National Healthcare Disparities Report 2005


National Healthcare Disparities Report 2005
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National Healthcare Disparities Report 2005


National Healthcare Disparities Report 2005
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Author : U. S. Department Human Services
language : en
Publisher: CreateSpace
Release Date : 2014-04-30

National Healthcare Disparities Report 2005 written by U. S. Department Human Services and has been published by CreateSpace this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-04-30 with categories.


Twenty years ago, the Department of Health and Human Services (HHS) released the Report of the Secretary's Task Force on Black and Minority Health. That report documented many disparities in health and led to interventions to improve the health and health care of minorities. This year, the Agency for Healthcare Research and Quality (AHRQ) is pleased to release the third National Healthcare Disparities Report (NHDR). This annual report provides a comprehensive national overview of disparities in health care among racial, ethnic, and socioeconomic groups in the general U.S. population and within priority populations and tracks the success of activities to reduce disparities. It is a companion report to the National Healthcare Quality Report (NHQR), a comprehensive overview of quality of health care in America. A major advantage of an annual report series is its ability to track changes over time. This year, data are presented that begin tracking trends across a broad array of measures of health care quality and access for many racial, ethnic, and socioeconomic groups. In addition, the 2005 report begins to examine the issue of whether the Nation is making progress toward eliminating health care disparities. The NHDR tracks disparities in both quality of health care and access to health care. Measures of health care quality mirror those in the NHQR and encompass four dimensions of quality-effectiveness, patient safety, timeliness, and patient centeredness. Measures of health care access are unique to this report and encompass two dimensions of access-facilitators and barriers to care and health care utilization. This year's NHDR and NHQR focus on findings from a set of core report measures which represent the most important and scientifically credible measures in the full measure sets. Core report measures were selected from the full measure sets by the HHS Interagency Work Groups that support the reports based on their clinical importance, policy relevance, and data reliability. The 2005 reports also introduce a number of new composite measures as well as improved methods for summarizing quality and disparities. In the 2005 NHDR, four key themes are highlighted for policymakers, clinicians, administrators, and community leaders who seek information to improve health care services for all Americans: Disparities still exist; Some disparities are diminishing; Opportunities for improvement remain; Information about disparities is improving.



National Healthcare Quality Report 2005


National Healthcare Quality Report 2005
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Author : U.s. Department of Health and Human Services
language : en
Publisher: CreateSpace
Release Date : 2014-05-03

National Healthcare Quality Report 2005 written by U.s. Department of Health and Human Services and has been published by CreateSpace this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-05-03 with Medical categories.


The National Healthcare Quality Report (NHQR) is a comprehensive national overview of the quality of health care in the United States. It is a companion report to the National Healthcare Disparities Report (NHDR), which is a comprehensive national overview of disparities in health care affecting racial, ethnic, and socioeconomic groups and priority populations. The 2005 NHQR presents the third annual opportunity to measure the Nation's health care quality and to track trends over time—the primary intent of Congress's mandate to the Agency for Healthcare Research and Quality (AHRQ) to produce the NHQR. The NHQR is built on 179 measures assembled across four dimensions of quality—effectiveness, patient safety, timeliness, and patient centeredness. This year's report focuses on the state of health care quality for a group of 46 “core” report measures which represent the most important and scientifically credible measures of quality for the Nation, as selected by the Department of Health and Human Services (HHS) Interagency Work Group. The distillation of 46 core measures for the 2005 report provides a more readily understandable summary and explanation of the key results derived from the data. Also included in the report are four new composite measures, which summarize data from a collection of individual measures. Composite measures were created for heart attack, heart failure, pneumonia, and patient centered care, in addition to an overall measure of the state of health care quality improvement. Four themes that emerge from the 2005 NHQR extend the meaning of those from the 2003 and 2004 reports and add new dimensions on understanding change over time: Health care quality continues to improve at a modest pace across most measures of quality; Health care quality improvement is variable, with notable areas of high performance; Health care quality is improving, but more remains to be done to achieve optimal quality; Sustained rates of quality improvement are possible.



Future Directions For The National Healthcare Quality And Disparities Reports


Future Directions For The National Healthcare Quality And Disparities Reports
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2010-08-10

Future Directions For The National Healthcare Quality And Disparities Reports written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-08-10 with Medical categories.


