Evidence map›Paper›PMID 37782860›Full record

ArticleHealth affairs (Project Hope)2023

How Funding Policy Maintains Structural Inequity Within Indigenous Community-Based Organizations.

Arielle R Deutsch, Leah Frerichs, Zeynep Hasgul, Foster Murphey, Addie K Coleman, Annie Y Bachand, Arlana Bettelyoun, Paul Forney, Gene Tyon, Mohammad S Jalali

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Arielle R DeutschArielle R. Deutsch (arielle.deutsch@gmail.com), Avera Research Institute, Sioux Falls, South Dakota; and University of South Dakota, Vermillion, South Dakota.
Leah FrerichsLeah Frerichs, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Zeynep HasgulZeynep Hasgul, Massachusetts General Hospital and Harvard University, Boston, Massachusetts.
Foster MurpheyFoster Murphey, Avera Research Institute.
Addie K ColemanAddie K. Coleman, University of North Carolina at Chapel Hill.
Annie Y BachandAnnie Y. Bachand, Urban Roots Ancient Wisdom, Rapid City, South Dakota.
Arlana BettelyounArlana Bettelyoun, Oglala Lakota Children's Justice Center, Pine Ridge, South Dakota.
Paul ForneyPaul Forney, Avera Research Institute.
Gene TyonGene Tyon, Oaye Luta Okolakiciye, Rapid City, South Dakota.
Mohammad S JalaliMohammad S. Jalali, Massachusetts General Hospital, Harvard University, and Massachusetts Institute of Technology, Boston, Massachusetts.

Funding

Community Based System Dynamics Models of Alcohol and Substance Exposed Pregnancy in Northern Plains American Indian WomenR01DA050696 · NIDA · AVERA MCKENNAN · PI DEUTSCH, ARIELLE R. · 2020 to 2023
$1.5M
NIDA NIH HHS R01 DA050696
6 · The paper itself

Abstract

Despite efforts to increase investment in Indigenous health and well-being in the United States, disparities remain. The way in which health-promoting organizations are funded is one key mechanism driving the systemic, long-term health disparities experienced by Indigenous people in the US. Using Indigenous-led community-based organizations (ICBOs) that provide psychosocial care as a case study, we highlight multiple ways in which policies that regulate the external funding that ICBOs depend on must change to promote equity and allow the organizations to flourish and address unmet psychosocial needs for Indigenous community members. We use a system dynamics approach to discuss how "capability traps" arise from a misfit between external funding regulations and organizations' needs for sustainability and effective care provision. We provide suggestions for reforming funding policies that focus on improving ICBO sustainability.

Indexed as

Health PolicyOrganizationsHumansUnited States

Identifiers

PMID37782860
PMCPMC12462777

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.