dc.contributor.author | Marquez Loza, Alejandra M. | |
dc.date.accessioned | 2019-12-04T08:16:16Z | |
dc.date.created | 2019-05 | |
dc.date.issued | 2019-07-25 | |
dc.date.submitted | 2019 | |
dc.identifier.citation | Marquez Loza, Alejandra M. 2019. Disparities in Stroke Care: A Framework for an Integrated Care Model. Doctoral dissertation, Harvard Medical School. | |
dc.identifier.uri | http://nrs.harvard.edu/urn-3:HUL.InstRepos:41971474 | * |
dc.description.abstract | Purpose
Racial and ethnic disparities exist in access and utilization of acute and chronic neurological care. The impact of this is notable in stroke care, with African-Americans and Hispanics having a greater incidence of stroke, higher rates of recurrent strokes, and the greatest disparities in stroke mortality among younger working-age populations compared to Caucasians. While there are many innovative solutions to certain aspects of disparities in stroke care, our current health care delivery system lacks a cohesive design that can integrate these. This paper provides a framework for the implementation of a value-based integrated care model with the intent of improving outcomes and achieving equity in neurological care.
Methods
Successful value-based healthcare delivery models were analyzed in light of their potential in bridging disparities in care as a whole and specifically for stroke care. The literature on racial and ethnic disparities in stroke care was reviewed and a framework for possible value-based solutions to these disparities was proposed.
Conclusion
While there is increasing recognition of the benefits in value-based health care, broader implications may extend to bridging disparity gaps. This paper highlights key considerations for neurology leaders and healthcare planners in the implementation of a stroke integrated practice unit designed out of consideration for the diverse patient populations they serve. | |
dc.description.sponsorship | Scholarly Project | |
dc.format.mimetype | application/pdf | |
dc.language.iso | en | |
dash.license | LAA | |
dc.subject | Disparities | |
dc.subject | integrated practice unit | |
dc.subject | stroke | |
dc.title | Disparities in Stroke Care: A Framework for an Integrated Care Model | |
dc.type | Thesis or Dissertation | |
dash.depositing.author | Marquez Loza, Alejandra M. | |
dc.date.available | 2019-12-04T08:16:16Z | |
thesis.degree.date | 2019 | |
thesis.degree.grantor | Harvard Medical School | |
thesis.degree.grantor | Harvard Medical School | |
thesis.degree.level | Doctoral | |
thesis.degree.level | Doctoral | |
thesis.degree.name | Doctor of Medicine | |
thesis.degree.name | Doctor of Medicine | |
dc.type.material | text | |
dash.identifier.vireo | | |
dc.identifier.orcid | 0000-0002-1896-177X | |
dash.author.email | Alejandra.MarquezLoza@gmail.com | |