Evidence map›Paper›PMID 34887146›Full record

ReviewJournal of the American College of Cardiology2021

Increasing Equity While Improving the Quality of Care: JACC Focus Seminar 9/9.

Eric C Schneider, Marshall H Chin, Garth N Graham, Lenny Lopez, Shirlene Obuobi, Thomas D Sequist, Elizabeth A McGlynn

Abstract readReview
In one paragraph

Review in Journal of the American College of Cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
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

7 authors.

Eric C SchneiderThe Commonwealth Fund, New York, New York, USA.
Marshall H ChinUniversity of Chicago, Section of General Internal Medicine, Chicago, Illinois, USA.
Garth N GrahamHealthcare and Public Health, Google, Palo Alto, California, USA.
Lenny LopezDivision of Hospital Medicine, San Francisco VA Medical Center, University of California-San Francisco, Department of Medicine, San Francisco, California, USA.
Shirlene ObuobiInternal Medicine, University of Chicago, Section of Cardiology, Chicago, Illinois, USA.
Thomas D SequistDivision of General Medicine, Brigham and Women's Hospital, Department of Health Care Policy, Harvard Medical School, Department of Quality and Patient Experience, Mass General Brigham, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Elizabeth A McGlynnKaiser Permanente, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California, USA. Electronic address: Elizabeth.A.McGlynn@kp.org.

Funding

Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI Ronald T. Ackermann, MARSHALL H CHIN · 2011 to 2026
$10.0M
Identifying Cascades of Low-Value Care and the Organizational Practices that Prevent ThemR01HS023812 · AHRQ · HARVARD SCHOOL OF PUBLIC HEALTH · PI SEQUIST, THOMAS D · 2016 to 2020
$1.9M
AHRQ HHS R01 HS023812NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

This review summarizes racial and ethnic disparities in the quality of cardiovascular care-a challenge given the fragmented nature of the health care delivery system and measurement. Health equity for all racial and ethnic groups will not be achieved without a substantially different approach to quality measurement and improvement. The authors adapt a tool frequently used in quality improvement work-the driver diagram-to chart likely areas for diagnosing root causes of disparities and developing and testing interventions. This approach prioritizes equity in quality improvement. The authors demonstrate how this approach can be used to create interventions that reduce systemic racism within the institutions and professions that deliver health care; attends more aggressively to social factors related to race and ethnicity that affect health outcomes; and examines how hospitals, health systems, and insurers can generate effective partnerships with the communities they serve to achieve equitable cardiovascular outcomes.

Indexed as

Health EquityQuality ImprovementCardiovascular DiseasesHealthcare DisparitiesHumansSystemic Racismcardiovascular diseasedisparitiesequityquality improvementrace/ethnicity

Identifiers

PMID34887146
PMCPMC9172264

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.