :
- https://doi.org/10.1093/pubmed/fdw037