Evidence map›Paper›PMID 39708960›Full record

ArticleChest2025

Health System Purchasing Professionals' Approaches to Considering Equity in Procurement.

Katrina E Hauschildt, Taylor Bernstein, Deidra C Crews, Emmanuel F Drabo, Kadija Ferryman, John W Jackson, Thomas S Valley, Joseph Levy, Theodore J Iwashyna

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Chest, 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. An ecosystem approach to governing commercial actors in healthcare AI.Policy studies (Policy Studies Institute) · 2025
    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

9 authors.

Katrina E HauschildtSchool of Medicine, Johns Hopkins University, Baltimore, MD. Electronic address: hauschildt@jhmi.edu.
Taylor BernsteinSchool of Medicine, Johns Hopkins University, Baltimore, MD.
Deidra C CrewsSchool of Medicine, Johns Hopkins University, Baltimore, MD; School of Public Health, Johns Hopkins University, Baltimore, MD; Center for Health Equity, Johns Hopkins University, Baltimore, MD.
Emmanuel F DraboSchool of Public Health, Johns Hopkins University, Baltimore, MD.
Kadija FerrymanSchool of Public Health, Johns Hopkins University, Baltimore, MD; Berman Institute for Bioethics, Johns Hopkins University, Baltimore, MD.
John W JacksonSchool of Public Health, Johns Hopkins University, Baltimore, MD; Center for Health Equity, Johns Hopkins University, Baltimore, MD.
Thomas S ValleySchool of Medicine, University of Michigan, Ann Arbor, MI.
Joseph LevySchool of Public Health, Johns Hopkins University, Baltimore, MD.
Theodore J IwashynaSchool of Medicine, Johns Hopkins University, Baltimore, MD; School of Public Health, Johns Hopkins University, Baltimore, MD; Center for Health Equity, Johns Hopkins University, Baltimore, MD.

Funding

Promoting Equity via Change in Practice for Respiratory Failure (PRECIPICE)R01HL157361 · NHLBI · NEW YORK UNIVERSITY · PI ARMSTRONG-HOUGH, MARI, VALLEY, THOMAS SEBASTIAN · 2022 to 2025
$2.7M
NHLBI NIH HHS R01 HL157361
6 · The paper itself

Abstract

backgroundContinuing data on racial bias in pulse oximeters and artificial intelligence have sparked calls for health systems to drive innovation against racial bias in health care device and artificial intelligence markets by incorporating equity concerns explicitly into purchasing decisions. RESEARCH QUESTION: How do health care purchasing professionals integrate equity concerns into purchasing decision-making? STUDY DESIGN AND

methodsBetween August 2023 and March 2024, we conducted semistructured interviews via videoconferencing with health care purchasing professionals about purchasing processes for pulse oximeters and other devices-and whether and where equity concerns arise in decision-making. An abductive approach was used to analyze perspectives on how equity and disparity concerns currently are integrated into health care purchasing decision-making. Health care purchasing professionals (N = 30) worked in varied supply chain roles for various health systems and supply chain support and consulting companies across the United States.

resultsHealth care purchasing professionals described limited considerations of equity in current purchasing processes. They described some receptivity to diversity, equity, and inclusion initiatives, largely focused on diversifying suppliers rather than ensuring that devices and products functioned equitably. Respondents reported that they depended on clinician partners to raise and delineate requirements for equitable performance. Respondents also depicted current sources of evidence used in making purchasing decisions as providing limited information about equitable performance and that large contracts, including with group purchasing organizations, may limit purchasing options.

interpretationHealth system purchasing professionals suggested interest and some nascent successes in diversity, equity, and inclusion considerations in health system purchasing processes, including diverse supplier initiatives, but also expressed a need for strong clinical partnership to ensure equitable performance. Explicit approaches for incorporating equitable performance into health care purchasing likely are needed.

Indexed as

Health PersonnelDecision MakingHumansUnited Statesbiomedical technology assessmentdiversity, equity, and inclusionhealth equityhealth policyhospital purchasing

Identifiers

PMID39708960
PMCPMC13639493

What OpenQuestion holds

Textmetadata
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.