![]() However, adding health equity as a quintuple aim is too much in terms of aims and too little in terms of priority. The preceding paper by Dzau et al offers further support for health equity being a national priority. The authors articulate cogent arguments for health equity improvement being a national aim. Adding health equity as the quintuple aim, with its linkage to measurement, transparency, and reimbursement, will help sustain attention to persistent inequities plaguing our health systems and communities. We are coupling that approach with the training and engagement of trusted community voices such as Black church leaders, hair-dressers and barbers, and community-based pharmacists. At the Center for Sustainable Health Care Quality and Equity (SHC) we are implementing quality improvement education programs for clinical teams serving people of color, helping them close gaps in vaccination, diabetes management, evidence-based heart failure treatment, and other conditions characterized by disparities in care and outcomes. Strategies that helped make vaccines more available, such as true community engagement, delivery of services in the community, and attention to social determinants of health, will not continue. But my colleagues and I fear that the urgency to address equity will fade as the pandemic recedes. COVID certainly spotlighted health inequities. ![]() I applaud the authors' call for making health equity the fifth rail of the "quintuple" aim, including measurable and transparent reporting, consideration of systemic contributing factors, and tying it to reimbursement.
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