Diverse Community Leaders' Perspectives About Quality Primary Healthcare and Healthcare Measurement: Qualitative Community-based Participatory Research

Overview

Journal Int J Equity Health

Publisher Biomed Central

Specialties Health Services
Public Health

Date 2021 Oct 19

PMID 34663330

Citations 7

Authors

Kathleen A Culhane-Pera

Shannon L Pergament

Maiyia Y Kasouaher

Andrew M Pattock

Naima Dhore

Cindy N Kaigama

Marcela Alison

Michael Scandrett

Mai See Thao

David J Satin

Affiliations

Soon will be listed here.

Abstract

Background: Healthcare quality measurements in the United States illustrate disparities by racial/ethnic group, socio-economic class, and geographic location. Redressing healthcare inequities, including measurement of and reimbursement for healthcare quality, requires partnering with communities historically excluded from decision-making. Quality healthcare is measured according to insurers, professional organizations and government agencies, with little input from diverse communities. This community-based participatory research study aimed to amplify the voices of community leaders from seven diverse urban communities in Minneapolis-Saint Paul Minnesota, view quality healthcare and financial reimbursement based on quality metric scores.

Methods: A Community Engagement Team consisting of one community member from each of seven urban communities -Black/African American, Lesbian-Gay-Bisexual-Transgender-Queer-Two Spirit, Hmong, Latino/a/x, Native American, Somali, and White-and two community-based researchers conducted listening sessions with 20 community leaders about quality primary healthcare. Transcripts were inductively analyzed and major themes were identified.

Results: Listening sessions produced three major themes, with recommended actions for primary care clinics. #1: Quality Clinics Utilize Structures and Processes that Support Healthcare Equity. #2: Quality Clinics Offer Effective Relationships, Education, and Health Promotion. #3: Funding Based on Current Quality Measures Perpetuates Health Inequities.

Conclusion: Community leaders identified ideal characteristics of quality primary healthcare, most of which are not currently measured. They expressed concern that linking clinic payment with quality metrics without considering social and structural determinants of health perpetuates social injustice in healthcare.

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