ArticleHealth services research2011
Reducing health disparities: strategy planning and implementation in Israel's largest health care organization.
Article in Health services research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Trial
- Article
- From quality improvement to equality improvement projects: A scoping review and framework.iScience · 2023Article
- Intervention hesitancy among healthcare personnel: conceptualizing beyond vaccine hesitancy.Monash bioethics review · 2022Article
- Developing a National Set of Health Equity Indicators Using a Consensus Building Process.International journal of health policy and management · 2022Article
- The cumulation of ill health and low agency in socially excluded city dwellers in the Netherlands: how to better identify high-risk/high-need population segments with public health survey data.International journal for equity in health · 2021Article
- National initiatives to promote quality of care and patient safety: achievements to date and challenges ahead.Israel journal of health policy research · 2020Review
- Socio-economic disparities and returning to work following an injury.Israel journal of health policy research · 2020Article
- Article
- Second opinion utilization by healthcare insurance type in a mixed private-public healthcare system: a population-based study.BMJ open · 2019Observational
- Improving clinical practice in primary care for the prevention and control of noncommunicable diseases: a multi-actor approach to two regional pilot projects in Kazakhstan.Cardiovascular diagnosis and therapy · 2019Review
- Evaluating an organization-wide disparity reduction program: Understanding what works for whom and why.PloS one · 2018Article
- Reducing inequity in primary care clinics treating low socioeconomic Jewish and Arab populations in Israel.Journal of public health (Oxford, England) · 2017Article
- Sustained Reduction in Health Disparities Achieved through Targeted Quality Improvement: One-Year Follow-up on a Three-Year Intervention.Health services research · 2015Article
- Primary care priorities in addressing health equity: summary of the WONCA 2013 health equity workshop.International journal for equity in health · 2014Article
- Trends in racial/ethnic disparities in medical and oral health, access to care, and use of services in US children: has anything changed over the years?International journal for equity in health · 2013Article
- Disparities in multiple chronic conditions within populations.Journal of comorbidity · 2013Article
- Community healthcare in Israel: quality indicators 2007-2009.Israel journal of health policy research · 2012Article
- The association between socio-demographic characteristics and adherence to breast and colorectal cancer screening: analysis of large sub populations.BMC cancer · 2011Article
- Assessing socioeconomic health care utilization inequity in Israel: impact of alternative approaches to morbidity adjustment.BMC public health · 2011Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe an organization-wide disparity reduction strategy and to assess its success in quality improvement and reduction of gaps in health and health care. STUDY
settingClalit Health Services, Israel's largest non-for-profit insurer and provider serving 3.8 million persons. STUDY
designBefore and after design: quality assessment before and 12-month postinitiation of the strategic plan. A composite weighted score of seven quality indicators, measuring attainment of diabetes, blood pressure, and lipid control, lack of anemia in infants, and performance of mammography, occult blood tests, and influenza vaccinations. DATA EXTRACTION
methodsQuality indicator scores, derived from Clalit's central data warehouse, based on data from electronic medical records. PRINCIPAL
findingsLow-performing clinics, of low-socioeconomic and minority populations, were targeted for intervention. Twelve months after the initiation of the project continuous improvement was observed coupled with a reduction of 40 percent of the gap between disadvantaged clinics, serving ~10 percent of enrollees, and all other medium-large clinics.
conclusionThe comprehensive strategy, following a quality improvement framework, with a top-down top-management incentives and monitoring, and a bottom-up locally tailored interventions, approach, is showing promising results of overall quality improvement coupled with disparity reduction in key health and health care indicators.
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