Evidence map›Paper›PMID 25787874›Full record

ArticleHealth services research2015

Sustained Reduction in Health Disparities Achieved through Targeted Quality Improvement: One-Year Follow-up on a Three-Year Intervention.

Ran D Balicer, Moshe Hoshen, Chandra Cohen-Stavi, Sivan Shohat-Spitzer, Calanit Kay, Haim Bitterman, Nicky Lieberman, Orit Jacobson, Efrat Shadmi

Abstract read
In one paragraph

Article in Health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. From Integrated Care to Learning Systems.Healthcare (Basel, Switzerland) · 2026
    Review
  3. Article
  4. Developing a National Set of Health Equity Indicators Using a Consensus Building Process.International journal of health policy and management · 2022
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. The Pursuit of Quality for Social Work Practice: Three Generations and Counting.Journal of the Society for Social Work and Research · 2017
    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

9 authors.

Ran D BalicerClalit Health Services, Tel Aviv, Israel.
Moshe HoshenClalit Research Institute, Chief Physician's Office in Clalit Health Services, Tel Aviv, Israel.
Chandra Cohen-StaviClalit Research Institute, Chief Physician's Office in Clalit Health Services, Tel Aviv, Israel.
Sivan Shohat-SpitzerFaculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
Calanit KayCommunity Health Division, Clalit Health Services, Tel Aviv, Israel.
Haim BittermanClalit Research Institute, Chief Physician's Office in Clalit Health Services, Tel Aviv, Israel.
Nicky LiebermanCommunity Health Division, Clalit Health Services, Tel Aviv, Israel.
Orit JacobsonCommunity Health Division, Clalit Health Services, Tel Aviv, Israel.
Efrat ShadmiClalit Research Institute, Chief Physician's Office in Clalit Health Services, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess a quality improvement disparity reduction intervention and its sustainability. DATA SOURCES/STUDY

settingElectronic health records and Quality Index database of Clalit Health Services in Israel (2008-2012). STUDY

designInterrupted time-series with pre-, during, and postintervention disparities measurement between 55 target clinics (serving approximately 400,000 mostly low socioeconomic, minority populations) and all other (126) clinics. DATA COLLECTION/EXTRACTION

methodsData on a Quality Indicator Disparity Scale (QUIDS-7) of 7 indicators, and on a 61-indicator scale (QUIDS-61). PRINCIPAL

findingsThe gap between intervention and nonintervention clinics for QUIDS-7 decreased by 66.7 percent and by 70.4 percent for QUIDS-61. Disparity reduction continued (18.2 percent) during the follow-up period.

conclusionsQuality improvement can achieve significant reduction in disparities in a wide range of clinical domains, which can be sustained over time.

Indexed as

Healthcare DisparitiesHealth Status DisparitiesMinority GroupsPovertyHealth Services ResearchHumansInterrupted Time Series AnalysisIsraelPatient Care TeamQuality ImprovementQuality Indicators, Health CareSocioeconomic FactorsHealth disparitiesinterventionquality improvement

Identifiers

PMID25787874
PMCPMC4693854

What OpenQuestion holds

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Registered trials

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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.