Evidence map›Paper›PMID 39663411›Full record

ArticleAmerican journal of epidemiology2025

Understanding inequitable health care: methodological approaches, challenges, and opportunities.

Theresa E Matson, Sandro Galea

Abstract read
In one paragraph

Article in American journal of epidemiology, 2025. 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

2 authors.

Theresa E MatsonKaiser Permanente Washington Health Research Institute, 1730 Minor Avenue, Suite #1300, Seattle, WA, United States.ORCID 0000-0002-4551-7981
Sandro GaleaSchool of Public Health, Washington University in St. Louis, One Brookings Drive, St. Louis, MO 63130, United States.ORCID 0000-0002-7534-0945

Funding

Transforming health equity rhetoric to rigor: Development and validation of a novel measure assessing health equity in implementation of health interventionsP50DA054072 · NIDA · STANFORD UNIVERSITY · PI Mark P McGovern · 2022 to 2026
$18.1M
NIDA NIH HHS P50 DA054072
6 · The paper itself

Abstract

This article considers methodological approaches that can help better understand inequity in health care, focusing on 5 key domains: availability, patient-centeredness, access, effectiveness, and implementation. We present conceptual definitions of each of these domains, example research questions pertaining to inequity in each domain, and methodological approaches that can contribute to research about health inequities. We discuss the role of multilevel, participatory, and longitudinal research, particularly using representative, real-world data. We propose alternatives to randomized controlled trials that better suit questions regarding inequities in health care. We discuss challenges and considerations for research on inequities in health care alongside opportunities for innovation and prioritization of methodologies that are underutilized in epidemiology and health services research. We emphasize throughout that each of these 5 domains is interconnected and essential to be understood jointly if we are to improve our understanding of the role of health care in perpetuating health inequities. This article is part of a Special Collection on Methods in Social Epidemiology.

Indexed as

Healthcare DisparitiesHealth Services AccessibilityHealth Services ResearchHumansPatient-Centered CareResearch Designequityhealth caremethods

Identifiers

PMID39663411
PMCPMC13249008

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.