As the United States devotes extensive resources to health care, evaluating how successfully the U.S. system delivers high-quality, high-value care in an equitable manner is essential. At the request of Congress, the Agency for Healthcare Research and Quality (AHRQ) annually produces the National Healthcare Quality Report (NHQR) and the National Healthcare Disparities Report (NHDR). The reports have revealed areas in which health care performance has improved over time, but they also have identified major shortcomings. After five years of producing the NHQR and NHDR, AHRQ asked the IOM for guidance on how to improve the next generation of reports. The IOM concludes that the NHQR and NHDR can be improved in ways that would make them more influential in promoting change in the health care system. In addition to being sources of data on past trends, the national healthcare reports can provide more detailed insights into current performance, establish the value of closing gaps in quality and equity, and project the time required to bridge those gaps at the current pace of improvement.



Guidance For The National Healthcare Disparities Report


Guidance For The National Healthcare Disparities Report
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2002-10-25

Guidance For The National Healthcare Disparities Report written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002-10-25 with Medical categories.


The Agency for Healthcare Research Quality commissioned the Institute of Medicine establish a committee to provide guidance on the National Healthcare Disparities Report is of access to health care, utilization of services, and the services received. The committee was asked to con population characteristics as race and ethnicity, society status, and geographic location. It was also asked to examine factors that included possible data sources and types of measures for the report.



National Healthcare Disparities Report 2006


National Healthcare Disparities Report 2006
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Author : U. S. Department Human Services
language : en
Publisher: CreateSpace
Release Date : 2014-04-30

National Healthcare Disparities Report 2006 written by U. S. Department Human Services and has been published by CreateSpace this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-04-30 with categories.


The Agency for Healthcare Research and Quality (AHRQ) is pleased to release the 2006 National Healthcare Disparities Report (NHDR) on behalf of the U.S. Department of Health and Human Services (HHS) and in collaboration with an HHS-wide Interagency Work Group. Like previous reports, the 2006 NHDR also received significant guidance from AHRQ leadership and AHRQ's National Advisory Committee. This fourth annual report to Congress provides a comprehensive national overview of disparities in health care among racial, ethnic, and socioeconomic groups in the general U.S. population and within priority populations and tracks the progress of activities to reduce disparities. The NHDR tracks disparities related to quality of health care and access to health care. Measures of health care quality address the extent to which providers and hospitals deliver evidence-based care for specific services as well as the outcomes of the care provided. They are organized around four dimensions of quality- effectiveness, patient safety, timeliness, and patient centeredness-and cover four stages of care-staying healthy, getting better, living with illness or disability, and coping with the end of life. Measures of health care access include assessments of how easily patients are able to get needed health care and their actual use of services. They are organized around two dimensions of access-facilitators and barriers to care and health care utilization. The NHDR is complemented by its companion report, the National Healthcare Quality Report (NHQR), which uses the same quality measures as the NHDR to provide a comprehensive overview of the quality of health care in America. Both reports measure health care quality and track changes over time but with different orientations. The NHQR addresses the current state of health care quality and the opportunities for improvement for all Americans as a whole. This perspective is useful for identifying where we are doing well as a Nation and where more work is needed. The NHDR addresses the distribution of improvements in health care quality and access across the different populations that make up America. This perspective is useful for ensuring that all Americans benefit from improvements in care. Perspectives from both reports are needed for a complete understanding of quality of health care, and both reports support HHS Secretary Mike Leavitt's 500- Day Plan to fulfill the President's vision of a healthier America, specifically in the areas of better transparency of health care quality information and eliminating inequities in health care. This year's NHDR and NHQR continue the tracking of trends across a broad array of measures of health care quality and access for many racial and ethnic minority groups and socioeconomic groups. In addition, the 2006 reports incorporate improved measures and methods for summarizing quality and disparities in health care, including new composite measures and expanded analyses of trends in disparities. This section offers a concise overview of findings from the 2006 NHDR. More detailed findings are presented in the chapters that follow. In the 2006 NHDR, four key themes are highlighted for policymakers, researchers, clinicians, administrators, and community leaders who seek information to improve health care services for all Americans: Disparities remain prevalent; Some disparities are diminishing while others are increasing; Opportunities for reducing disparities remain; Information about disparities is improving, but gaps still exist.



