Evidence map›Paper›PMID 30990561›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2019

Data, capacity-building, and training needs to address rural health inequities in the Northwest United States: a qualitative study.

Betty Bekemeier, Seungeun Park, Uba Backonja, India Ornelas, Anne M Turner

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
6.9field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 39 citations in OpenAlex.

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  4. Gaps in artificial intelligence research for rural health in the United States: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2026
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  14. Health informatics and health equity: improving our reach and impact.Journal of the American Medical Informatics Association : JAMIA · 2019
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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

5 authors at 3 institutions in 1 country.

Betty BekemeierDepartment of Psychosocial & Community Health, University of Washington School of Nursing, Seattle, Washington, USA.
Seungeun ParkDepartment of Psychosocial & Community Health, University of Washington School of Nursing, Seattle, Washington, USA.
Uba BackonjaNursing & Healthcare Leadership, University of Washington, Tacoma, Washington, USA.
India OrnelasDepartment of Health Services, University of Washington School of Public Health, Seattle, Washington, USA.
Anne M TurnerNorthwest Center for Public Health Practice, University of Washington,Seattle, Washington, USA.
University of Washington · USNorthwest University · USUniversity of Washington Tacoma · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRural public health system leaders struggle to access and use data for understanding local health inequities and to effectively allocate scarce resources to populations in need. This study sought to determine these rural public health system leaders' data access, capacity, and training needs. MATERIALS AND

methodsWe conducted qualitative interviews across Alaska, Idaho, Oregon, and Washington with individuals expected to use population data for analysis or decision-making in rural communities. We used content analysis to identify themes.

resultsWe identified 2 broad themes: (1) challenges in accessing or using data to monitor and address health disparities and (2) needs for training in data use to address health inequities. Participants faced challenges accessing or using data to address rural disparities due to (a) limited availability or access to data, (b) data quality issues, (c) limited staff with expertise and resources for analyzing data, and (d) the diversity within rural jurisdictions. Participants also expressed opportunities for filling capacity gaps through training-particularly for displaying and communicating data. DISCUSSION: Rural public health system leaders expressed data challenges, many of which can be aided by informatics solutions. These include interoperable, accessible, and usable tools that help capture, access, analyze, and display data to support health equity efforts in rural communities.

conclusionInformatics has the potential to address some of the daunting data-related challenges faced by rural public health system leaders working to enhance health equity. Future research should focus on developing informatics solutions to support data access and use in rural communities.

Indexed as

Data CollectionHealth Status DisparitiesPublic Health InformaticsPublic Health PracticeAlaskaData AccuracyHumansInterviews as TopicNorthwestern United StatesQualitative ResearchRural HealthRural Health ServicesStaff Developmentdata accuracyhealth equityhealth impact assessmentpublic healthpublic health informaticsrural health

Identifiers

PMID30990561
PMCPMC7647197
OpenAlexW2939204570

What OpenQuestion holds

Textmetadata
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.