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Disparities and Quality

Disparities and Quality. Anne Beal, MD, MPH Assistant Vice President The Commonwealth Fund Alliance for Health Reform/The Commonwealth Fund Briefing May 12, 2008. What Are the Causes of Health Disparities?. Which Health Disparities?. Non-Medical Health Behaviors

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Disparities and Quality

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  1. Disparities and Quality Anne Beal, MD, MPH Assistant Vice President The Commonwealth Fund Alliance for Health Reform/The Commonwealth Fund Briefing May 12, 2008

  2. What Are the Causes of Health Disparities?

  3. Which Health Disparities? Non-Medical • Health Behaviors • Living and Working Conditions • Income • Stress Health Outcomes • Life Expectancy • Health Status • Asthma Rates • Diabetes Rates Healthcare • Access • Effectiveness • Safety • Financing • Acceptability

  4. Non-Medical • Health Behaviors • Living and Working Conditions • Income • Stress 40%-67% Health Outcomes • Life Expectancy • Health Status • Asthma Rates • Diabetes Rates Healthcare • Access • Effectiveness • Safety • Financing • Acceptability 44%-57% Which Health Disparities? Source: Arah OA, Westert GP. Correlates of health and healthcare performance: applying the Canadian Health Indicators Framework at the provincial-territorial level. BMC Health Services Research. 5:76.

  5. What Causes Asthma Disparities? Ease of Lifestyle Changes Co-Morbid Conditions Quality of Healthcare Cultural Factors Environmental Factors Physiologic Response to Meds Patient Adherence Access To Care/Coverage Economic Factors Community Factors Genetic Predisposition

  6. What Causes Health Disparities? Genetic Predisposition Environmental Factors Economic Factors Cultural Factors Community Factors --------Disparities-------- Access To Care/Coverage Quality of Healthcare Co-Morbid Conditions Physiologic Response to Meds Ease of Lifestyle Changes Patient Adherence

  7. Today’s Speakers • Bruce Siegel, MD, MPH • Research Professor in the Department of Health Policy, GWU • Brian Smedley, PhD • Research Director, Opportunity Agenda • Becky Shipp • Minority Staff, Senate Finance Committee • Caya Lewis • Majority Staff, Senate HELP Committee

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