Evidence map›Paper›PMID 40793941›Full record

ReviewJournal of the American Heart Association2025

Beyond the Program: Understanding Mechanisms Through Which Nongovernmental Organizations Advance Equity in Stroke Care.

Michelle L A Nelson

Abstract readReview
In one paragraph

Review in Journal of the American Heart Association, 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. The importance of advocacy in advancing stroke care: The global stroke action coalition.International journal of stroke : official journal of the International Stroke Society · 2026
    Article
  2. Third Year in Review, Fourth Year in Preview, and the 2025Journal of the American Heart Association · 2026
    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

1 author.

Michelle L A NelsonLunenfeld-Tanenbaum Research Institute, Sinai Health System Toronto Canada.ORCID 0000-0003-2002-0298

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health disparities in stroke disproportionately affect marginalized and disadvantaged communities. This review examines the role of nongovernmental organizations (NGOs) in addressing disparities through a mechanism-focused analytical framework rather than cataloging specific interventions. A thematic literature analysis identified 5 mechanisms by which NGOs contribute to health equity: community engagement and empowerment, place-based service delivery and inclusive cultural adaptation, intersectoral partnership and coalition building, policy advocacy and systems change, and research engagement and knowledge translation. By examining mechanisms, this review offers a deeper understanding of how NGOs contribute to health equity. NGOs' contributions to addressing disparities may stem from their capacity to activate multiple mechanisms simultaneously. Being embedded within the communities they serve can help develop responsive interventions addressing social determinants of health that traditional medical models often overlook. NGOs leverage relationships through clinical-community partnerships and community coalitions to improve experiences and outcomes for underrepresented populations. Despite their potential, NGOS face substantial challenges that affect all mechanisms, including limited visibility within formal systems, precarious funding models, policy and regulatory barriers that misalign with community-centered approaches, and operational constraints. These challenges reflect broader tensions between health care structures and the flexible, context-sensitive approaches needed to address complex health disparities. This mechanism-focused analysis suggests health systems should reconceptualize engagement with NGOs, not as a supplement to formal care but as a partner uniquely positioned to develop and deploy equity-enhancing interventions. Health care systems can create more effective and sustainable approaches to addressing health disparities by supporting these fundamental mechanisms rather than replicating individual programs.

Indexed as

Healthcare DisparitiesHealth EquityOrganizationsStrokeHumansSocial Determinants of Healthhealth disparitieshealth inequityintegrated carenongovernmental organizationsstroke

Identifiers

PMID40793941
PMCPMC12533742

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.