ArticleHealth affairs (Project Hope)2023
Mitigating Racial And Ethnic Bias And Advancing Health Equity In Clinical Algorithms: A Scoping Review.
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 38 papers.
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.
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.
Who cites it
38 citing papers in PubMed.
- Implicit Bias in Large Language Model Diagnosis of Eating Disorders: Experimental Vignette Study.JMIR AI · 2026Article
- Artificial Intelligence and Clinician Burnout in the United States: A Narrative Review.Cureus · 2026Review
- Strategies for mitigating artificial intelligence bias in healthcare: a systematic review.JAMIA open · 2026Review
- Bridging the governance gap in health artificial intelligence: integrating nursing perspectives into the National Academy of Medicine Artificial Intelligence Code of Conduct.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- Fair and robust early readmission risk prediction from electronic health records via diffusion-based data augmentation and causal-invariant representation learning.Scientific reports · 2026Article
- Fairness in Low Birthweight Predictive Models: Implications of Excluding Race/Ethnicity.Journal of racial and ethnic health disparities · 2026Article
- Applications of Artificial Intelligence and Smart Devices in Metabolic Dysfunction-associated Steatotic Liver Disease.Journal of clinical and translational hepatology · 2026Article
- Digital Mental Health Through an Intersectional Lens: A Narrative Review.Healthcare (Basel, Switzerland) · 2026Review
- Interventions for health equity with a One Health focus: a review of reviews.Frontiers in public health · 2026Article
- Methodological innovations in studying marginalized populations in research on neurodegeneration and ageing.Frontiers in aging neuroscience · 2026Review
- Advancing health equity in proactive health management: from data underrepresentation and algorithmic bias to a closed-loop governance framework.Frontiers in public health · 2026Review
- Exploring opportunities to improve health equity with machine learning and artificial intelligence in healthcare epidemiology.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Review
- Artificial Intelligence in Outpatient Primary Care: A Scoping Review on Applications, Challenges, and Future Directions.Journal of general internal medicine · 2026Article
- Navigating fairness aspects of clinical prediction models.BMC medicine · 2025Article
- Article
- Integrating Artificial Intelligence Into Cancer Care: Enhancing Nursing Practice and Bridging Disparities.Clinical journal of oncology nursing · 2025Article
- Developing and Applying the BE-FAIR Equity Framework to a Population Health Predictive Model: A Retrospective Observational Cohort Study.Journal of general internal medicine · 2025Observational
- Role and Use of Race in Artificial Intelligence and Machine Learning Models Related to Health.Journal of medical Internet research · 2025Article
- Predictive models for low birth weight: a comparative analysis of algorithmic fairness-improving approaches.The American journal of managed care · 2025Article
- Embracing Inclusion, Diversity, Equity and Access (IDEA): Cultivating understanding internally to foster external change.The journal of spinal cord medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
Abstract
In August 2022 the Department of Health and Human Services (HHS) issued a notice of proposed rulemaking prohibiting covered entities, which include health care providers and health plans, from discriminating against individuals when using clinical algorithms in decision making. However, HHS did not provide specific guidelines on how covered entities should prevent discrimination. We conducted a scoping review of literature published during the period 2011-22 to identify health care applications, frameworks, reviews and perspectives, and assessment tools that identify and mitigate bias in clinical algorithms, with a specific focus on racial and ethnic bias. Our scoping review encompassed 109 articles comprising 45 empirical health care applications that included tools tested in health care settings, 16 frameworks, and 48 reviews and perspectives. We identified a wide range of technical, operational, and systemwide bias mitigation strategies for clinical algorithms, but there was no consensus in the literature on a single best practice that covered entities could employ to meet the HHS requirements. Future research should identify optimal bias mitigation methods for various scenarios, depending on factors such as patient population, clinical setting, algorithm design, and types of bias to be addressed.
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Registered trials
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.