Academic Journal
Engaging Nonphysician Staff in Practice Facilitation-Mediated Quality Improvement to Improve Health Outcomes in Under-Resourced Clinical Practices in New York City
| العنوان: | Engaging Nonphysician Staff in Practice Facilitation-Mediated Quality Improvement to Improve Health Outcomes in Under-Resourced Clinical Practices in New York City |
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| المؤلفون: | De Leon, Samantha, Tabaei, Bahman P., Glenn, Lily, Das, Sonali, Fana, Ernesto, Pham-Singer, Hang |
| المصدر: | Journal of Public Health Management & Practice ; volume 30, page S162-S166 ; ISSN 1078-4659 1550-5022 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health) |
| سنة النشر: | 2024 |
| الوصف: | In New York City (NYC), hypertension and high cholesterol disproportionately affect residents with low household income and people of color. The NYC Health Department employed practice facilitation (PF) to help nonphysician staff assume added roles aligned with team-based care. The objective was to improve blood pressure (BP) and cholesterol management in 132 small primary care practices serving mostly patients of color. We categorized practices into higher or lower levels of integrated PF, defined as physicians and nonphysician staff collectively participating in PF. Higher integrated PF was associated with improvements in BP (rate ratio [RR] = 1.09, P -value < .05) and cholesterol management (RR = 1.12, P -value < .01). Nonphysician staff in higher integrated PF practices reported skills enhancement and improved teamwork. Involving nonphysician staff in PF-mediated quality improvement efforts can be an effective strategy to improve health outcomes in small clinical practices serving communities with a higher burden of chronic disease and disproportionately impacted by poverty and structural racism. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1097/phh.0000000000001924 |
| DOI: | 10.1097/PHH.0000000000001924 |
| الاتاحة: | http://dx.doi.org/10.1097/phh.0000000000001924 https://journals.lww.com/10.1097/PHH.0000000000001924 |
| Rights: | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| رقم الانضمام: | edsbas.5359906B |
| قاعدة البيانات: | BASE |
| DOI: | 10.1097/phh.0000000000001924 |
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