Читать книгу Quality and Safety in Nursing - Группа авторов - Страница 33
Social Determinants of Health
ОглавлениеSivashanker and Gandhi (2020) cite the inequities in the US health care system that continue to foster systemic racism, including race, sex, language, socioeconomic class, and other biases (Feeley and Torres, 2020). Race, social determinants of health, and other disparities limit access to care as measured by the STEEEP model, particularly timeliness, equity, effectiveness, and patient‐centeredness. Okoroh, Uribe, and Weingart (2017) completed a methodological review that found racial/ethnic disparities in adverse events to be mixed, although there was extensive evidence of disparities in the process and outcomes of health care. Because many studies did not report key variables, they found poor stratification of outcomes by race or ethnicity and recommend that future studies examine variations in the quality of care at hospitals and specific geographic locations.