ArticleJournal of general internal medicine2012
Changes in disparities following the implementation of a health information technology-supported quality improvement initiative.
Article in Journal of general internal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical Decision Support Systems and Prevention: A Community Guide Cardiovascular Disease Systematic Review.American journal of preventive medicine · 2015Pooled it
- Does Clinical Decision Support Increase Appropriate Medication Prescribing for Cardiovascular Risk Reduction?Journal of the American Board of Family Medicine : JABFM · 2023Trial
- A multi-site randomized trial of a clinical decision support intervention to improve problem list completeness.Journal of the American Medical Informatics Association : JAMIA · 2023Trial
- Effect of Clinical Decision Support at Community Health Centers on the Risk of Cardiovascular Disease: A Cluster Randomized Clinical Trial.JAMA network open · 2022Trial
- Collaborative development of a randomized study to adapt a diabetes quality improvement initiative for federally qualified health centers.Journal of health care for the poor and underserved · 2012Trial
- Identification of Barriers to Digital Patient Portal Adoption Among Patients With Prostate Cancer Undergoing Curative Radiotherapy at a Canadian Provincial Cancer Program: A Quality Improvement Study.JCO clinical cancer informatics · 2026Observational
- Implementation and Evaluation of a Best Practice Advisory to Reduce Inequities in Technology Use for People With Type 1 Diabetes: Protocol for a Mixed Methods, Nonrandomized Controlled Trial.JMIR research protocols · 2025Article
- Do primary care quality improvement frameworks consider equity?BMJ open quality · 2024Article
- Adoption of shared decision-making and clinical decision support for reducing cardiovascular disease risk in community health centers.JAMIA open · 2023Article
- A Quality Framework to Address Racial and Ethnic Disparities in Emergency Department Care.Annals of emergency medicine · 2023Article
- Development of a Health Disparities Index: Proof of Concept with Chest Radiography in Asthma.The Journal of pediatrics · 2021Article
- Trust in a COVID-19 vaccine in the U.S.: A social-ecological perspective.Social science & medicine (1982) · 2021Article
- Health informatics and health equity: improving our reach and impact.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Impact of a Population Health Management Intervention on Disparities in Cardiovascular Disease Control.Journal of general internal medicine · 2018Article
- Reducing inequity in primary care clinics treating low socioeconomic Jewish and Arab populations in Israel.Journal of public health (Oxford, England) · 2017Article
- Understanding Black Patients' Refusal of Pneumococcal Vaccination.Journal of racial and ethnic health disparities · 2017Article
- Specifications of Clinical Quality Measures and Value Set Vocabularies Shift Over Time: A Study of Change through Implementation Differences.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2017Article
- A Multifaceted Intervention to Improve Influenza, Pneumococcal, and Herpes Zoster Vaccination among Patients with Rheumatoid Arthritis.The Journal of rheumatology · 2016Article
- Transdisciplinary cardiovascular and cancer health disparities training: experiences of the centers for population health and health disparities.American journal of public health · 2015Article
- Reducing CKD risks among vulnerable populations in primary care.Advances in chronic kidney disease · 2015Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundHealth information technology (HIT)-supported quality improvement initiatives have been shown to increase ambulatory care quality for several chronic conditions and preventive services, but it is not known whether these types of initiatives reduce disparities.
objectivesTo examine the effects of a multifaceted, HIT-supported quality improvement initiative on disparities in ambulatory care.
designTime series models were used to assess changes in racial disparities in performance between white and black patients for 17 measures of chronic disease and preventive care from February 2008 through February 2010, the first 2 years after implementation of a HIT-supported, provider-directed quality improvement initiative. PATIENTS: Black and white adults receiving care in an academic general internal medicine practice in Chicago.
interventionsThe quality improvement initiative used provider-directed point-of-care clinical decision support tools and quality feedback to target improvement in process of care and intermediate outcome measures for coronary heart disease, heart failure, hypertension, and diabetes as well as receipt of several preventive services. MAIN MEASURES: Modeled rate of change in performance, stratified by race and modeled rate of change in disparities for 17 ambulatory care quality measures KEY
resultsQuality of care improved for 14 of 17 measures among white patients and 10 of 17 measures among black patients. Quality improved for both white and black patients for five of eight process of care measures, four of five preventive services, but none of the four intermediate outcome measures. Of the seven measures with racial disparities at baseline, disparities declined for two, remained stable for four, and increased for one measure after implementation of the quality improvement initiative.
conclusionsGeneralized and provider-directed quality improvement initiatives can decrease racial disparities for some chronic disease and preventive care measures, but achieving equity in areas with persistent disparities will require more targeted, patient-directed, and systems-oriented strategies.
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