TY - JOUR
T1 - Sustained Reduction in Health Disparities Achieved through Targeted Quality Improvement
T2 - One-Year Follow-up on a Three-Year Intervention
AU - Balicer, Ran D.
AU - Hoshen, Moshe
AU - Cohen-Stavi, Chandra
AU - Shohat-Spitzer, Sivan
AU - Kay, Calanit
AU - Bitterman, Haim
AU - Lieberman, Nicky
AU - Jacobson, Orit
AU - Shadmi, Efrat
N1 - Publisher Copyright:
© Health Research and Educational Trust.
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Objective To assess a quality improvement disparity reduction intervention and its sustainability. Data Sources/Study Setting Electronic health records and Quality Index database of Clalit Health Services in Israel (2008-2012). Study Design Interrupted time-series with pre-, during, and postintervention disparities measurement between 55 target clinics (serving approximately 400,000 mostly low socioeconomic, minority populations) and all other (126) clinics. Data Collection/Extraction Methods Data on a Quality Indicator Disparity Scale (QUIDS-7) of 7 indicators, and on a 61-indicator scale (QUIDS-61). Principal Findings The gap between intervention and nonintervention clinics for QUIDS-7 decreased by 66.7 percent and by 70.4 percent for QUIDS-61. Disparity reduction continued (18.2 percent) during the follow-up period. Conclusions Quality improvement can achieve significant reduction in disparities in a wide range of clinical domains, which can be sustained over time.
AB - Objective To assess a quality improvement disparity reduction intervention and its sustainability. Data Sources/Study Setting Electronic health records and Quality Index database of Clalit Health Services in Israel (2008-2012). Study Design Interrupted time-series with pre-, during, and postintervention disparities measurement between 55 target clinics (serving approximately 400,000 mostly low socioeconomic, minority populations) and all other (126) clinics. Data Collection/Extraction Methods Data on a Quality Indicator Disparity Scale (QUIDS-7) of 7 indicators, and on a 61-indicator scale (QUIDS-61). Principal Findings The gap between intervention and nonintervention clinics for QUIDS-7 decreased by 66.7 percent and by 70.4 percent for QUIDS-61. Disparity reduction continued (18.2 percent) during the follow-up period. Conclusions Quality improvement can achieve significant reduction in disparities in a wide range of clinical domains, which can be sustained over time.
KW - Health disparities
KW - intervention
KW - quality improvement
UR - http://www.scopus.com/inward/record.url?scp=84955403447&partnerID=8YFLogxK
U2 - 10.1111/1475-6773.12300
DO - 10.1111/1475-6773.12300
M3 - Article
C2 - 25787874
AN - SCOPUS:84955403447
SN - 0017-9124
VL - 50
SP - 1891
EP - 1909
JO - Health Services Research
JF - Health Services Research
IS - 6
ER -