Kevin Fiscella|Mechelle Sanders
Racial and Ethnic Disparities in the Quality of Health Care
University of Rochester Medical Center|University of Rochester Medical Center
annual national healthcare quality disparities reports document widespread persistent racial ethnic disparities disparities result complex interactions patient factors related social disadvantage clinicians organizational health care system factors separate unequal systems health care states health care systems clinicians constrain resources available meet needs disadvantaged groups contribute unequal outcomes reinforce implicit bias recent data suggest slow progress many areas documented notable successes eliminating disparities eliminate disparities continued progress require collective national ensure health care equity expanded health insurance coverage support primary care public accountability based progress toward defined timelimited objectives using evidencebased sufficiently resourced multilevel quality improvement strategies engage patients clinicians health care organizations communities