Evidence map›Paper›PMID 38015860›Full record

ArticleHealth services research2023

The role of payment and financing in achieving health equity.

Brede H Eschliman, Hongmai H Pham, Amol S Navathe, Karen M Dale, Julian Harris

Abstract read
PubMed Full text at PMC Publisher
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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Review
  2. Article
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  10. Ethical Frameworks and Global Health: A Narrative Review of the "Leave No One Behind" Principle.Inquiry : a journal of medical care organization, provision and financing
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Brede H EschlimanMedicare Drug Rebate and Negotiations Group, Centers for Medicare and Medicaid Services, Windsor Mill, Maryland, USA.
Hongmai H PhamInstitute for Exceptional Care, Washington, DC, USA.
Amol S NavatheDepartment of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Karen M DaleAmeriHealth Caritas DC, Washington, DC, USA.
Julian HarrisDeerfield Management, New York, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim was to identify healthcare payment and financing reforms to promote health equity and ways that the Agency for Healthcare Research and Quality (AHRQ) may promote those reforms. DATA SOURCES AND STUDY

settingAHRQ convened a payment and financing workgroup-the authors of this paper-as part of its Health Equity Summit held in July 2022. This workgroup drew from its collective experience with healthcare payment and financing reform, as well as feedback from participants in a session at the Health Equity Summit, to identify the evidence base and promising paths for reforms to promote health equity. STUDY

designThe payment and financing workgroup developed an outline of reforms to promote health equity, presented the outline to participants in the payment and financing session of the July 2022 AHRQ Health Equity Summit, and integrated feedback from the participants. DATA COLLECTION/EXTRACTION

methodsThis paper did not require novel data collection; the authors collected the data from the existing evidence base. PRINCIPAL

findingsThe paper outlines root causes of health inequity and corresponding potential reforms in five domains: (1) the differential distribution of resources between healthcare providers serving different communities, (2) scarcity of financing for populations most in need, (3) lack of integration/accountability, (4) patient cost barriers to care, and (5) bias in provider behavior and diagnostic tools.

conclusionsAdditional research is necessary to determine whether the proposed reforms are effective in promoting health equity.

Indexed as

Health Care ReformHealth EquityHealth PromotionHumansInsurance, Healthhealthcare policyhealthcare reformhealth expenditureshospital costsNational Health Policy

Identifiers

PMID38015860
PMCPMC10684035

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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.