Evidence map›Paper›PMID 41364414›Full record

ArticleJournal of urban health : bulletin of the New York Academy of Medicine2025

New Yorkers Speak Up: Community Perspectives on Improving Healthcare Experiences in New York City.

Silpa Srinivasulu, Diana Romero, Dari Goldman, Samantha Weckesser, Ana Gallego, Jenai Jackson, Adeola Ayedun, Emma Clippinger, Gavin Myers, Rebecca Friedman and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Silpa SrinivasuluCommunity Health and Health Policy Program, CUNY Graduate School of Public Health and Health Policy, 55 W. 125th Street, New York, NY, USA. silpa.srinivasulu18@sphmail.cuny.edu.ORCID http://orcid.org/0000-0002-2077-0155
Diana RomeroDepartment of Community Health and Social Sciences, CUNY Graduate School of Public Health and Health Policy, 55 W. 125th Street, Rm. 802, New York, NY, USA.
Dari GoldmanDepartment of Community Health and Social Sciences, CUNY Graduate School of Public Health and Health Policy, 55 W. 125th Street, Rm. 802, New York, NY, USA.
Samantha WeckesserCommunity Health and Health Policy Program, CUNY Graduate School of Public Health and Health Policy, 55 W. 125th Street, New York, NY, USA.
Ana GallegoNew York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, New York, USA.
Jenai JacksonNew York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, New York, USA.
Adeola AyedunNew York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, New York, USA.
Emma ClippingerNew York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, New York, USA.
Gavin MyersNew York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, New York, USA.
Rebecca FriedmanNew York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, New York, USA.
Ese OghenejoboNew York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, New York, USA.
Duncan MaruNew York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, New York, USA.
Michelle MorseNew York City Department of Health and Mental Hygiene, 42-09 28th Street, Long Island City, New York, USA.

Funding

New York City Department of Health and Mental Hygiene RF Grant #58814
6 · The paper itself

Abstract

De facto segregation by racial identity and insurance persists in US hospitals, leading to health disparities. To understand factors driving healthcare segregation and NYC residents' experiences, we conducted the Health Equity and Access to Care project. The present study explores NYC residents' perspectives on and recommendations to mitigate healthcare segregation. To recruit English-speaking NYC residents (n = 184) stratified by race/ethnicity and insurance status for virtual and in-person focus groups (FG, n = 35), we utilized a multipronged outreach strategy with community groups and a research firm. We employed constructivist grounded theory and applied structural racism frameworks, Penchansky and Thomas' dimensions of healthcare access, and the socioecological model to guide the analysis of participants' perspectives on improving care. Participants described priorities across accessibility, availability, affordability, accommodation, and acceptability domains, while thematic differences emerged by race/ethnicity and insurance status (e.g., White participants highlighted how health system bureaucratic inefficiencies perpetuated harmful healthcare experiences whereas Black participants discussed how institutional and employment factors contributed to staff burnout, negative patient experiences). Structural factors (e.g., residential segregation, neighborhood resources, underinvestment in safety-net systems) were perceived as drivers of harmful healthcare experiences across all domains. Priorities for change include anti-bias training, authentic community engagement, patient navigation and digital connectivity investments, transparent and accessible healthcare operations, investment in neighborhood-based healthcare, and building a diverse workforce. Participants' recommendations call for coordinated, multidisciplinary efforts across interpersonal, community, institutional, and structural domains co-designed with communities. Elevating community voices can support stakeholders to act on the necessary levers to desegregate healthcare and advance health equity.

Indexed as

Healthcare DisparitiesHealth Services AccessibilityAdultAgedFemaleFocus GroupsHumansMaleMiddle AgedNew York CityRacismAccess to healthcareFocus groupsHealth equityQualitative researchSocial determinants of health

Identifiers

PMID41364414
PMCPMC12738503

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.