Health Disparities in Utilization, Quality, and Outcomes for Three Common Ocular Conditions (HealthDOC)

三种常见眼部疾病的利用、质量和结果方面的健康差异 (HealthDOC)

• 批准号: 10559239
• 负责人: DUSTIN D. FRENCH
• 金额: $ 46.43万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-03-01 至 2028-02-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10559239
• 关键词: Academy; Accident and Emergency department; Achievement; Advisory Committees; Affect; Affordable Care Act; American; Area; Attention; Authorization documentation; Big Data; Biological; Blindness; Caring; Cataract; Centers for Disease Control and Prevention (U.S.); Cessation of life; Characteristics; Chronic Disease; Clinical; Clinical Data; Clinical Trials; Communities; Data; Data Sources; Development; Diabetic Retinopathy; Disease; Disparity; Distress; Economically Deprived Population; Educational Status; Electronic Health Record; Ethics; Ethnic Origin; Ethnic Population; Eye; Eye diseases; Future; Gender; Glaucoma; Glycosylated hemoglobin A; Goals; Health; Health Services; Health Services Accessibility; Health Services Research; Healthcare; Healthcare Systems; Healthy People 2020; Incentives; Inferior; Insurance Coverage; Intervention; Life Expectancy; Link; Measures; Medical; Medicare; Medicine; Michigan; Minority; Minority Groups; Mission; Morbidity - disease rate; National Eye Institute; Ophthalmologist; Ophthalmology; Outcome; Outcomes Research; Patients; Peer Review; Persons; Pharmaceutical Preparations; Play; Policies; Prevalence; Prevention; Quality of Care; Race; Reduce health disparities; Research; Research Design; Research Personnel; Retinal Diseases; Risk Adjustment; Role; Severity of illness; Site; System; United States Dept. of Health and Human Services; United States National Institutes of Health; Universities; Vision; Visual; Visual impairment; Work; authority; data resource; deprivation; diabetic; electronic health data; ethnic minority; ethnic minority population; experience; health care disparity; health data; health disparity; health management; hospital readmission; improved; indexing; innovation; insight; minority patient; mortality; mortality risk; payment; programs; racial health disparity; racial minority; racial minority population; racial population; repository; residence; social determinants; social health determinants; tertiary care

Project Summary/Abstract: Multiple that minority CHIP of The understood. ophthalmology retinopathy. past studies provide strong evidence that disparities exist in healthcare, i ncluding in ophthalmology, and social determinant of health (SDH) play an important role for explaining differences in ethnic and racial receipt of healthcare. With the passage of the Affordable Care Act and later the Medicare Access and Reauthorization Act of 2015, there has been emphasis on medical quality measures with implementation the Medicare Incentive Payment System (MIPS) with the use of National Quality Forum (NQF) related metrics. association between quality measures for ophthalmic conditions and healthcare disparities is poorly In fact, there has been little research to inform how the social determinants of health impact care practices and quality metrics by racial/ethnic groups with cataract, glaucoma, and diabetic The proposedHealth Disparities in Utilization, Quality, and Outcomes for Three Common Ocular Conditions (HealthDOC) study employing clinically will address prevailing gaps between clinical quality measures and practice by a rigorous health services and outcomes research study design that evaluates ophthalmic NQF, and meaningful measures using the S ight OU tcomes R esearch C ollaborativ E ( SOURCE to study health) disparities. SOURCE links and extracts data across healthcare systems from electronic health records to capture visual changes, clinical details (typically not available but through clinical trials), and health disparities, which is ideal for responding to Healthy People 2030 ocular goals. SOURCE overcomes major data barriers in ophthalmology health disparities work with visual outcome details for measuring treatment, quality, and outcomes, joined with key information on race and ethnicity, the biological variable of gender, SDH measures, medications, hemoglobin A1c, Centers for Disease Control National Death Index Data and others. This study will examine three major eye diseases (cataract, glaucoma, diabetic eye disease) and quantify the impact of SDH on achievement of established and peer reviewed NQF ocular quality metrics, and clinically meaningful measures on visual outcomes, and non-ocular morbidity and mortality for the chronic diseases of glaucoma and diabetic retinopathy. The ocular conditions we focus on are the most common causes of irreversible visual impairment and blindness in the U.S. and fulfills the target goals for National Eye Institute and Healthy People 2030. This on Eye Care Disparities), leveraging states disparities National innovative, 2 stakeholder-driven 3 ) aligned with healthcare management using accepted quality metrics (NQF), and 4 existing data from electronic health records of 27 ophthalmology program sites covering multiple and regions, focused on quality improvement initiatives aimed at future interventions to reduce health across SOURCE sites and abroad. This project aligns well with the missions of the NIH, NEI, and Academy of Medicine (NAM) on reducing health disparities and the prevention of vision loss. study is: 1) ) (American Academy of Ophthalmology, Task Force )

项目摘要/摘要： 多种的 那 少数民族 芯片 的 这 理解。 眼科 视网膜病。 过去的研究提供了有力的证据，表明医疗保健中存在差异，眼科中的挑战和 健康决定因素（SDH）在解释种族和种族差异方面起着重要作用 收到医疗保健。随着《平价医疗法案》的通过，后来是Medicare Access和 2015年的重新授权法，通过实施强调医疗质量措施 使用国家质量论坛（NQF）相关指标的Medicare激励支付系统（MIPS）。 眼科条件的质量措施与医疗保健差异之间的关联性很差 实际上，几乎没有研究来告知健康的社会决定因素如何影响 种族/族裔的护理惯例和质量指标与白内障，青光眼和糖尿病 三个普通眼的利用，质量和结果的拟议健康差异 条件（HealthDoc）研究 雇用 临床 将通过 一种严格的健康服务和结果研究设计，可评估眼科NQF和 有意义的措施，使用涉及研究的措施（来源研究健康的来源） 差异。源链接并从电子健康记录中从医疗保健系统中提取数据以捕获 视觉变化，临床细节（通常不可用，但通过临床试验）以及健康差异，这就是 应对健康人2030眼目标的理想选择。来源克服了主要数据障碍 眼科健康差异与视觉结果细节一起用于测量治疗，质量和 成果与种族和种族有关的关键信息，性别，SDH措施的生物学变量， 药物，血红蛋白A1C，疾病控制国家死亡指数数据等。这项研究 将检查三种主要眼病（白内障，青光眼，糖尿病眼病），并量化 SDH在实现已建立和同行评审的NQF眼质量指标以及临床上有意义的 视觉结果的措施以及青光眼慢性疾病的非目录的发病率和死亡率 糖尿病性视网膜病。我们关注的眼部条件是最常见的不可逆视觉原因 美国的障碍和失明，实现国家眼科研究所和健康人的目标目标 2030。这 关于眼部护理差异）， 利用 国家 差异 国家的 创新，2个利益相关者驱动 3）使用公认的质量指标（NQF）与医疗保健管理保持一致，4 27个眼科计划网站的电子健康记录中的现有数据涵盖了多个 和地区，专注于质量改进计划，旨在将来干预措施，以减少健康 跨源站点和国外。该项目与NIH，NEI和 医学院（NAM）降低健康差异和预防视力丧失。 研究是：1））（美国特遣队美国眼科学会 ）