Evidence map›Paper›PMID 26459644›Full record

ReviewPediatrics2015

Child Health Disparities: What Can a Clinician Do?

Tina L Cheng, Mickey A Emmanuel, Daniel J Levy, Renee R Jenkins

Open access · greenAbstract readReview
In one paragraph

Review in Pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
17.7field-weighted citation impact, top 1% 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

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 138 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  19. Ethical considerations for developing pediatric mhealth interventions for teens with socially complex needs.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc · 2023
    Review
  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

4 authors at 4 institutions in 1 country.

Tina L ChengDepartment of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland; Department of Population, Family, and Reproductive Health, Bloomberg School of Public Health, Baltimore, Maryland; tcheng2@jhmi.edu.
Mickey A EmmanuelUniversity of Florida College of Medicine, Gainesville, Florida;
Daniel J LevyChild and Teen Wellness Center, Owings Mill, Maryland; and.
Renee R JenkinsDepartment of Pediatrics and Child Health, Howard University, Washington, District of Columbia.
Florida College · USHoward University · USInstitute for Advanced Journalism Studies · USJohns Hopkins University · US

Funding

WirelessTechnology Assisted Weight Management in Pre-Diabetic Adolescents...P20MD000198 · NIMHD · HOWARD UNIVERSITY · PI JENKINS, RENEE R. · 2002 to 2016
$17.2M
NIMHD NIH HHS P20 MD000198
6 · The paper itself

Abstract

Pediatric primary and specialty practice has changed, with more to do, more regulation, and more family needs than in the past. Similarly, the needs of patients have changed, with more demographic diversity, family stress, and continued health disparities by race, ethnicity, and socioeconomic status. How can clinicians continue their dedicated service to children and ensure health equity in the face of these changes? This article outlines specific, practical, actionable, and evidence-based activities to help clinicians assess and address health disparities in practice. These tools may also support patient-centered medical home recognition, national and state cultural and linguistic competency standards, and quality benchmarks that are increasingly tied to payment. Clinicians can play a critical role in (1) diagnosing disparities in one's community and practice, (2) innovating new models to address social determinants of health, (3) addressing health literacy of families, (4) ensuring cultural competence and a culture of workplace equity, and (5) advocating for issues that address the root causes of health disparities. Culturally competent care that is sensitive to the needs, health literacy, and health beliefs of families can increase satisfaction, improve quality of care, and increase patient safety. Clinical care approaches to address social determinants of health and interrupting the intergenerational cycle of disadvantage include (1) screening for new health "vital signs" and connecting families to resources, (2) enhancing the comprehensiveness of services, (3) addressing family health in pediatric encounters, and (4) moving care outside the office into the community. Health system investment is required to support clinicians and practice innovation to ensure equity.

Indexed as

Healthcare DisparitiesHealth Status DisparitiesPediatricsPhysician's RoleChildHumansUnited States

Identifiers

PMID26459644
PMCPMC4621792
OpenAlexW2416328614

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.