Evidence map›Paper›PMID 40268836›Full record

ArticleJournal of general internal medicine2025

Health Care Models for Persons with Multiple Chronic Conditions from Populations that Experience Health Disparities: A Scoping Review.

Michelle Doose, Simrann Sidhu, Yewande Oladeinde, Dolly Penn White, Lynne S Padgett, Alicia A Livinski, Renee Rider, Hwaida Hannoush, Larissa Avilés-Santa

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Michelle Doose *Office of Cancer Survivorship, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA. michelle.doose@nih.gov.ORCID 0000-0002-5300-8562
Simrann Sidhu *Division of Clinical and Health Services Research, National Institute on Minority Health and Health Disparities, Bethesda, MD, USA.
Yewande OladeindeDivision of Clinical and Health Services Research, National Institute on Minority Health and Health Disparities, Bethesda, MD, USA.
Dolly Penn WhiteDivision of Clinical and Health Services Research, National Institute on Minority Health and Health Disparities, Bethesda, MD, USA.
Lynne S PadgettDivision of Clinical and Health Services Research, National Institute on Minority Health and Health Disparities, Bethesda, MD, USA.
Alicia A LivinskiNational Institutes of Health Library, Office of Research Services, Office of the Director, National Institutes of Health, Bethesda, MD, USA.
Renee RiderDivision of Genomic Medicine, National Human Genome Research Institute, Bethesda, MD, USA.
Hwaida HannoushDivision of Genomic Medicine, National Human Genome Research Institute, Bethesda, MD, USA.
Larissa Avilés-SantaDivision of Clinical and Health Services Research, National Institute on Minority Health and Health Disparities, Bethesda, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Almost half of U.S. adults have multiple chronic conditions (MCC), and the prevalence of MCC has significantly increased for racial and/or ethnic minority groups, especially among those aged 45-64 years. Yet, little is known about evidence-based health care models for managing MCC in these populations. The overall objective of this scoping review was to identify the breadth of literature testing health care delivery models or components of models to improve the management of MCC for populations that experience health disparities. The databases of CINAHL Plus, Embase, PubMed, and Scopus were searched for original articles from 2016 to 2023. Included studies had to assess a health care delivery model, intervention, approach, or strategy for improving the management of two or more chronic conditions among U.S. adults. Using Covidence, each record was independently assessed by two reviewers and relevant data about the study, health care model, population studied, and outcomes were extracted. Out of 9583 initially screened records, 17 met the inclusion criteria, of which 5 (29%) were randomized controlled trials. Most (82%) studies focused on the management of psychiatric and physical chronic conditions. The most cited care model was the Patient-Centered Medical Home (41%). Most studies (82%) were conducted within clinical settings: primary care (n = 9), specialty care (n = 4), and behavioral health (n = 2). All studies documented positive improvements in patient outcomes, including fourteen (82%) studies that measured outcomes related to service utilization and eleven (65%) studies that measured clinical outcomes. Four studies (24%) measured cost-related outcomes. While the Chronic Care Model was developed almost 30 years ago, the applicable evidence for MCC is sparse for populations experiencing health disparities. There is an opportunity for research to develop, adapt, integrate, and implement evidence-based health care models for MCC to improve clinically significant health outcomes that align with the patient goal needs.

Indexed as

Delivery of Health CareHealthcare DisparitiesMultiple Chronic ConditionsChronic DiseaseHumansDelivery of health careHealth disparitiesHealth servicesMultiple chronic conditionsPatient-centered care

Identifiers

PMID40268836
PMCPMC12343438

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.