Evidence map›Paper›PMID 38155228›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2024

Disparity drivers, potential solutions, and the role of a health equity dashboard in the neonatal intensive care unit: a qualitative study.

Sheila Razdan, Laura C Hedli, Krista Sigurdson, Jochen Profit, Christine H Morton

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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Sheila RazdanDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0002-4137-7635
Laura C HedliDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
Krista SigurdsonSchool of Journalism, Writing, and Media, University of British Columbia, Kelowna, BC, Canada.
Jochen ProfitDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0002-3782-9248
Christine H MortonDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA. CMorton@stanford.edu.ORCID 0000-0001-8505-9877

Funding

A Dashboard of Racial/Ethnic Disparity in Care Provided by NICUsR01HD083368 · NICHD · STANFORD UNIVERSITY · PI PROFIT, JOCHEN · 2016 to 2020
$3.2M
NICHD NIH HHS R01 HD083368
6 · The paper itself

Abstract

objectiveRacial/ethnic disparities are well-described in the neonatal intensive care unit (NICU). We explored expert opinion on their etiology, potential solutions, and the ability of health equity dashboards to meaningfully capture NICU disparities. STUDY

designWe conducted 12 qualitative semi-structured interviews, purposively selecting a diverse group of neonatal experts. We used grounded theory to develop codes, shape interviews, and conduct analysis.

resultWe identified three sources of disparity: interpersonal bias, care process and institutional barriers, and social determinants of health, particularly as they affect parental engagement in the NICU. Proposed solutions included racial/cultural concordance, bolstering hospital-based resources, and policy interventions. Health equity dashboards were viewed as useful but limited, because clinical metrics do not account for many of the aforementioned sources of disparities.

conclusionEquity dashboards serve as a motivational starting point for quality improvement; future iterations may require novel, qualitative data sources to identify underlying etiologies of NICU disparities.

Indexed as

Healthcare DisparitiesHealth EquityIntensive Care Units, NeonatalQualitative ResearchFemaleGrounded TheoryHumansInfant, NewbornInterviews as TopicMaleParentsQuality ImprovementSocial Determinants of Health

Identifiers

What OpenQuestion holds

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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.