Marshall H. Chin|Morgen Alexander-Young|Deborah L. Burnet
Health Care Quality-Improvement Approaches to Reducing Child Health Disparities
General Department of Preventive Medicine|Center for Social Sciences|Robert Wood Johnson Foundation|Center for Social Sciences|Robert Wood Johnson Foundation|General Department of Preventive Medicine|Robert Wood Johnson Foundation|University of Chicago
relatively qualityimprovement efforts aimed reducing differences childrens care outcomes across race ethnicity socioeconomic status insurance status inform qualityimprovement efforts reduce child health disparities summarize lessons learned adult disparitiesintervention literature identify interventions reduced disparities pediatric asthma outcomes immunization rates outline special considerations child disparity interventions key recommendations providers health care organizations researchers include 1 examine performance data stratified according insurance status raceethnicity language socioeconomic status 2 measure improve childhood healthrelated quality life development conditionspecific targets asthma immunizations 3 measure improve anticipatory guidance early prevention conditions injuries violence substance abuse sexually transmitted diseases efforts promote positive growth readership programs improve low literacy 4 measure improve structural aspects care affect child health outcomes reduce disparities patientcentered medicalhome elements 5 incorporate families interventions 6 use multidisciplinary teams close tracking followup patients 7 integrate nonhealth care partners qualityimprovement interventions 8 culturally tailor quality improvement key recommendation payers align financial incentives reduce disparities national institutes health funders support 1 disparityintervention studies recommendations analyze clinical outcomes interventionimplementation processes costs 2 creation new child health services researchers find effective qualityimprovement approaches reducing disparities