ArticleJournal of general internal medicine2008
Reducing disparities downstream: prospects and challenges.
Article in Journal of general internal medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed.
- Participant experiences of an internet-based intervention and randomised control trial: interview study.BMC public health · 2013Trial
- Training residents to employ self-efficacy-enhancing interviewing techniques: randomized controlled trial of a standardized patient intervention.Journal of general internal medicine · 2009Trial
- Integrating Social Drivers of Health With Strengths-Based Approaches in Clinical Care.AJPM focus · 2026Article
- Insights into measuring health disparities using electronic health records from a statewide network of health systems: A case study.Journal of clinical and translational science · 2023Article
- Development of a novel social incubator for health promoting initiatives in a disadvantaged region.BMC public health · 2020Article
- Lupus education for physicians and patients in a resource-limited setting.Clinical rheumatology · 2020Review
- An Assessment of Magnitudes and Patterns of Socioeconomic Inequalities across Various Health Problems: A Large National Cross-Sectional Survey in Korea.International journal of environmental research and public health · 2018Article
- A Mobile App for Chronic Disease Self-Management: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2017Article
- Minorities are less likely to receive autologous blood transfusion for major elective orthopaedic surgery.Clinical orthopaedics and related research · 2014Article
- Article
- Physician styles of patient management as a potential source of disparities: cluster analysis from a factorial experiment.Health services research · 2013Article
- Primary care physicians and disparities in colorectal cancer screening in the elderly.Health services research · 2013Article
- Perceptions of predisposing, enabling, and reinforcing factors influencing the use of a continuity of care document in special needs PLWH.Journal of health care for the poor and underserved · 2012Article
- Article
- Tailored interactive multimedia computer programs to reduce health disparities: opportunities and challenges.Patient education and counseling · 2011Review
- Racial disparity in blood pressure: is vitamin D a factor?Journal of general internal medicine · 2011Article
- Crowd-out and exposure effects of physical comorbidities on mental health care use: implications for racial-ethnic disparities in access.Health services research · 2011Article
- Do changes in traditional coronary heart disease risk factors over time explain the association between socio-economic status and coronary heart disease?BMC cardiovascular disorders · 2011Article
- The relative health burden of selected social and behavioral risk factors in the United States: implications for policy.American journal of public health · 2010Article
- An ethical justification for the Chronic Care Model (CCM).Health expectations : an international journal of public participation in health care and health policy · 2010Review
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
Addressing upstream or fundamental causes (such as poverty, limited education, and compromised healthcare access) is essential to reduce healthcare disparities. But such approaches are not sufficient, and downstream interventions, addressing the consequences of those fundamental causes within the context of any existing health system, are also necessary. We present a definition of healthcare disparities and two key principles (that healthcare is a social good and disparities in outcomes are a quality problem) that together provide a framework for addressing disparities downstream. Adapting the chronic care model, we examine a hierarchy of three domains for interventions (health system, provider-patient interactions, and clinical decision making) to reduce disparities downstream and discuss challenges to implementing the necessary changes.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.