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Deena J. Chisolm PhD Jerome A. Dugan PhD Jose F. Figueroa MD Meghan B. Lane-Fall MD MSHP Dylan H. Roby PhD Hector P. Rodriguez PhD Alexander N. Ortega PhD 《Health services research》2023,58(Z3):289-299
Objective
To describe health equity research priorities for health care delivery systems and delineate a research and action agenda that generates evidence-based solutions to persistent racial and ethnic inequities in health outcomes.Data Sources and Study Setting
This project was conducted as a component of the Agency for Healthcare Research and Quality's (AHRQ) stakeholder engaged process to develop an Equity Agenda and Action Plan to guide priority setting to advance health equity. Recommendations were developed and refined based on expert input, evidence review, and stakeholder engagement. Participating stakeholders included experts from academia, health care organizations, industry, and government.Study Design
Expert group consensus, informed by stakeholder engagement and targeted evidence review.Data Collection/Extraction Methods
Priority themes were derived iteratively through (1) brainstorming and idea reduction, (2) targeted evidence review of candidate themes, (3) determination of preliminary themes; (4) input on preliminary themes from stakeholders attending AHRQ's 2022 Health Equity Summit; and (5) and refinement of themes based on that input. The final set of research and action recommendations was determined by authors' consensus.Principal Findings
Health care delivery systems have contributed to racial and ethnic disparities in health care. High quality research is needed to inform health care delivery systems approaches to undo systemic barriers and inequities. We identified six priority themes for research; (1) institutional leadership, culture, and workforce; (2) data-driven, culturally tailored care; (3) health equity targeted performance incentives; (4) health equity-informed approaches to health system consolidation and access; (5) whole person care; (6) and whole community investment. We also suggest cross-cutting themes regarding research workforce and research timelines.Conclusions
As the nation's primary health services research agency, AHRQ can advance equitable delivery of health care by funding research and disseminating evidence to help transform the organization and delivery of health care. 相似文献62.
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AHNS Series—Do you know your guidelines? Guideline recommended follow‐up and surveillance of head and neck cancer survivors 
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下载免费PDF全文 Benjamin R. Roman MD MSHP David Goldenberg MD Babak Givi MD The Education Committee of American Head Neck Society 《Head & neck》2016,38(2):168-174
In this first article of the “Do You Know Your Guidelines” series, we review National Comprehensive Cancer Network (NCCN) recommendations and underlying evidence for the follow‐up and surveillance of head and neck cancer survivors. The goals of follow‐up and surveillance care are (1) to maximize long‐term oncologic outcomes of therapy with appropriate evaluation for recurrence, (2) to maximize functional and quality of life outcomes, and (3) minimizing unnecessary and harmful low‐value care. Finding the right balance of testing and surveillance is a challenge for providers and patients. Herein, we review all NCCN recommendations for head and neck cancer survivors. We pay particular attention to an area of controversy: the use of ongoing surveillance imaging, in particular, PET/CT scans. © 2016 Wiley Periodicals, Inc. Head Neck 38 : 168–174, 2016 相似文献
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