Evidence map›Paper›PMID 41247421›Full record

ArticleJournal of general internal medicine2026

Navigating Uncertainty: Sustaining Health Equity in a Shifting Landscape.

Samantha Xy Wang, Archna Eniasivam, David Sterken, Karnjit Johl, Andrew Auerbach, Jennifer Hur, Ashley Jenkins, Anna N Maw, writing on Behalf of the HOMERuN HEARS Work Group and the HOMERuN Collaborative

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2026. 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.

Samantha Xy WangDivision of Hospital Medicine, Department of Medicine, Stanford School of Medicine, Stanford, CA, USA. wangxy@stanford.edu.ORCID 0000-0002-3517-5113
Archna EniasivamDivision of Hospital Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
David SterkenDivision of Hospital Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Karnjit JohlDepartment of Internal Medicine, Hospital Medicine, University of California Davis School of Medicine, Davis, CA, USA.
Andrew AuerbachDivision of Hospital Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
Jennifer HurDivision of General Internal Medicine and Geriatrics, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Ashley JenkinsDepartment of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Anna N MawDivision of Hospital Medicine, Department of Medicine, University of Colorado Anschutz School of Medicine, Aurora, CO, USA.
writing on Behalf of the HOMERuN HEARS Work Group and the HOMERuN Collaborative

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sustaining health equity work amid increasingly challenging political and institutional environments following executive orders and policy shifts during the second Trump administration requires strategic adaptation. In this perspective, we review recent targeted federal policies affecting healthcare and outline approaches to manage information effectively, sustain equity efforts, and foster constructive dialogue in divisive times. Given the rapid pace of change, developing structured strategies for information organization and consumption is critical to both clinician well-being and effectiveness. Institutions play a key role in this process by curating relevant information and supporting structured engagement. Additionally, preserving equity initiatives and identifying new opportunities for sustained advocacy are essential to counteract efforts to roll back civil rights and public health protections. By taking a deliberate and proactive approach, clinicians and healthcare leaders can uphold their commitment to equitable care despite external threats to progress.

Indexed as

Health EquityHealth PolicyHumansUncertaintyUnited States

Identifiers

PMID41247421
PMCPMC13009315

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.