National Healthcare Disparities Report


National Healthcare Disparities Report
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Author : Edward Kelley
language : en
Publisher:
Release Date : 2006-02-01

National Healthcare Disparities Report written by Edward Kelley and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-02-01 with categories.


This 2nd annual report extends the baseline established in the 2003 report for a set of health care quality measures across 4 dimensions of quality -- effectiveness, safety, timeliness, & patient centeredness -- &, within the effectiveness component, 9 clinical condition areas or care settings -- cancer, diabetes, end stage renal disease, heart disease, HIV/AIDS, maternal & child health, mental health, respiratory diseases, & nursing home & health care. This report is based on detailed analyses of 179 measures. Three key themes emerge from this analysis: quality is improving in many areas, but change takes time; the gap between the best possible care & actual care remains large; & further improvement in health care is possible. Charts & tables.



Unequal Treatment


Unequal Treatment
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2009-02-06

Unequal Treatment written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-02-06 with Medical categories.


Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.



National Healthcare Disparities Report 2007


National Healthcare Disparities Report 2007
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Author : U. S. Department Human Services
language : en
Publisher: CreateSpace
Release Date : 2014-04-30

National Healthcare Disparities Report 2007 written by U. S. Department Human Services and has been published by CreateSpace this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-04-30 with categories.


This 2007 report is the fifth National Healthcare Disparities Report (NHDR). It is produced by the Agency for Healthcare Research and Quality (AHRQ) on behalf of the U.S. Department of Health and Human Services (HHS) and in collaboration with an HHS-wide Interagency Work Group. The NHDR provides a comprehensive national overview of disparities in health care among racial, ethnic, and socioeconomic groups in the general U.S. population and within specific priority populations, and it tracks the progress of activities to reduce disparities. The NHDR tracks disparities related to the quality of and access to health care. This fifth report attempts to answer the following question: Are we getting better at addressing disparities in the quality of and access to health care for priority populations in America? To do this, the report examines a set of 42 measures of quality and 8 measures of access. For each measure, the 2007 NHDR attempts to present a snapshot of the gaps between each racial, ethnic, and socioeconomic priority group and a comparison group. More importantly, where gaps exist, this report attempts to systematically discuss whether these gaps are getting bigger or smaller. Measures of health care quality address the extent to which providers and hospitals deliver evidence- based care for specific services, as well as the outcomes of the care provided. They are organized around four dimensions of quality-effectiveness, patient safety, timeliness, and patient centeredness-and cover four stages of care-staying healthy, getting better, living with illness or disability, and coping with the end of life. Measures of health care access include assessments of how easily patients are able to get needed health care and their actual use of services. They are organized around two dimensions of access-facilitators and barriers to care and health care utilization. The NHDR is complemented by its companion report, the National Healthcare Quality Report (NHQR), which uses the same quality measures as the NHDR to provide a comprehensive overview of the quality of health care in America. Both reports measure health care quality and track changes over time, but with different orientations. The NHQR addresses the current state of health care quality and the opportunities for improvement for all Americans as a whole. In the 2007 NHDR, three key themes emerge: Overall, disparities in health care quality and access are not getting smaller; Progress is being made, but many of the biggest gaps in quality and access have not been reduced; The problem of persistent uninsurance is a major barrier to reducing disparities.



National Healthcare Disparities Report 2009


National Healthcare Disparities Report 2009
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Author : U. S. Department Human Services
language : en
Publisher: CreateSpace
Release Date : 2014-04-30

National Healthcare Disparities Report 2009 written by U. S. Department Human Services and has been published by CreateSpace this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-04-30 with categories.


Examining health care disparities is an integral part of improving health care quality. Health care disparities are the differences or gaps in care experienced by one population compared with another population. As the National Healthcare Quality Report (NHQR) shows, Americans too often do not receive care that they need or they receive care that causes harm. The National Healthcare Disparities Report (NHDR) shows that some Americans receive worse care than other Americans. Within the scope of health care delivery, these disparities may be due to differences in access to care, provider biases, poor provider-patient communication, poor health literacy, or other factors. The purpose of the NHDR, as mandated by Congress, is to identify the differences or gaps where some populations receive poor or worse care than others and to track how these gaps are changing over time. Although the emphasis is on disparities related to race and socioeconomic status, the reporting mandate indicates an expectation that the Agency for Healthcare Research and Quality (AHRQ) will examine health care disparities across broadly defined "priority populations." These include ethnic minorities and other groups or categories of individuals experiencing disparate and inadequate health care. The NHDR and NHQR use the same measures, which are categorized across four dimensions of quality: effectiveness, patient safety, timeliness, and patient centeredness. This year's report focuses on the state of health care disparities for a group of "core" measures that represent the most important and scientifically credible measures of health care quality for the Nation, as selected by the Department of Health and Human Services (HHS) Interagency Work Group. By focusing on core measures, the 2009 report provides a more readily understandable summary and explanation of the key results derived from the data. Three key themes emerge in the 2009 NHDR: Disparities are common and uninsurance is an important contributor; Many disparities are not decreasing; Some disparities merit particular attention, especially care for cancer, heart failure, and pneumonia; We also summarize efforts by AHRQ and HHS to accelerate the pace of improvement by: Training providers; Raising awareness; Forming partnerships to identify and test solutions.



National Healthcare Disparities Report 2010


National Healthcare Disparities Report 2010
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Author : U. S. Department Human Services
language : en
Publisher: CreateSpace
Release Date : 2014-04-30

National Healthcare Disparities Report 2010 written by U. S. Department Human Services and has been published by CreateSpace this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-04-30 with categories.


Health care seeks to prevent, diagnose, and treat disease and to improve the physical and mental well-being of all Americans. Across the lifespan, health care helps people stay healthy, recover from illness, live with chronic disease or disability, and cope with death and dying. Quality health care delivers these services in ways that are safe, timely, patient centered, efficient, and equitable. Unfortunately, Americans too often do not receive care that they need, or they receive care that causes harm. Care can be delivered too late or without full consideration of a patient's preferences and values. Many times, our system of health care distributes services inefficiently and unevenly across populations. Some Americans receive worse care than other Americans. These disparities may be due to differences in access to care, provider biases, poor provider patient communication, and poor health literacy. Each year since 2003, the Agency for Healthcare Research and Quality (AHRQ) has reported on progress and opportunities for improving health care quality and reducing health care disparities. Disparities Report (NHDR) focuses on "prevailing disparities in health care delivery as it relates to racial factors and socioeconomic factors in priority populations". In the past, separate Highlights were produced for each report. This year, we have integrated findings from the 2010 NHQR and 2010 NHDR to produce a single summary document. This is intended to reinforce the need to consider simultaneously the quality of health care and disparities across populations when assessing our health care system. The National Healthcare Reports Highlights seeks to address three questions critical to guiding Americans toward the optimal health care they need and deserve: What is the status of health care quality and disparities in the United States? How have health care quality and disparities changed over time? Where is the need to improve health care quality and reduce disparities greatest? Consistent with past reports, the 2010 reports emphasize one of AHRQ's priority populations as a theme. This year, we present expanded analyses of care across the urban-rural continuum, and the National Healthcare Reports Highlights includes a summary of care received by residents of different types of geographic areas. Finally, this document summarizes information on eight national priorities identified by the IOM Committee and presents novel strategies for improving quality and reducing disparities from AHRQ's Health Care Innovations Exchange. Four themes from the 2010 NHQR and 2010 NHDR emphasize the need to accelerate progress if the Nation is to achieve higher quality and more equitable health care in the near future. Health care quality and access are suboptimal, especially for minority and low-income groups. Quality is improving; access and disparities are not improving. Urgent attention is warranted to ensure improvements in quality and progress on reducing disparities with respect to certain services, geographic areas, and populations, including: Cancer screening and management of diabetes; States in the central part of the country; Residents of inner-city and rural areas; Disparities in preventive services and access to care. Progress is uneven with respect to eight national priority areas: Two are improving in quality: 1) Palliative and End-of-Life Care and 2) Patient and Family Engagement; Three are lagging: 3) Population Health, 4) Safety, and 5) Access; Three require more data to assess: 6) Care Coordination, 7) Overuse, and 8) Health System Infrastructure; All eight priority areas showed disparities related to race, ethnicity, and socioeconomic status.