Assessing diversity and quality in primary care through the multimethod assessment process (MAP).
The U.S. health care system serves a diverse population, often resulting in significant disparities in delivery and quality of care. Nevertheless, most quality improvement efforts fail to systematically assess diversity and associated disparities. This article describes application of the multimethod assessment process (MAP) for understanding disparities in relation to diversity, cultural competence, and quality improvement in clinical practice. MAP is an innovative quality improvement methodology that integrates quantitative and qualitative techniques and produces a system level understanding of organizations to guide quality improvement interventions. A demonstration project in a primary care practice illustrates the utility of MAP for assessing diversity.
Kairys
Jo Ann
JA
Center for Healthy Families and Cultural Diversity, Department of Family Medicine, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Orzano
John
J
Gregory
Patrice
P
Stroebel
Christine
C
DiCicco-Bloom
Barbara
B
Roemheld-Hamm
Beatrix
B
Kobylarz
Fred A
FA
Scott
John G
JG
Coppola
Lisa
L
Crabtree
Benjamin F
BF
D018864:Cultural Diversity; D003695:Delivery of Health Care; D006801:Humans; D009936:Organizational Innovation; D010865:Pilot Projects; D011320:Primary Health Care / Q000458:organization & administration / Q000592:standards*; D011361:Professional Competence; D011785:Quality Assurance, Health Care / Q000379:methods*; D019984:Quality Indicators, Health Care; D011787:Quality of Health Care; D014481:United States