Evidence map›Paper›PMID 26802756›Full record

ArticleThe American journal of the medical sciences2016

Achieving Equity in an Evolving Healthcare System: Opportunities and Challenges.

Joni Strom Williams, Rebekah J Walker, Leonard E Egede

Registry-linked trialAbstract read
In one paragraph

Article in The American journal of the medical sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05555095 (The Medicaid Innovation Collaborative), which is not on this map. Cited by 75 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 1 pooled it
18.9field-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.

NCT05555095 recruitingnot on this mapstarted 2022, after this paper: background citation

The Medicaid Innovation Collaborative (MIC) Experience: Transforming Care Through Digital Health: A Mixed Methods Analysis

TypeobservationalSponsorOSF Healthcare SystemRan2022 to 2028Enrolled19,331ConditionsHypertension, Diabetes Mellitus, Maternal HealthArmsdigital health delivered multicomponent intervention
3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 1 synthesis or guideline pooled it, 165 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Phenotypic Switching of VSMCs in the Development of CVDs: Focus on miRs.International journal of molecular sciences · 2025
    Review
  19. Review
  20. Review

15 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

3 authors at 2 institutions in 1 country.

Joni Strom WilliamsDepartment of Medicine, Center for Health Disparities Research, Medical University of South Carolina, Charleston, SC; Department of Medicine, Medical University of South Carolina, Charleston, SC.
Rebekah J WalkerDepartment of Medicine, Center for Health Disparities Research, Medical University of South Carolina, Charleston, SC; Health Equity and Rural Outreach Innovation Center (HEROIC), Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC.
Leonard E EgedeDepartment of Medicine, Center for Health Disparities Research, Medical University of South Carolina, Charleston, SC; Department of Medicine, Medical University of South Carolina, Charleston, SC; Health Equity and Rural Outreach Innovation Center (HEROIC), Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC. Electronic address: egedel@musc.edu.
Medical University of South Carolina · USRalph H. Johnson VA Medical Center · US

Funding

Technology Intensified Diabetes Education Study in AA with T2DM (TIDES)K24DK093699 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI EGEDE, LEONARD E. · 2011 to 2020
$1.5M
Charleston Health Equity and Rural Outreach Innovation Center (HEROIC)I50HX001229 · VA · RALPH H JOHNSON VA MEDICAL CENTER · PI EGEDE, LEONARD E. · 2015 to 2015
–
HSRD VA I50 HX001229NIDDK NIH HHS K24 DK093699
6 · The paper itself

Abstract

For decades, disparities in health have been well documented in the United States and regrettably, remain prevalent despite evidence and appeals for their elimination. Compared with the majority, racial and ethnic minorities continue to have poorer health status and health outcomes for most chronic conditions, including diabetes mellitus, cardiovascular disease, cancer and end-stage renal disease. Many factors, such as affordability, access and diversity in the healthcare system, influence care and outcomes, creating challenges that make the task of eliminating health disparities and achieving health equity daunting and elusive. Novel strategies are needed to bring about much needed change in the complex and evolving United States healthcare system. Although not exhaustive, opportunities such as (1) developing standardized race measurements across health systems, (2) implementing effective interventions, (3) improving workforce diversity, (4) using technological advances and (5) adopting practices such as personalized medicine may serve as appropriate starting points for moving toward health equity. Over the past several decades, diversity in the U.S. population has increased significantly and is expected to increase exponentially in the near future. As the population becomes more diverse, it is important to recognize the possibilities of new and emerging disparities. It is imperative that steps are taken to eliminate the current gap in care and prevent new disparities from developing. Therefore, we present challenges and offer recommendations for facilitating the process of eliminating health disparities and achieving health equity across diverse populations.

Indexed as

Healthcare DisparitiesDelivery of Health CareHumansUnited StatesHealth disparitiesHealth equity

Identifiers

PMID26802756
PMCPMC4724388
OpenAlexW2274421251

What OpenQuestion holds

Textmetadata
LicenceTDM
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.