Evidence map›Paper›PMID 32164706›Full record

ArticleBMC health services research2020

Reframing implementation science to address inequities in healthcare delivery.

Ana A Baumann, Leopoldo J Cabassa

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 265 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
265citing papers in PubMed, 6 pooled it
72.3field-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

265 citing papers in PubMed, 6 syntheses or guidelines pooled it, 456 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Enhancing the Prospective Acceptability of a Paediatric Speech and Language Therapy Intervention With Parents From Under-Represented Communities.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  12. Scaling Out the SafeCare Parenting Program: Comparing Task-Shifted and Standard Implementation in a Refugee Community.Prevention science : the official journal of the Society for Prevention Research · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

205 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

2 authors at 1 institution in 1 country.

Ana A BaumannWashington University in St. Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO, 63130, USA.
Leopoldo J CabassaWashington University in St. Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO, 63130, USA. ljcabassa@wustl.edu.ORCID http://orcid.org/0000-0002-1872-4141
Washington University in St. Louis · US

Funding

Using mHealth to optimize pharmacotherapy regimensP50MH115843 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Neil Krishan Aggarwal · 2018 to 2026
$12.7M
GWB MENTAL HEALTH SERVICE RESEARCH TRAININGT32MH019960 · NIMH · WASHINGTON UNIVERSITY · PI Leopoldo J Cabassa, Byron James Powell · 1995 to 2026
$11.1M
Washington University Implementation Science Center for Cancer Control (WU-ISCCC)P50CA244431 · NCI · WASHINGTON UNIVERSITY · PI BROWNSON, ROSS C, COLDITZ, GRAHAM A. · 2019 to 2023
$8.0M
The Implementation of Cognitive Screening and Educational Support to Improve Outcomes of Adolescents and Young Adults with Sickle Cell Disease: From Clinic to the Community and BackU01HL133994 · NHLBI · WASHINGTON UNIVERSITY · PI KING, ALLISON A · 2016 to 2021
$5.2M
Peer-Led Healthy Lifestyle Program in Supportive HousingR01MH104574 · NIMH · WASHINGTON UNIVERSITY · PI CABASSA, LEOPOLDO J · 2014 to 2018
$3.2M
OnTrackChile for First Episode PsychosisR01MH115502 · NIMH · UNIVERSIDAD DE O'HIGGINS · PI ALVARADO, RUBEN VLADIMIR, CABASSA, LEOPOLDO J · 2018 to 2022
$2.9M
Developing T4 Translational Research Capacity for Control of Hypertension in RwandaU24HL136790 · NHLBI · RASD RWANDA · PI MUTIMURA, EUGENE · 2017 to 2020
$596k
Identification of Modulators of Lipid StorageZIATR000234 · NCATS · NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES · PI BOXER, MATTHEW · 2015 to 2015
$114k
NCATS NIH HHS UL1TR00234NCI NIH HHS P50 CA244431NHLBI NIH HHS 3U01HL133994-03S1NHLBI NIH HHS U24 HL136790NIMH NIH HHS 1R01MH104574NIMH NIH HHS P50 MH115843NIMH NIH HHS P50MH115843NIMH NIH HHS R01 MH104574NIMH NIH HHS R01MH115502NIMH NIH HHS T32 MH019960
6 · The paper itself

Abstract

backgroundResearch has generated valuable knowledge in identifying, understanding, and intervening to address inequities in the delivery of healthcare, yet these inequities persist. The best available interventions, programs and policies designed to address inequities in healthcare are not being adopted in routine practice settings. Implementation science can help address this gap by studying the factors, processes, and strategies at multiple levels of a system of care that influence the uptake, use, and the sustainability of these programs for vulnerable populations. We propose that an equity lens can help integrate the fields of implementation science and research that focuses on inequities in healthcare delivery. MAIN TEXT: Using Proctor et al.' (12) framework as a case study, we reframed five elements of implementation science to study inequities in healthcare. These elements include: 1) focus on reach from the very beginning; 2) design and select interventions for vulnerable populations and low-resource communities with implementation in mind; 3) implement what works and develop implementation strategies that can help reduce inequities in care; 4) develop the science of adaptations; and 5) use an equity lens for implementation outcomes.

conclusionsThe goal of this paper is to continue the dialogue on how to critically infuse an equity approach in implementation studies to proactively address healthcare inequities in historically underserved populations. Our examples provide ways to operationalize how we can blend implementation science and healthcare inequities research.

Indexed as

Healthcare DisparitiesImplementation ScienceHealth Services ResearchHumansResearch DesignVulnerable PopulationsAdaptationEquityHealthcare inequitiesImplementation science

Identifiers

PMID32164706
PMCPMC7069050
OpenAlexW3010948384

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.