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Emily B. Rubin MD JD MSHP Stephanie Kiser MD Juliet Jacobsen MD 《Journal of hospital medicine》2023,18(4):357-359
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Monique Jindal MD MPH Krisda H. Chaiyachati MD MPH MSHP Vicki Fung PhD Spero M. Manson PhD Karoline Mortensen PhD 《Health services research》2023,58(Z3):300-310
Objective
To provide a research agenda and recommendations to address inequities in access to health care.Data Sources and Study Setting
The Agency for Healthcare Research and Quality (AHRQ) organized a Health Equity Summit in July 2022 to evaluate what equity in access to health care means in the context of AHRQ's mission and health care delivery implementation portfolio. The findings are a result of this Summit, and subsequent convenings of experts on access and equity from academia, industry, and the government.Study Design
Multi-stakeholder input from AHRQ's Health Equity Summit, author consensus on a framework and key knowledge gaps, and summary of evidence from the supporting literature in the context of the framework ensure comprehensive recommendations.Data Collection/Extraction Methods
Through a stakeholder-engaged process, themes were developed to conceptualize access with a lens toward health equity. A working group researched the most appropriate framework for access to care to classify limitations identified during the Summit and develop recommendations supported by research in the context of the framework. This strategy was intentional, as the literature on inequities in access to care may itself be biased.Principal Findings
The Levesque et al. framework, which incorporates multiple dimensions of access (approachability, acceptability, availability, accommodation, affordability, and appropriateness), is the backdrop for framing research priorities for AHRQ. However, addressing inequities in access cannot be done without considering the roles of racism and intersectionality. Recommendations include funding research that not only measures racism within health care but also tests burgeoning anti-racist practices (e.g., co-production, provider training, holistic review, discrimination reporting, etc.), acting as a convener and thought leader in synthesizing best practices to mitigate racism, and forging the path forward for research on equity and access.Conclusions
AHRQ is well-positioned to develop an action plan, strategically fund it, and convene stakeholders across the health care spectrum to employ these recommendations. 相似文献45.
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Bhakti Hansoti MBChB MPH Adam R. Aluisio MD MS Meagan A. Barry PhD Kevin Davey MD Brian A. Lentz MS Payal Modi MD MSc Jennifer A. Newberry MD JD Melissa H. Patel BS Tricia A. Smith MBBS MPH Alexandra M. Vinograd MD MSHP Adam C. Levine MD MPH the Global Emergency Medicine Think Tank Clinical Research Working Group 《Academic emergency medicine》2017,24(6):742-753
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The rise and fall of prostate brachytherapy: Use of brachytherapy for the treatment of localized prostate cancer in the National Cancer Data Base 
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C. Jessica Dine MD MSHP Nicholas Wingate BS Ilene M. Rosen MD MSCE Jennifer S. Myers MD Jennifer Lapin PhD Jennifer R. Kogan MD Judy A. Shea PhD 《Journal of general internal medicine》2013,28(8):1008-1013