Research on Women s s Healthcare at the Agency for Healthcare Research and Quality
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1 Research on Women s s Healthcare at the Agency for Healthcare Research and Quality Shakeh J. Kaftarian, Ph.D. Senior Advisor, Women s s Health and Gender Research Meeting of the IOM Committee on Women s s Health Research February 24, 2009
2 Overview AHRQ Mission Core Business Research on Women s s Healthcare Knowledge Transfer Gap Analysis
3 AHRQ Mission Improve the quality, safety, efficiency and effectiveness of health care for all Americans
4 By Research on improving healthcare outcomes Translating healthcare research into practice
5 Core Business Knowledge creation and synthesis Knowledge dissemination Knowledge implementation and use
6 Inclusion of Women in Research A review criterion Lifespan approach
7 Research on Women All aspects of healthcare, including: Enhancing response of healthcare systems to women s s needs; Understanding differences between healthcare needs of women and men; Understanding and eliminating disparities in healthcare; and Empowering women to make better healthcare decisions
8 Goal: Address Diverse Healthcare Needs of Women Through Generations
9 Portfolios Comparative Effectiveness Prevention and Care Management Value Health Information Technology Patient Safety Innovations/Emerging Issues
10 Topics on Women s s Health Include but not limited to: Cardiovascular diseases and treatment Cancer screening and treatment breast, cervical, ovarian and other Reproductive health pregnancy, birth outcomes, hysterectomy Chronic illnesses and treatment diabetes, HIV, mental/behavioral problems
11 Topics on Women s s Health cont d Health impact of violence Healthcare access and cost Impact of medications Data sources for gender research Emerging healthcare issues
12 Examples of Findings ( ) 2008) Risks for maternal complications (e.g., gestational diabetes) may be lower after bariatric surgery compared to risks in obese women Young women of low to normal weight with GI complains should be screened for eating disorders Race/ethnicity appear to have an effect on c-c section delivery outcomes Women are prescribed more drugs than men during their reproductive years
13 Knowledge Transfer Program Goals: Enhance knowledge of users about available research, products, tools Assist target groups implement tools, research, products Gain feedback on successes/barriers of implementation Case studies showing how audiences implemented/used products
14 Options Lite bite menu Cafeteria menu Gourmet menu Smorgasbord menu
15 Marketing Example: Impact of Bariatric Surgery on Fertility Product background Key messages Targeted audience Electronic distribution Exhibits Slides
16 Marketing Example: Impact of Bariatric Surgery on Fertility Outreach to general press Outreach to minority press Outreach to consumer media Primary private sector Secondary private sector Outreach to Government agencies
17 Marketing Example: Impact of Bariatric Surgery on Fertility Audio-visual news releases Web marketing Speaking opportunities Peer-reviewed reviewed journal article
18 Implementation Example Medicaid Medical Directors Learning Network Products of interest: Cesarean Delivery on Maternal Request Off-Label Use of Atypical Antipsychotics
19 Gaps in Healthcare Research Approach: Persistent and large disparity measures in our databases, through: National Healthcare Disparity Report National Healthcare Quality Report
20 AHRQ s s National Reports on Quality and Disparities National Healthcare Quality Report tracks the healthcare system through quality measures (e.g., percentage of heart attack patients who received recommended care when they reached the hospital) National Healthcare Disparities Report summarizes healthcare quality and access among various racial, ethnic and income groups and other priority populations (e.g., women)
21 Data-based Gap Analysis Revealed Disparities in prenatal care impacting minority women in poor settings
22 Case Study to Address Gap Under-resourced resourced settings, where hi-risk patients, poorest quality and safety are prevalent Explicate the needs of these settings and patients for research and action Identify opportunities and challenges for implementing quality improvement strategies Develop and present a report to a panel of experts
23 Future Research Agenda Panel will develop agenda for research and action Include agenda in funding opportunities Award grants, understand results, disseminate and provide additional support for implementation of findings
24 Contact Information Shakeh J. Kaftarian, Ph.D. (301)
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