Challenges to using a business case for addressing health disparities

Health Affairs

Volumn 27, Issue 2, 2008, Pages 334-338

  Lurie, Nicole ^a   Somers, Stephen A ^b   Fremont, Allen ^a   Angeles, January ^c   Murphy, Erin K ^a   Hamblin, Allison ^c  

^a RAND CORPORATION   (United States)

^b Center for Health Care Strategies Inc   (United States)

^c CHCS ^*

Author keywords

[No Author keywords available]

Indexed keywords

ETHNICITY; HEALTH CARE ORGANIZATION; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HUMAN; OUTCOME ASSESSMENT; PATIENT CARE; PUBLIC HEALTH PROBLEM; PUBLIC HEALTH SERVICE; RACE DIFFERENCE; REVIEW; SOCIOECONOMICS;

COST-BENEFIT ANALYSIS; HEALTH SERVICES RESEARCH; HEALTHCARE DISPARITIES; HUMANS; INVESTMENTS; QUALITY OF HEALTH CARE; UNITED STATES;

EID: 41749092531     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.27.2.334     Document Type: Review

References (25)

1. D. Acevedo-Garcia et al., "Toward a Policy-Relevant Analysis of Geographic and Racial/Ethnic Disparities in Child Health," Health Affairs 27, no. 2 (2008): 321-333.
2. Institute of Medicine, Crossing the Quality Chasm: A New Health System for the Twenty-first Century (Washington: National Academies Press, 2001).
3. S. Leatherman et al., "The Business Case for Quality: Case Studies and an Analysis," Health Affairs 22, no. 2 (2003): 17-30;
4. R.Z. Goetzel et al., "Return on Investment in Disease Management: A Review," Health Care Financing Review 26, no. 4 (2005): 1-19;
5. and Center for Health Care Strategies, The Return on Investment Evidence Base: Identifying Quality Improvement Strategies with Cost-Saving Potential, November 2007, http://www.chcs.org/publications3960/ publications_show.htm?doc_id=576275 (accessed 10 December 2007).
6. N. Lurie, M. Jung, and R. Lavizzo-Mourey, "Disparities and Quality Improvement: Federal Policy Levers," Health Affairs 24, no. 2 (2005): 354-364.
7. K. Fiscella and A.M. Fremont, "Use of Geocoding and Surname Analysis to Estimate Race and Ethnicity," Health Services Research 41, no. 4, Part 1 (2006): 1482-1500;
8. and M. Elliott et al., "A New Method for Estimating Racial/Ethnic Disparities where Administrative Records Lack Self Reported Race/Ethnicity, " Health Services Research (forthcoming).
9. For example, Aetna, which has been at the fore-front of primary data collection for more than five years, reports that it has data on just over 35 percent of enrollees.
10. National Health Plan Collaborative, Reducing Racial and Ethnic Disparities and Improving Quality of Health Care, November 2006, http://www.chcs.org/NationalHealthPlanCollaborative/images/ 641_104_NHCP_summary_V3.pdf (accessed 13 December 2007);
11. and George Washington University School of Public Health and Health Services, "Collecting Data on Patient Race, Ethnicity, and Primary Language Is Helping Hospitals Improve the Quality of Care: Robert Wood Johnson Foundation Program Helps Hospitals Decrease Disparities, Increase Patient-Centeredness in Heart Care," September 2007, http://rwjf.org/files/ research/issuebrief092007.pdf (accessed 10 December 2007).
12. NHPC, Reducing Racial and Ethnic Disparities.
13. Leatherman et al., "The Business Case." 10. M.H. Chin et al., "Interventions to Reduce Racial and Ethnic Disparities in Health Care," Medical Care Research and Review 64, no. 5 Supp. (2007): 7S-28S.
14. Goetzel et al., "Return on Investment";
15. and Leatherman et al., "The Business Case."
16. P. Hogan et al., "Economic Costs of Diabetes in the U.S. in 2002," Diabetes Care 26, no. 3 (2003): 917-932.
17. S. Vijan, R.A. Hayward, and K.M. Langa, "The Impact of Diabetes on Workforce Participation: Results from a National Household Sample," Health Services Research 39, no. 6, Part 1 (2004): 1653-1669;
18. and M. Berger et al., "Alternative Valuations of Work Loss and Productivity," Journal of Occupational and Environmental Medicine 43, no. 1 (2001): 18-24.
19. Conference call with the health plans, 14 August 2007.
20. P.B. Bach et al., "Primary Care Physicians Who Treat Blacks and Whites," New England Journal of Medicine 351, no. 6 (2004): 575-584.
21. NHPC, Reducing Racial and Ethnic Disparities.
22. Williams et al., "Toward a Policy-Relevant Analysis."
23. T. Miller, "Making a Difference in Differences for the Health Inequalities of Individuals," Health Affairs 26, no. 5 (2007): 1235-1237.
24. See the REACH program home page, http://www.cdc.gov/reach;
25. and the Steps program home page, http://www.cdc.gov/steps/index.htm.