Equitable care is when “quality does not vary because of personal characteristics such as gender, race, ethnicity, geographic location, and socioeconomic status”. health care system, the report went on to identify six core domains of quality health care: care is safe, effective, patient-centered, timely, efficient, and equitable.
Crossing the quality chasm. national academies press; 2001 professional#
The 2001 report from the Institute of Medicine (now the National Academy of Medicine) Crossing the Quality Chasm: A New Health System for the 21st Century defined quality in health care as “the degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge”.
While all quality improvement initiatives face challenges, substantial improvements in quality, patient outcomes, and health system function could be made by revisiting existing recommendations improving data collection and reporting engaging and partnering with communities and re-evaluating our current care delivery and payment infrastructures. health system must take action to centralize equity, particularly racial equity (including ethnicity), in discussions of quality. The authors of this paper strongly believe the U.S. The existing health care quality infrastructure has not adequately addressed this issue, even though equity has been identified as one of the core domains of quality. This paper summarizes the authors’ conclusions about key barriers and strategies to advancing equity in health care quality.ĭespite decades of accumulating evidence and policy recommendations, deep racial and other inequities remain in health care and outcomes in the United States. The authors identified equity as the area of most urgent and cross-cutting concern for the field. health care quality organizations to discuss and author a paper identifying the most important priorities for the health care quality movement in the next 20 years. On the occasion of the 20th anniversary of the publication of To Err Is Human: Building a Safer Health System (IOM, 2000) and Crossing the Quality Chasm: A New Health System for the 21st Century (IOM, 2001), the National Academy of Medicine convened the leaders of seven prominent U.S.
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