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• W2520996906 abstract "The AHRQ 2013 National Healthcare Disparities Report found little progress since 2000 in most quality and access disparities for racial and ethnic minorities. Previous research has shown that racial disparities in health exist in the VA across a wide range of clinical areas, for which almost no promising interventions have been developed. The mission of the VHA Office of Health Equity (OHE) (10A6) is to champion the advancement of health equity in the VA health system. In fiscal year 2015, the OHE is partnering with a new evaluation center under the Quality Enhancement Research Initiative (QUERI) to evaluate in which major conditions gaps in morbidity and mortality exist among vulnerable Veteran populations and to examine trends in quality of care across these conditions. To help inform selection of the Partnered Evaluation Center's (PEC) research priorities to better understand and reduce race and ethnicity-related mortality and morbidity disparities, the OHE requested that the Evidence-based Synthesis Program's Coordinating Center (ESP CC) provide an evidence brief on what evidence has emerged since (1) the 2007 ESP review Racial and Ethnic Disparities in the VA Healthcare System on which clinical areas racial and ethnic disparities are prevalent within the VA, and (2) the 2011 ESP review Interventions to Improve Minority Health Care and Racial and Ethnic Disparities on the effects of interventions implemented within the VA to reduce racial/ethnic disparities or to improve health and health care in minority populations.An evidence brief differs from a full systematic review in that the scope is narrowly defined and the traditional review methods are streamlined in order to synthesize evidence within a shortened timeframe. An evidence brief does not outline the full context in which the information is to be used and does not present a comprehensive assessment of knowledge on the topic. Brief or rapid review methodology is still developing and there is not yet consensus on what represents best practice. OVERVIEW OF RESEARCH PLAN A first step in identifying research priorities for the PEC is to identify differences in health outcomes among racial and ethnic groups within the VA's equal access health care system. The second step is to explore the sources of these differences. This evidence brief focuses on the first step of identifying racial or ethnic differences in mortality and morbidity outcomes. Our exploration of the sources of health outcome disparities was limited to: (1) summarizing evidence from the 2007 ESP review on possible causes related to the identified health outcome differences, (2) noting when studies on health outcome disparities provided insights about causes by conducting additional analyses to assess whether differences in socioeconomic status, facility, access, preferences, needs, etcetera, accounted for the disparities, and (3) providing an inventory and data abstraction of VA studies on process and access measures. We compared health outcomes of racial/ethnic minority groups to those of white Veterans. The range of potential findings for the comparison of racial/ethnic minority groups to those of white Veterans includes worse outcomes, similar outcomes, better outcomes, or inconclusive evidence for the minority group. To fit the purpose of this report, we defined disparity as any instance of worse mortality or morbidity outcomes for the racial/ethnic minority groups. Figure 1 illustrates the framework that guided our research recommendations." @default.
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• W2520996906 date "2015-05-01" @default.
• W2520996906 modified "2023-09-24" @default.
• W2520996906 title "Evidence Brief: Update on Prevalence of and Interventions to Reduce Racial and Ethnic Disparities within the VA" @default.
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