ArticleJournal of primary care & community health
A Qualitative Exploration of Barriers and Enablers to Health Equity Competencies in Clinical Practice: Application of the Health Equity Implementation Framework.
Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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.
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Who cites it
3 citing papers in PubMed.
- Clinician Perspectives on Barriers and Facilitators to Abdominal Organ Transplant Access.JAMA network open · 2026Article
- Reflections and lessons learned from implementing the Ontario Health Equity Impact Assessment Tool in community practice.Public health in practice (Oxford, England) · 2026Article
- Bridging evidence and practice: multi-method evaluation of implementation fidelity of a multilevel hypertension intervention in a federally qualified health center.Frontiers in health services · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
introductionHealth equity is essential to high-quality care, yet implementation in clinical settings remains challenging. The New York State AIDS Institute developed Health Equity Competencies to guide equity-focused care.
objectiveThis study examined barriers and enablers to implement these competencies using the Health Equity Implementation Framework (HEIF).
methodsWe conducted semi-structured interviews and focus groups with 33 participants, including physicians (39%), residents (24%), administrators (24%), medical students (18%), social workers (6%), and patients (12%). Thematic analysis, guided by the HEIF, organized findings across 5 domains: innovation, clinical encounters, patient/provider factors, inner and outer context, and societal influence.
resultsEnablers included provider commitment, culturally responsive care, and community outreach. Barriers included limited institutional policies, insufficient bias training, inadequate resources for addressing social needs, and fragmented engagement. The most critical challenges emerged in the outer context (eg, structural barriers to care) and inner context (eg, organizational gaps).
conclusionsAligning provider efforts with institutional support is essential. Structured training, equity-oriented policies, and sustained community partnerships are key to operationalizing equity in clinical practice.
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Registered trials
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.