Factors influencing the effectiveness of interventions to reduce racial and ethnic disparities in health care.

Social Science & Medicine
Rhys G JonesJohn Z Ayanian

Abstract

Reducing racial and ethnic disparities in health care has become an important policy goal in the United States and other countries, but evidence to inform interventions to address disparities is limited. The objective of this study was to identify important dimensions of interventions to reduce health care disparities. We used qualitative research methods to examine interventions aimed at improving diabetes and/or cardiovascular care for patients from racial and ethnic minority groups within five health care organizations. We interviewed 36 key informants and conducted a thematic analysis to identify important features of these interventions. Key elements of interventions included two contextual factors (external accountability and alignment of incentives to reduce disparities) and four factors related to the organization or intervention itself (organizational commitment, population health focus, use of data to inform solutions, and a comprehensive approach to quality). Consideration of these elements could improve the design, implementation, and evaluation of future interventions to address racial and ethnic disparities in health care.

References

May 18, 2000·JAMA : the Journal of the American Medical Association·K FiscellaC M Clancy
Jul 23, 2002·Journal of General Internal Medicine·Lisa A CooperNeil R Powe
Oct 17, 2002·JAMA : the Journal of the American Medical Association·Thomas BodenheimerKevin Grumbach
Nov 15, 2002·The New England Journal of Medicine·Mitchell D WongSusan L Ettner
Jun 3, 2004·Annals of Internal Medicine·Brian S Mittman
Dec 25, 2004·Diabetes Care·UNKNOWN American Diabetes Association
Aug 19, 2005·The New England Journal of Medicine·Amal N TrivediJohn Z Ayanian
Aug 19, 2005·The New England Journal of Medicine·Nicole Lurie
Mar 29, 2006·Archives of Internal Medicine·Thomas D SequistJohn Z Ayanian
Oct 26, 2006·JAMA : the Journal of the American Medical Association·Amal N TrivediJohn Z Ayanian
Mar 3, 2007·The New England Journal of Medicine·Bruce E LandonEdward Guadagnoli
Apr 12, 2007·Health Affairs·Lawrence P CasalinoDiana Ramos
Jun 11, 2008·Archives of Internal Medicine·Thomas D SequistJohn Z Ayanian

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Citations

Sep 14, 2013·International Health·Nicholas LesiaJennifer Furin
Jun 1, 2014·Journal of General Internal Medicine·Ryan E AndersonJ Michael McWilliams
Dec 11, 2014·The New England Journal of Medicine·John Z AyanianAlan M Zaslavsky
Aug 22, 2013·International Journal for Equity in Health·Efrat Shadmi
Feb 7, 2012·AIDS Patient Care and STDs·J Keith JosephJennifer Furin
Jul 19, 2011·The Journal of the Association of Nurses in AIDS Care : JANAC·Jennifer FurinJonas Rigodon
Dec 20, 2014·Health Services Research·Jennifer M JosephMary L Frederick
Apr 22, 2015·Current Cardiology Reports·Rohan KheraSaket Girotra
Oct 8, 2013·International Journal of Public Health·Benjamin CookEthan Yeh
Dec 11, 2014·The New England Journal of Medicine·Amal N TrivediMichael J Fine
May 25, 2012·Journal of the National Cancer Institute. Monographs·Sherri Sheinfeld GorinIrene Prabhu Das
Nov 27, 2018·Qualitative Health Research·Jennifer S Singh, Garrett Bunyak
Feb 9, 2018·Primary Health Care Research & Development·Neil S CalmanCasey Crump
Nov 10, 2013·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Rene Almeling, Shana Kushner Gadarian
Oct 27, 2010·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·J Douglas RizzoUNKNOWN American Society of Hematology
Jul 6, 2011·The American Journal of Hospice & Palliative Care·Maja Jovanovic
Aug 3, 2018·Journal of Primary Health Care·Leanne Te KaruBruce Arroll
Jan 23, 2013·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Eyiuche N OkekeWilliam C Hsu

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