Evidence map›Paper›PMID 22798211›Full record

ReviewJournal of general internal medicine2012

A roadmap and best practices for organizations to reduce racial and ethnic disparities in health care.

Marshall H Chin, Amanda R Clarke, Robert S Nocon, Alicia A Casey, Anna P Goddu, Nicole M Keesecker, Scott C Cook

Registry-linked trialAbstract readReview
In one paragraph

Review 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. It is linked to trial NCT03463213 (She's Healthy and Empowered), which is not on this map. Cited by 158 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
158citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT03463213 naunknown statusnot on this mapstarted 2018, after this paper: background citation

She's Healthy and Empowered (SHE Tribe): A Social Networked-based Peer-facilitated Intervention to Improve Health Behavior Among Women in Underserved Communities

TypeinterventionalSponsorUniversity of North Texas Health Science CenterRan2018 to 2020Enrolled240ConditionsHealth PromotionArmsSHE Tribe
3 · Its place in the literature

Who cites it

158 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
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  4. Pooled it
  5. Health literacy and cancer screening: a systematic review.Patient education and counseling · 2014
    Pooled it
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  12. Cardiovascular-Related Maternal Mortality.Obstetrics and gynecology · 2026
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
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  20. Equity by design principles for digital health interventions.International journal for equity in health · 2025
    Article

98 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Marshall H ChinRobert Wood Johnson Foundation Finding Answers: Disparities Research for Change National Program Office, University of Chicago, Chicago, IL, USA. mchin@medicine.bsd.uchicago.edu
Amanda R Clarke
Robert S Nocon
Alicia A Casey
Anna P Goddu
Nicole M Keesecker
Scott C Cook

Funding

TRANSGENIC COREP60DK020595 · NIDDK · UNIVERSITY OF CHICAGO · PI BELL, GRAEME I · 1985 to 2012
$25.5M
Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI Arshiya Ahmed Baig · 2011 to 2026
$10.0M
Research and Mentorship in Improving Diabetes CareK24DK071933 · NIDDK · UNIVERSITY OF CHICAGO · PI CHIN, MARSHALL H · 2005 to 2014
$1.6M
NIDDK NIH HHS K24 DK071933NIDDK NIH HHS P30 DK092949NIDDK NIH HHS P60 DK020595NIDDK NIH HHS P60 DK20595
6 · The paper itself

Abstract

Over the past decade, researchers have shifted their focus from documenting health care disparities to identifying solutions to close the gap in care. Finding Answers: Disparities Research for Change, a national program of the Robert Wood Johnson Foundation, is charged with identifying promising interventions to reduce disparities. Based on our work conducting systematic reviews of the literature, evaluating promising practices, and providing technical assistance to health care organizations, we present a roadmap for reducing racial and ethnic disparities in care. The roadmap outlines a dynamic process in which individual interventions are just one part. It highlights that organizations and providers need to take responsibility for reducing disparities, establish a general infrastructure and culture to improve quality, and integrate targeted disparities interventions into quality improvement efforts. Additionally, we summarize the major lessons learned through the Finding Answers program. We share best practices for implementing disparities interventions and synthesize cross-cutting themes from 12 systematic reviews of the literature. Our research shows that promising interventions frequently are culturally tailored to meet patients' needs, employ multidisciplinary teams of care providers, and target multiple leverage points along a patient's pathway of care. Health education that uses interactive techniques to deliver skills training appears to be more effective than traditional didactic approaches. Furthermore, patient navigation and engaging family and community members in the health care process may improve outcomes for minority patients. We anticipate that the roadmap and best practices will be useful for organizations, policymakers, and researchers striving to provide high-quality equitable care.

Indexed as

Quality ImprovementDelivery of Health CareEthnicityFoundationsHealthcare DisparitiesHumansRacial Groups

Identifiers

PMID22798211
PMCPMC3403142

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.