Integration of the social determinants of health into quality indicators for colorectal cancer surgery: a scoping review protocol-Reference-Cited by-同舟云学术

Integration of the social determinants of health into quality indicators for colorectal cancer surgery: a scoping review protocol

Published:2023-09 Issue:9 Volume:13 Page:e075270
ISSN:2044-6055
Container-title:BMJ Open
language:en
Short-container-title:BMJ Open

Author:

Bondzi-Simpson Adom^ORCID,Ribeiro Tiago^ORCID,Benipal Harsukh,Barabash Victoria,Lofters Aisha,Sutradhar Rinku,Snyder Rebecca A,Clarke Callisia,Coburn Natalie G,Hallet Julie

Abstract

IntroductionQuality monitoring is a critical component of high-performing cancer care systems. Quality indicators (QIs) are standardised, evidence-based measures of healthcare quality that allow healthcare systems to track performance, identify gaps in healthcare delivery and inform areas of priority for strategic planning. Social structures and economic systems that allow for unequal access to power and resources that shape health and health inequities can be described through the social determinants of health (SDoH) framework. Therefore, granular analysis of healthcare quality through SDoH frameworks is required to identify patient subgroups who may experience health inequity. Given the high burden of disease of colorectal cancer (CRC) and well-defined cancer care pathways, CRC is often the first disease site targeted by health systems for quality improvement. The objective of this review is to examine how SDoH have been integrated into QIs for CRC surgery. This review aims to address three primary questions: (1) Have SDoH been integrated into the development, reporting and assessment of CRC surgery QIs? (2) When integrated, what measures and statistical methods have been applied? (3) In which direction do individual SDoH influence QIs outputs?MethodsThis review will follow Arksey and O’Malley frameworks for scoping reviews. We will search MEDLINE, EMBASE, HealthSTAR databases for papers that examine QIs for CRC surgery applicable to healthcare systems from database inception until January 2023. Interventional trials, prospective and retrospective observational studies, reviews, case series and qualitative study designs will be included. Two authors will independently review all titles, abstracts and full texts to determine which studies meet the inclusion criteria.Ethics & disseminationNo ethics approval is required for this review. Results will be disseminated through scientific presentation and relevant conferences targeted for researchers examining healthcare quality and equity in cancer care.Registration detailsosf.io/vfzd3-Open Science Framework.

Publisher

BMJ

Subject

General Medicine

Reference51 articles.

1. Kohn LT , Corrigan JM , Donaldson MS , eds. Institute of medicine Committee on quality of health care in A [Copyright 2000 by the National Academy of Sciences. All rights reserved]. In: To Err is Human: Building a Safer Health System. Washington (DC): National Academies Press (US), 2000.

2. Institute of medicine Committee on quality of health care in A [Copyright 2001 by the National Academy of Sciences. All rights reserved]. In: Crossing the Quality Chasm: A New Health System for the 21st Century. Washington (DC): National Academies Press (US), 2001.

3. Six Domains of Health Care Quality . Agency for Healthcare Research and Quality, Rockville, MD., . 2018 Available: https://www.ahrq.gov/talkingquality/measures/six-domains.html

4. A Performance Measurement Framework for the Canadian Health System . The Canadian Institute for Health Information (CIHI), . 2013 Available: https://secure.cihi.ca/free_products/HSP_Framework_Technical_Report_EN.pdf

5. European Observatory Health Policy Series . In: Busse R , Klazinga N , Panteli D , et al ., eds. Improving healthcare quality in Europe: Characteristics, effectiveness and implementation of different strategies. Copenhagen (Denmark): European Observatory on Health Systems and Policies © World Health Organization (acting as the host organization for,and secretariat of, the European Observatory on Health Systems and Policies) and OECD 2019. 2019.