Evidence map›Paper›PMID 26413456›Full record

ArticleJournal of racial and ethnic health disparities2015

Interventions that Reach into Communities--Promising Directions for Reducing Racial and Ethnic Disparities in Healthcare.

Ana R Quiñones, Gregory A Talavera, Sheila F Castañeda, Somnath Saha

Open access · bronzeAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
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

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Mapping racial and ethnic healthcare disparities for persons living with dementia: A scoping review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
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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

4 authors at 2 institutions in 1 country.

Ana R QuiñonesPortland Veterans Administration Medical Center ; Public Health & Preventive Medicine, Oregon Health & Science University.
Gregory A TalaveraGraduate School of Public Health, San Diego State University ; Institute for Behavioral and Community Health, San Diego State University.
Sheila F CastañedaGraduate School of Public Health, San Diego State University ; Institute for Behavioral and Community Health, San Diego State University.
Somnath SahaPortland Veterans Administration Medical Center ; Public Health & Preventive Medicine, Oregon Health & Science University.
Portland VA Medical Center · USSan Diego State University · US

Funding

Investing in America's Future: Mentoring Latinos in Health Disparities ResearchR25HL105430 · NHLBI · SAN DIEGO STATE UNIVERSITY · PI ELDER, JOHN P., TALAVERA, GREGORY A · 2010 to 2013
$1.4M
NHLBI NIH HHS R25 HL105430NHLBI NIH HHS R25HL105430
6 · The paper itself

Abstract

Racial/ethnic disparities in healthcare are widespread in the United States and are prevalent across healthcare organizations, including the "equal access" Veterans' Affairs (VA) integrated healthcare system. Despite substantial attention to these disparities over the last decade, there has been limited progress in reducing them. Based on a review of evidence commissioned by the VA to guide its efforts to address racial and ethnic disparities, the conceptual framework describes the root causes of disparities in healthcare quality and outcomes, demonstrating why improvements in the quality of medical care have had limited influence over healthcare disparities that depend largely on social determinants of health. The recommended interventions-including care coordination, culturally-tailored health education, and community health workers-extend the reach of health systems beyond clinics and hospitals and into the communities and social and cultural contexts in which patients live, and in which most health promotion activities occur. To make inroads into addressing disparities, healthcare systems will need to move beyond conceptualizing care delivery as constrained to the clinical encounter and instead, incorporate an understanding of the social determinants of health.

Indexed as

Community Health ServicesEthnicityHealthcare DisparitiesHumansQuality of Health CareRacial GroupsSocial Determinants of HealthUnited StatesUnited States Department of Veterans AffairsVeteransDisparitiesInterventionsRace/ethnicityVeterans

Identifiers

PMID26413456
PMCPMC4581438
OpenAlexW1979815006

What OpenQuestion holds

Textmetadata
LicenceTDM
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.