Back to Search
Start Over
Diverse community leaders’ perspectives about quality primary healthcare and healthcare measurement: Qualitative community-based participatory research
- Source :
- International Journal for Equity in Health, International Journal for Equity in Health, Vol 20, Iss 1, Pp 1-13 (2021)
- Publication Year :
- 2021
- Publisher :
- BioMed Central, 2021.
-
Abstract
- Background Healthcare quality measurements in the United States illustrate disparities by racial/ethnic group, socio-economic class, and geographic location. Redressing healthcare inequities, including measurement of and reimbursement for healthcare quality, requires partnering with communities historically excluded from decision-making. Quality healthcare is measured according to insurers, professional organizations and government agencies, with little input from diverse communities. This community-based participatory research study aimed to amplify the voices of community leaders from seven diverse urban communities in Minneapolis-Saint Paul Minnesota, view quality healthcare and financial reimbursement based on quality metric scores. Methods A Community Engagement Team consisting of one community member from each of seven urban communities —Black/African American, Lesbian-Gay-Bisexual-Transgender-Queer-Two Spirit, Hmong, Latino/a/x, Native American, Somali, and White—and two community-based researchers conducted listening sessions with 20 community leaders about quality primary healthcare. Transcripts were inductively analyzed and major themes were identified. Results Listening sessions produced three major themes, with recommended actions for primary care clinics. #1: Quality Clinics Utilize Structures and Processes that Support Healthcare Equity. #2: Quality Clinics Offer Effective Relationships, Education, and Health Promotion. #3: Funding Based on Current Quality Measures Perpetuates Health Inequities. Conclusion Community leaders identified ideal characteristics of quality primary healthcare, most of which are not currently measured. They expressed concern that linking clinic payment with quality metrics without considering social and structural determinants of health perpetuates social injustice in healthcare.
- Subjects :
- Pay-for-performance
Community engagement
business.industry
Health Policy
Research
Public Health, Environmental and Occupational Health
Health services research
Community-based participatory research
Participatory action research
Pay for performance
Public relations
Value-based payments
Health promotion
Community-based participatory research (CBPR)
Health care
Healthcare inequities
Sociology
Public aspects of medicine
RA1-1270
business
Health policy
Primary care quality metrics
Subjects
Details
- Language :
- English
- ISSN :
- 14759276
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- International Journal for Equity in Health
- Accession number :
- edsair.doi.dedup.....f1b3ad329310579bd34df72da994a0d5