SynthesisMedical care2010
Quality improvement implementation and disparities: the case of the health disparities collaboratives.
Synthesis in Medical care, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01087073 (Improving Diabetes Care and Outcomes on the South Side of Chicago), which is not on this map. Cited by 37 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Improving Diabetes Care and Outcomes on the South Side of Chicago
Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Costs and economic evaluations of Quality Improvement Collaboratives in healthcare: a systematic review.BMC health services research · 2020Pooled it
- Development of an evidence- and consensus-based Digital Healthcare Equity Framework.JAMIA open · 2024Article
- The Michigan Collaborative for Type 2 Diabetes (MCT2D): Development and implementation of a statewide collaborative quality initiative.BMC health services research · 2024Article
- Virtual quality improvement collaborative with primary care practices during COVID-19: a case study within a clinically integrated network.BMJ open quality · 2024Article
- Ensuring Equitable Care in Diabetes Management Among Patients of Health Resources & Services Administration-Funded Health Centers in the United States.Diabetes spectrum : a publication of the American Diabetes Association · 2023Article
- Influencing Appropriate Statin Use in a Charity Care Primary Clinic.Healthcare (Basel, Switzerland) · 2022Article
- Factors associated with federally qualified health center financial performance.Health services research · 2022Article
- Transforming Primary Care for Lesbian, Gay, Bisexual, and Transgender People: A Collaborative Quality Improvement Initiative.Annals of family medicine · 2020Article
- Understanding quality improvement collaboratives through an implementation science lens.Preventive medicine · 2019Article
- Pharmacists in Federally Qualified Health Centers: Models of Care to Improve Chronic Disease.Preventing chronic disease · 2019Article
- The "Waze" of Inequity Reduction Frameworks for Organizations: a Scoping Review.Journal of general internal medicine · 2019Article
- Advancing Health Services Research to Eliminate Health Care Disparities.American journal of public health · 2019Article
- Implementation of continuous quality improvement in Aboriginal and Torres Strait Islander primary health care in Australia: a scoping systematic review.BMC health services research · 2018Article
- Evaluating an organization-wide disparity reduction program: Understanding what works for whom and why.PloS one · 2018Article
- Improving Chronic Disease Outcomes Through Medication Therapy Management in Federally Qualified Health Centers.Journal of primary care & community health · 2017Article
- Informing Policy for Reducing Stroke Health Disparities from the Experience of African-American Male Stroke Survivors.Journal of racial and ethnic health disparities · 2016Article
- U.S. Associated Pacific Islands Health Care Teams Chart a Course for Improved Health Systems: Implementation and Evaluation of a Non-communicable Disease Collaborative Model.Journal of health care for the poor and underserved · 2016Article
- The Costs of Participating in a Diabetes Quality Improvement Collaborative: Variation Among Five Clinics.Joint Commission journal on quality and patient safety · 2016Article
- Sustained Reduction in Health Disparities Achieved through Targeted Quality Improvement: One-Year Follow-up on a Three-Year Intervention.Health services research · 2015Article
- National Strategies to Decrease the Burden of Diabetes and Its Complications.Current diabetes reports · 2015Review
Corrections and comments
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Authors and funding
1 author.
Funding
Abstract
backgroundThe Health Disparities Collaboratives (HDCs), a quality improvement (QI) collaborative incorporating rapid QI, a chronic care model, and learning sessions, have been implemented in over 900 community health centers across the country.
objectivesTo determine the HDC's effect on clinical processes and outcomes, their financial impact, and factors important for successful implementation. RESEARCH
designSystematic review of the literature.
resultsThe HDCs improve clinical processes of care over short-term period of 1 to 2 years, and clinical processes and outcomes over longer period of 2 to 4 years. Most participants perceive that the HDCs are successful and worth the effort. Analysis of the Diabetes Collaborative reveals that it is societally cost-effective, with an incremental cost-effectiveness ratio of $33,386 per quality-adjusted life year, but that consistent revenue streams for the initiative do not exist. Common barriers to improvement include lack of resources, time, and staff burnout. Highest ranked priorities for more funding are money for direct patient services, data entry, and staff time for QI. Other common requests for more assistance are help with patient self-management, information systems, and getting providers to follow guidelines. Relatively low-cost ways to increase staff morale and prevent burnout include personal recognition, skills development opportunities, and fair distribution of work.
conclusionsThe HDCs have successfully improved quality of care, and the Diabetes Collaborative is societally cost-effective, but policy reforms are necessary to create a sustainable business case for these health centers that serve many uninsured and underinsured populations.
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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.