TBD

待定

基本信息

批准号：
8896337
负责人：
DAVID SATCHER
金额：
$ 21.16万
依托单位：
MOREHOUSE SCHOOL OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-08-01 至 2016-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8896337
关键词：
Address Adoption Affect Caring Chronic Disease Clinical Trials Collection Communities Complex Country Data Data Collection Data Reporting Electronics Ethnic Origin Gender Gender Identity Goals Group Practice Health Health Care Costs Health Insurance Health Policy Health Professional Health Promotion Health Services Health Services Accessibility Health Status Healthcare Home environment Incentives Insurance Insurance Coverage Intervention Investments Language Language Disorders Laws Lead Learning Life Low income Medicaid Medical center Medicare Minority Groups Modeling Patients Policies Policy Research Prevention Primary Care Physician Primary Health Care Provider Public Health Public Policy Publishing Quality of Care Race Records Relative (related person)Reporting Research Risk Adjustment Rural Population Sex Orientation Solutions System Training Underserved Population Unemployment Uninsured United States United States Centers for Medicare and Medicaid Services Vulnerable Populations Work base beneficiary comparative effectiveness cost court cultural competence disorder prevention dual eligible effectiveness research experience health care quality health disparity health equity health information technology health practice high risk improved innovation men who have sex with men payment programs racial and ethnic sex social health determinants

项目摘要

Disparities Report, which tracks the inequities in health services in the United States. Since the report was first published in 2003, the findings have consistently shown that while we have made improvements in quality, we have not been as successful in reducing disparities in healthcare. This dichotomy has resulted despite the fact that we continue to spend more on healthcare. Healthcare costs have been escalating an unsustainable rate, reaching an estimated 17.3 percent of our gross domestic product in 2009 according to the Centers for Medicare and Medicaid Services (CMS). Despite these high costs for the provision of health services in the United States, we continue to observe delivery system fragmentation and inequities in the quality of healthcare delivered. Likewise, when we look at the disparities in health status and access to care for racial and ethnic minorifies, the numbers are quite alarming! Each year approximately 83,000 racial and ethnic minorities die as a result of health disparities and as a nation we are spending an estimated $300 billion as a result of these disparifies. When we add in the social determinants of health - realizing that healthcare alone cannot adequately improve health overall or reduce health disparities without addressing where and how people live - you can see how complex this issue is. Despite the fact that health equity is a key component of the transforming journey of healthcare that we are all embarking on, little has been done to comprehensively and trans-disciplinarily coordinate health policy research, analysis, and collaboratively address this serious problem at the local, state, regional, and national level. With the passage of several health-related policies in recent years, the focus has been on bending the cost curve and becoming more efficient with less moving fon/vard. While it may be difficult to predict the unintended consequences of many of these policies, by leveraging the collective strengths and expertise of our partners we can tackle the grave health disparities confronting racial and ethnic minorities. One significant health policy being advanced is the ACA, which includes provisions addressing health equity and the elimination of disparifies in health status and healthcare among vulnerable populations. The ACA includes health equity-related provisions, which provide a bridge to health equity that affords marginalized groups - particularly racial and ethnic minorities - increased access to culturally appropriate care, quality healthcare, preventative care, and comparative effectiveness research. For racial and ethnic minorities who are the most likely to be uninsured, experience higher unemployment rates, and have a lower income - which makes it harder to obtain employer-sponsored health insurance coverage - Medicaid expansion and the creation of health insurance exchanges would provide these communities access to vital health services. In addition, the ACA provides a unique opportunity to expand the scope of research related to health disparities, increase diversity in clinical trials, and identify, develop and distribute appropriate interventions and solutions to address these disparities. The law also provides new investments to increase the number of culturally competent primary care physicians and other health professionals. For these reasons, the implementation of the ACA offers a critical opportunity to realize the goal of achieving health equity throughout our country. The recent Supreme Court ruling on the ACA, while essentially weakening a key aspect of the ACA's efforts to expand health insurance coverage to the working poor - Medicaid Expansion - by making the expansion of this program optional for states, nevertheless upheld the ACA and the provisions aimed at addressing health disparities. As a result, MSM will help states within Region IV strengthen their health equity and health reform agendas, and inform other states of lessons learned.

差异报告，跟踪美国卫生服务的不平等。由于报告是第一个这些发现于2003年发表，一贯表明，尽管我们已经改善了质量，但我们在减少医疗保健方面的差异方面并没有成功。尽管事实是我们继续在医疗保健上花费更多。医疗保健费用一直在升级不可持续的利率，根据中心的说法，2009年估计有17.3％的国内生产总值医疗保险和医疗补助服务（CMS）。尽管在提供卫生服务的费用很高美国，我们继续观察递送系统的破碎和医疗质量的不平等现象发表。同样，当我们查看健康状况的差异并获得种族和种族少的照顾时，这些数字令人震惊！每年大约有83,000个种族和少数民族因健康差异和作为一个国家，由于这些差异，我们将花费3000亿美元。当我们添加健康的社会决定因素时 - 意识到仅医疗保健就无法充分改善整体健康状况或减少健康差异，而无需解决人们的生活以及如何居住 - 您可以看到复杂的问题是。尽管健康平等是医疗保健转型之旅的关键组成部分，但我们都是启动，几乎没有做任何事情来全面和跨学科协调健康政策研究，分析和协作在当地，州，地区和国家等级。近年来，随着几项与健康相关的政策的通过，重点是弯曲成本曲线和随着移动的FON/VARD的效率变得更加高效。虽然可能很难预测意外通过利用合作伙伴的集体优势和专业知识，许多此类政策的后果我们可以解决种族和少数民族面临的严重健康差异。 ACA是一项重要的健康政策，其中包括针对健康公平的规定消除脆弱人群中健康状况和医疗保健的拆除。 ACA 包括与健康公平相关的规定，为健康公平提供了桥梁群体，尤其是种族和少数民族 - 增加获得文化适当的护理，质量的机会医疗保健，预防保健和比较有效性研究。对于种族和少数民族的人是否最有可能没有保险，经历更高的失业率，并且收入较低 - 使获得雇主赞助的健康保险范围的困难 - 医疗补助扩张和建立健康保险交流将为这些社区提供重要的健康服务。在此外，ACA提供了一个独特的机会，可以扩大与健康差异相关的研究范围，增加临床试验的多样性，并识别，开发和分发适当的干预措施和解决方案解决这些差异。该法律还提供了新的投资，以增加文化的数量合理的初级保健医生和其他卫生专业人员。由于这些原因，ACA的实施提供了一个至关重要的机会来实现实现目标整个国家的健康公平。最高法院最近就ACA裁决削弱ACA将健康保险覆盖范围扩大到工作穷人的关键方面 - 医疗补助扩展 - 通过使该计划的扩展为州可选，但仍维持 ACA和旨在解决健康差异的规定。结果，MSM将帮助各个地区的状态 iv加强了他们的健康公平和健康改革议程，并向其他州提供了经验教训。