UC BERKELEY AUTHORS: Carolina Ornelas, Raj P Fadadu, Morrise A Richardson, Omonivie H Agboghidi
DATE OF PUBLICATION: January 2021
REGION: North America
DOI: https://doi.org/10.1089/heq.2020.0082
SUMMARY/ABSTRACT:
Purpose: Heart failure (HF) disproportionately impacts African Americans. We evaluated existing quality improvement (QI) initiatives and patient and provider perceptions of barriers to HF care to develop equity-centered QI recommendations. Methods: We performed a literature review, interviewed providers and patients (N=11), and conducted a root cause analysis at a safety net hospital in San Francisco, California. Results: We have identified four elements to foster a more equitable HF care model: screening for social determinants of health, technological innovation, optimization of space, and implicit bias training. Conclusion: QI initiatives for HF should integrate health equity elements in their design and implementation.
ACCESS: https://pubmed.ncbi.nlm.nih.gov/33564738/