Engaging Nonphysician Staff in Practice Facilitation-Mediated Quality Improvement to Improve Health Outcomes in Under-Resourced Clinical Practices in New York City

被引：0

作者：

De Leon, Samantha ^{[1
]}

Tabaei, Bahman P. ^{[1
]}

Glenn, Lily ^{[1
]}

Das, Sonali ^{[1
]}

Fana, Ernesto ^{[1
]}

Pham-Singer, Hang ^{[1
]}

机构：

[1] Ctr Hlth Equ & Community Wellness, New York City Dept Hlth & Mental Hyg, 42-09 28th St, Queens, NY 11101 USA

来源：

JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE | 2024年 / 30卷

关键词：

blood pressure management; cholesterol management; heart disease; hypertension; practice facilitation; TEAM-BASED CARE;

D O I：

10.1097/PHH.0000000000001924

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页码：S162 / S166

页数：5