Evidence map›Paper›PMID 30963142›Full record

ArticleHealth equity2019

Measuring Health Equity for Ambulatory Care Sensitive Conditions in a Large Integrated Health Care System: The Development of an Index.

Alice Pressman, Stephen Lockhart, John Petersen, Sarah Robinson, Maria Moreno, Kristen M J Azar

Abstract read
In one paragraph

Article in Health equity, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Precision emergency medicine in health care delivery and access: Framework development and research priorities.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Review
  2. Article
  3. Review
  4. Article
  5. 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

6 authors.

Alice PressmanSutter Health Research Enterprise, Center for Health Systems Research, Walnut Creek, California.
Stephen LockhartSutter Health Quality Improvement, Office of Patient Experience, Sacramento, California.
John PetersenSutter Health Research Enterprise, Center for Health Systems Research, Walnut Creek, California.
Sarah RobinsonSutter Health Research Enterprise, Center for Health Systems Research, Walnut Creek, California.
Maria MorenoSutter Health Quality Improvement, Office of Patient Experience, Sacramento, California.
Kristen M J AzarSutter Health Research Enterprise, Center for Health Systems Research, Walnut Creek, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disparities in outcomes for preventive and primary health care services often result when vulnerable patients rely on episodic encounters for emergency services that do not meet their long-term health needs. Understanding health outcomes in socially or economically disadvantaged subgroups is crucial to improving community health, and it requires innovative analytics and dynamic application of clinical and population data. While it is common practice to use proxy indicators, such as quality of life and mortality, when discussing health equity, these have shown limited utility and are rarely applied at a population-level within a health system. Therefore, we designed and implemented an index, calculated as the ratio of observed-to-expected encounters, to identify and quantify health inequalities in health care systems. Providing equitable care, as measured by health outcomes, is analogous to precision medicine applied to social determinants. For health systems, the use of this index will facilitate the development of specially-tailored interventions to address inequity and provides a tool to measure the impact of such programs.

Indexed as

ambulatory care sensitive conditionshealth disparitieshealth equityquality improvement

Identifiers

PMID30963142
PMCPMC6450454

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.