Evidence map›Paper›PMID 25560436›Full record

ArticlePediatrics2015

Partnering health disparities research with quality improvement science in pediatrics.

K Casey Lion, Jean L Raphael

Abstract read
In one paragraph

Article in Pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Audio-Recorded Discharge Instructions for Limited English Proficient Parents: A Pilot Study.Joint Commission journal on quality and patient safety · 2019
    Trial
  4. Article
  5. Diversity, equity, and inclusion considerations for anti-racist, equity-focused NICU family mental health.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Committing to genomic answers for all kids: Evaluating inequity in genomic research enrollment.Genetics in medicine : official journal of the American College of Medical Genetics · 2023
    Article
  19. Article
  20. Article
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

2 authors.

K Casey LionDepartment of Pediatrics, University of Washington, Seattle, Washington; Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington; and.
Jean L RaphaelDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas casey.lion@seattlechildrens.org.

Funding

Targeted Inpatient Navigation to Improve Care for Minority Children and FamiliesK23HD078507 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI LION, KATHERINE CASEY · 2014 to 2018
$692k
Development of a Parent Navigator Program for Pediatric Sickle Cell AnemiaK23HL105568 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI RAPHAEL, JEAN L. · 2011 to 2015
$647k
NHLBI NIH HHS 1K23 HL105568NHLBI NIH HHS K23 HL105568NICHD NIH HHS 1K23 HD078507NICHD NIH HHS K23 HD078507
6 · The paper itself

Abstract

Disparities in pediatric health care quality are well described in the literature, yet practical approaches to decreasing them remain elusive. Quality improvement (QI) approaches are appealing for addressing disparities because they offer a set of strategies by which to target modifiable aspects of care delivery and a method for tailoring or changing an intervention over time based on data monitoring. However, few examples in the literature exist of QI interventions successfully decreasing disparities, particularly in pediatrics, due to well-described challenges in developing, implementing, and studying QI with vulnerable populations or in underresourced settings. In addition, QI interventions aimed at improving quality overall may not improve disparities, and in some cases, may worsen them if there is greater uptake or effectiveness of the intervention among the population with better outcomes at baseline. In this article, the authors review some of the challenges faced by researchers and frontline clinicians seeking to use QI to address health disparities and propose an agenda for moving the field forward. Specifically, they propose that those designing and implementing disparities-focused QI interventions reconsider comparator groups, use more rigorous evaluation methods, carefully consider the evidence for particular interventions and the context in which they were developed, directly engage the social determinants of health, and leverage community resources to build collaborative networks and engage community members. Ultimately, new partnerships between communities, providers serving vulnerable populations, and QI researchers will be required for QI interventions to achieve their potential related to health care disparity reduction.

Indexed as

Healthcare DisparitiesHealth Status DisparitiesPediatricsVulnerable PopulationsChildCommunity NetworksCooperative BehaviorHealth Plan ImplementationHealth Services ResearchHumansInterdisciplinary CommunicationQuality Assurance, Health CareQuality ImprovementSocial Determinants of HealthUnited Statescommunity healthhealth care disparityquality improvement

Identifiers

PMID25560436
PMCPMC4306804

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.