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Disparities in Quality of Care

The Roadmap To Reduce Disparities

Infographic: Six Steps To Curb Disparities

Infographic: Six Steps To Curb Disparities

The RWJF national program Finding Answers developed a six-step framework to help people and organizations reduce disparities. Now available in a simple graphic that’s easy to distribute—or tack up above your desk—the Roadmap can help you fit reducing disparities into all health care quality improvement efforts.

See the infographic

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How To Accomplish the Six Steps

This detailed curriculum offers step-by-step instructions for reducing disparities, including case studies and an implementation tool kit.

Go to the full curriculum
FindingAnswersStaff

How They Made the Roadmap to Reduce Disparities

Staff from Finding Answers describe how they developed the six steps to reducing disparities in a supplement to the Journal of General Internal Medicine. They outline their work to conduct systematic reviews of the literature, evaluate promising practices, provide technical assistance to health care organizations and disseminate their findings.

Read the journal supplement
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Strengthen Your Project with Research from the FAIR Database

Need the research on what’s worked to reduce disparities? Need it sorted by health topic or strategy? Finding Answers’  FAIR database is the most comprehensive collection of summaries and systematic reviews of racial and ethnic health disparities intervention literature available anywhere. Search by health topic (for instance: asthma, diabetes) or by strategy (for instance: pay for performance, nurse-led interventions).

Go to the database

A Month of Tweets

In January 2013 @FndgAnswers hosted "A Month of Tweets" to amplify the national discussion on finding solutions to health care disparities. They started the month with a newly created Twitter presence and a string of varied topics to get the conversation flowing. Throughout the campaign, Finding Answers shared tips, tools, and updates on Twitter about the latest developments in disparities research, ACA implementation as it relates to disparities, and easy-to-adapt intervention models.

Learn how the campaign unfolded in this Storify recap.

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Disparities Research and Publications

 

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  • Topic: Disparities in quality of care
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Dartmouth Atlas Project Finds Access and Use of Primary Care Does Not Guarantee Better Health Outcomes

September 9, 2010 | News Release

Medicare patients receive care and outcomes of widely varying quality; where you live has a greater influence on the care you receive than the color of your skin

Dartmouth Atlas Project Finds Substantial Variation in Joint Replacement Surgery

April 15, 2010 | News Release

Hip, knee and shoulder replacements are rising significantly for Medicare patients; Rates among regions vary by 10 times for shoulders, four times for hip and knees

Rapidity and Modality of Imaging for Acute Low Back Pain in Elderly Patients

May 25, 2009 | Journal Article

In this study, researchers found that almost one in three elderly Medicare patients received imaging service within a month of low-back pain diagnosis despite well-established guidelines stating patients with low-back pain do not require imaging until after a month of therapy.

Accountable Care Organizations

July 27, 2010 | Issue Brief

Brief analyzes possible evolution of accountable care organizations (ACOs).

Disparities in Nursing Home Quality

February 22, 2005 | Story

Universities examined characteristics of the nation's 17,000 nursing homes to determine why the quality of some nursing homes is so much worse than that of others.

Effects of Complementary Therapy on Health in a National US Sample of Older Adults

July 1, 2010 | Journal Article

This article looked at whether the use of biologically-based therapies, body-based therapies, or other alternative therapies were associated with a variety of quality-of-life outcomes among respondents age 55 and older.

How Fast and What Type of Imaging Elderly Low-Back Pain Patients Get Linked to Patient/Physician Traits Not Clinical Indications

May 25, 2009 | News Release

Archives study underscores need for quality metrics to measure overuse of care.

Taming Wide Variations in Spending Key to Health Reform

February 24, 2009 | News Release

Dallas Medicare spending is growing twice as fast as San Diego. The system rewards physicians for providing care even when it is not needed.

Sharpening Medicare's Tools for Reducing Racial and Ethnic Health Disparities

August 22, 2008 | Program Result

From 2004 through 2006, the National Academy of Social Insurance convened the Study Panel on Medicare and Disparities to examine how Medicare could use its leverage to reduce racial and ethnic health disparities.

Ten-Year Study Finds Increasing Racial Gaps in the Use of Major Procedures Among the Elderly

February 1, 2007 | Program Result

The Harvard School of Public Health and Dartmouth Medical School examined data from 29 million Medicare beneficiaries enrolled in the Medicare fee-for-service program from 1992 though 2001.

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