Evidence map›Paper›PMID 38015859›Full record

ArticleHealth services research2023

Improving health equity through health care systems research.

Deena J Chisolm, Jerome A Dugan, Jose F Figueroa, Meghan B Lane-Fall, Dylan H Roby, Hector P Rodriguez, Alexander N Ortega

Abstract read
In one paragraph

Article in Health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. "Float[ing] in the Middle" Nurse Navigators and the Interface of Access to Care.International journal of environmental research and public health · 2025
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  17. Health system efficiency and equity in ASEAN: an empirical investigation.Cost effectiveness and resource allocation : C/E · 2024
    Article
  18. Article
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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

7 authors.

Deena J ChisolmAbigail Wexner Research Institute, Nationwide Children's Hospital, Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio, USA.ORCID 0000-0001-5297-9087
Jerome A DuganDepartment of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, Washington, USA.ORCID 0000-0002-7716-8317
Jose F FigueroaHarvard T.H. Chan School of Public Health, Brigham and Women's Hospital, Cambridge, Massachusetts, USA.ORCID 0000-0003-3811-257X
Meghan B Lane-FallDepartment of Anesthesiology and Critical Care Medicine, Perelman School of Medicine and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Dylan H RobyDepartment of Health, Society, and Behavior, Program in Public Health, University of California, Irvine, Irvine, California, USA.
Hector P RodriguezDivision of Health Policy and Management, School of Public Health, University of California, Berkeley, Berkeley, California, USA.ORCID 0000-0002-6564-2229
Alexander N OrtegaDepartment of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA.

Funding

New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
NIDDK NIH HHS P30 DK111022
6 · The paper itself

Abstract

objectiveTo describe health equity research priorities for health care delivery systems and delineate a research and action agenda that generates evidence-based solutions to persistent racial and ethnic inequities in health outcomes. DATA SOURCES AND STUDY

settingThis project was conducted as a component of the Agency for Healthcare Research and Quality's (AHRQ) stakeholder engaged process to develop an Equity Agenda and Action Plan to guide priority setting to advance health equity. Recommendations were developed and refined based on expert input, evidence review, and stakeholder engagement. Participating stakeholders included experts from academia, health care organizations, industry, and government. STUDY

designExpert group consensus, informed by stakeholder engagement and targeted evidence review. DATA COLLECTION/EXTRACTION

methodsPriority themes were derived iteratively through (1) brainstorming and idea reduction, (2) targeted evidence review of candidate themes, (3) determination of preliminary themes; (4) input on preliminary themes from stakeholders attending AHRQ's 2022 Health Equity Summit; and (5) and refinement of themes based on that input. The final set of research and action recommendations was determined by authors' consensus. PRINCIPAL

findingsHealth care delivery systems have contributed to racial and ethnic disparities in health care. High quality research is needed to inform health care delivery systems approaches to undo systemic barriers and inequities. We identified six priority themes for research; (1) institutional leadership, culture, and workforce; (2) data-driven, culturally tailored care; (3) health equity targeted performance incentives; (4) health equity-informed approaches to health system consolidation and access; (5) whole person care; (6) and whole community investment. We also suggest cross-cutting themes regarding research workforce and research timelines.

conclusionsAs the nation's primary health services research agency, AHRQ can advance equitable delivery of health care by funding research and disseminating evidence to help transform the organization and delivery of health care.

Indexed as

Health EquityDelivery of Health CareGovernment ProgramsHealth Services ResearchHumansRacial Groupshealth care delivery systemshealth disparitieshealth equityhealth services researchsocial determinants of health

Identifiers

PMID38015859
PMCPMC10684038

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.