Measuring Health Equity for Ambulatory Care Sensitive Conditions in a Large Integrated Health Care System: The Development of an Index
Disparities in outcomes for preventive and primary health care services often result when vulnerable patients rely on episodic encounters for emergency services that do not meet their long-term health needs. Understanding health outcomes in socially or economically disadvantaged subgroups is crucial...
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Mary Ann Liebert
2019-04-01
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doaj-0725a3ef139d45f1bcd26ec49988bc802020-11-25T00:02:43ZengMary Ann LiebertHealth Equity 2473-12422019-04-0131929810.1089/HEQ.2018.0092Measuring Health Equity for Ambulatory Care Sensitive Conditions in a Large Integrated Health Care System: The Development of an IndexAlice PressmanStephen LockhartJohn PetersenSarah RobinsonMaria MorenoKristen M.J. AzarDisparities in outcomes for preventive and primary health care services often result when vulnerable patients rely on episodic encounters for emergency services that do not meet their long-term health needs. Understanding health outcomes in socially or economically disadvantaged subgroups is crucial to improving community health, and it requires innovative analytics and dynamic application of clinical and population data. While it is common practice to use proxy indicators, such as quality of life and mortality, when discussing health equity, these have shown limited utility and are rarely applied at a population-level within a health system. Therefore, we designed and implemented an index, calculated as the ratio of observed-to-expected encounters, to identify and quantify health inequalities in health care systems. Providing equitable care, as measured by health outcomes, is analogous to precision medicine applied to social determinants. For health systems, the use of this index will facilitate the development of specially-tailored interventions to address inequity and provides a tool to measure the impact of such programs.https://www.liebertpub.com/doi/full/10.1089/HEQ.2018.0092ambulatory care sensitive conditionshealth disparitieshealth equityquality improvement |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alice Pressman Stephen Lockhart John Petersen Sarah Robinson Maria Moreno Kristen M.J. Azar |
spellingShingle |
Alice Pressman Stephen Lockhart John Petersen Sarah Robinson Maria Moreno Kristen M.J. Azar Measuring Health Equity for Ambulatory Care Sensitive Conditions in a Large Integrated Health Care System: The Development of an Index Health Equity ambulatory care sensitive conditions health disparities health equity quality improvement |
author_facet |
Alice Pressman Stephen Lockhart John Petersen Sarah Robinson Maria Moreno Kristen M.J. Azar |
author_sort |
Alice Pressman |
title |
Measuring Health Equity for Ambulatory Care Sensitive Conditions in a Large Integrated Health Care System: The Development of an Index |
title_short |
Measuring Health Equity for Ambulatory Care Sensitive Conditions in a Large Integrated Health Care System: The Development of an Index |
title_full |
Measuring Health Equity for Ambulatory Care Sensitive Conditions in a Large Integrated Health Care System: The Development of an Index |
title_fullStr |
Measuring Health Equity for Ambulatory Care Sensitive Conditions in a Large Integrated Health Care System: The Development of an Index |
title_full_unstemmed |
Measuring Health Equity for Ambulatory Care Sensitive Conditions in a Large Integrated Health Care System: The Development of an Index |
title_sort |
measuring health equity for ambulatory care sensitive conditions in a large integrated health care system: the development of an index |
publisher |
Mary Ann Liebert |
series |
Health Equity |
issn |
2473-1242 |
publishDate |
2019-04-01 |
description |
Disparities in outcomes for preventive and primary health care services often result when vulnerable patients rely on episodic encounters for emergency services that do not meet their long-term health needs. Understanding health outcomes in socially or economically disadvantaged subgroups is crucial to improving community health, and it requires innovative analytics and dynamic application of clinical and population data. While it is common practice to use proxy indicators, such as quality of life and mortality, when discussing health equity, these have shown limited utility and are rarely applied at a population-level within a health system. Therefore, we designed and implemented an index, calculated as the ratio of observed-to-expected encounters, to identify and quantify health inequalities in health care systems. Providing equitable care, as measured by health outcomes, is analogous to precision medicine applied to social determinants. For health systems, the use of this index will facilitate the development of specially-tailored interventions to address inequity and provides a tool to measure the impact of such programs. |
topic |
ambulatory care sensitive conditions health disparities health equity quality improvement |
url |
https://www.liebertpub.com/doi/full/10.1089/HEQ.2018.0092 |
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