Sustained Reduction in Health Disparities Achieved through Targeted Quality Improvement: One-Year Follow-up on a Three-Year Intervention.

ABSTRACT:

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. Dispari

SUBMITTER: Balicer RD 

PROVIDER: S-EPMC4693854 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature