Tuesday, December 16, 2014

From U Chicago: How to Achieve Health Equity

N Engl J Med. 2014 Dec 11;371(24):2331-2332.

How to Achieve Health Equity.

Author information

  • 1From the Section of General Internal Medicine, the Department of Medicine, Chicago Center for Diabetes Translation Research, the MacLean Center for Clinical Medical Ethics, the Robert Wood Johnson Foundation (RWJF) Finding Answers: Disparities Research for Change, and the RWJF Reducing Health Care Disparities through Payment and Delivery System Reform, University of Chicago, Chicago.

Abstract

Two studies in this issue of the Journal indicate that differences in how we deliver care to patients in various racial or ethnic groups have narrowed nationally, but health outcomes remain worse for blacks than for whites. Trivedi et al.1 studied hospitalizations of patients for acute myocardial infarction, heart failure, and pneumonia from 2005 through 2010. They found that racial or ethnic differences decreased for processes of care (i.e., what clinicians do for patients), such as evidence-based prescribing of medications and the administration of flu shots. In contrast, Ayanian et al.2discovered that black enrollees in Medicare Advantage health plans . . .

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