Literature DB >> 18522613

A plan for action: key perspectives from the racial/ethnic disparities strategy forum.

Roderick K King1, Alexander R Green, Aswita Tan-McGrory, Elizabeth J Donahue, Jessie Kimbrough-Sugick, Joseph R Betancourt.   

Abstract

CONTEXT: Racial and ethnic disparities in health care in the United States have been well documented, with research largely focusing on describing the problem rather than identifying the best practices or proven strategies to address it.
METHODS: In 2006, the Disparities Solutions Center convened a one-and-a-half-day Strategy Forum composed of twenty experts from the fields of racial/ethnic disparities in health care, quality improvement, implementation research, and organizational excellence, with the goal of deciding on innovative action items and adoption strategies to address disparities. The forum used the Results Based Facilitation model, and several key recommendations emerged.
FINDINGS: The forum's participants concluded that to identify and effectively address racial/ethnic disparities in health care, health care organizations should: (1) collect race and ethnicity data on patients or enrollees in a routine and standardized fashion; (2) implement tools to measure and monitor for disparities in care; (3) develop quality improvement strategies to address disparities; (4) secure the support of leadership; (5) use incentives to address disparities; and (6) create a message and communication strategy for these efforts. This article also discusses these recommendations in the context of both current efforts to address racial and ethnic disparities in health care and barriers to progress.
CONCLUSIONS: The Strategy Forum's participants concluded that health care organizations needed a multifaceted plan of action to address racial and ethnic disparities in health care. Although the ideas offered are not necessarily new, the discussion of their practical development and implementation should make them more useful.

Entities:  

Mesh:

Year:  2008        PMID: 18522613      PMCID: PMC2690363          DOI: 10.1111/j.1468-0009.2008.00521.x

Source DB:  PubMed          Journal:  Milbank Q        ISSN: 0887-378X            Impact factor:   4.911


  69 in total

1.  Racial differences in the treatment of early-stage lung cancer.

Authors:  P B Bach; L D Cramer; J L Warren; C B Begg
Journal:  N Engl J Med       Date:  1999-10-14       Impact factor: 91.245

2.  Inequality in quality: addressing socioeconomic, racial, and ethnic disparities in health care.

Authors:  K Fiscella; P Franks; M R Gold; C M Clancy
Journal:  JAMA       Date:  2000-05-17       Impact factor: 56.272

3.  Quality of care by race and gender for congestive heart failure and pneumonia.

Authors:  J Z Ayanian; J S Weissman; S Chasan-Taber; A M Epstein
Journal:  Med Care       Date:  1999-12       Impact factor: 2.983

4.  Language barriers and resource utilization in a pediatric emergency department.

Authors:  L C Hampers; S Cha; D J Gutglass; H J Binns; S E Krug
Journal:  Pediatrics       Date:  1999-06       Impact factor: 7.124

5.  Impact of language barriers on patient satisfaction in an emergency department.

Authors:  O Carrasquillo; E J Orav; T A Brennan; H R Burstin
Journal:  J Gen Intern Med       Date:  1999-02       Impact factor: 5.128

6.  Breast cancer screening in underserved women in the Bronx.

Authors:  G D Frelix; R Rosenblatt; M Solomon; B Vikram
Journal:  J Natl Med Assoc       Date:  1999-04       Impact factor: 1.798

7.  Hypertension in multicultural and minority populations: linking communication to compliance.

Authors:  J R Betancourt; J E Carrillo; A R Green
Journal:  Curr Hypertens Rep       Date:  1999-12       Impact factor: 5.369

Review 8.  Evidence on patient-doctor communication.

Authors:  M Stewart; J B Brown; H Boon; J Galajda; L Meredith; M Sangster
Journal:  Cancer Prev Control       Date:  1999-02

9.  The effect of patient race and socio-economic status on physicians' perceptions of patients.

Authors:  M van Ryn; J Burke
Journal:  Soc Sci Med       Date:  2000-03       Impact factor: 4.634

10.  The effect of race and sex on physicians' recommendations for cardiac catheterization.

Authors:  K A Schulman; J A Berlin; W Harless; J F Kerner; S Sistrunk; B J Gersh; R Dubé; C K Taleghani; J E Burke; S Williams; J M Eisenberg; J J Escarce
Journal:  N Engl J Med       Date:  1999-02-25       Impact factor: 91.245

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  13 in total

1.  Organizational Processes and Patient Experiences in the Patient-centered Medical Home.

Authors:  Jaya Aysola; Marilyn M Schapira; Hairong Huo; Rachel M Werner
Journal:  Med Care       Date:  2018-06       Impact factor: 2.983

2.  How health care organizations are using data on patients' race and ethnicity to improve quality of care.

Authors:  Ruth Thorlby; Selena Jorgensen; Bruce Siegel; John Z Ayanian
Journal:  Milbank Q       Date:  2011-06       Impact factor: 4.911

Review 3.  The challenge of asthma in minority populations.

Authors:  Albin B Leong; Clare D Ramsey; Juan C Celedón
Journal:  Clin Rev Allergy Immunol       Date:  2012-08       Impact factor: 8.667

4.  Clinicians' views of an intervention to reduce racial disparities in diabetes outcomes.

Authors:  Ruth Thorlby; Selena Jorgensen; John Z Ayanian; Thomas D Sequist
Journal:  J Natl Med Assoc       Date:  2011 Sep-Oct       Impact factor: 1.798

5.  Racial and ethnic disparities in the healing of pressure ulcers present at nursing home admission.

Authors:  Donna Z Bliss; Olga Gurvich; Kay Savik; Lynn E Eberly; Susan Harms; Christine Mueller; Judith Garrard; Kristen Cunanan; Kjerstie Wiltzen
Journal:  Arch Gerontol Geriatr       Date:  2017-06-27       Impact factor: 3.250

6.  Collaborative depression care management and disparities in depression treatment and outcomes.

Authors:  Yuhua Bao; George S Alexopoulos; Lawrence P Casalino; Thomas R Ten Have; Julie M Donohue; Edward P Post; Bruce R Schackman; Martha L Bruce
Journal:  Arch Gen Psychiatry       Date:  2011-06

Review 7.  Addressing racial and ethnic disparities in live donor kidney transplantation: priorities for research and intervention.

Authors:  Amy D Waterman; James R Rodrigue; Tanjala S Purnell; Keren Ladin; L Ebony Boulware
Journal:  Semin Nephrol       Date:  2010-01       Impact factor: 5.299

Review 8.  Getting to equal: strategies to understand and eliminate general and orthopaedic healthcare disparities.

Authors:  Daryll C Dykes; Augustus A White
Journal:  Clin Orthop Relat Res       Date:  2009-08-05       Impact factor: 4.176

9.  Mind-Body Interventions to Reduce Risk for Health Disparities Related to Stress and Strength Among African American Women: The Potential of Mindfulness-Based Stress Reduction, Loving-Kindness, and the NTU Therapeutic Framework.

Authors:  Cheryl L Woods-Giscombé; Angela R Black
Journal:  Complement Health Pract Rev       Date:  2010-12-14

Review 10.  Behavior change interventions to improve the health of racial and ethnic minority populations: a tool kit of adaptation approaches.

Authors:  Emma M Davidson; Jing Jing Liu; Raj Bhopal; Martin White; Mark R D Johnson; Gina Netto; Cecile Wabnitz; Aziz Sheikh
Journal:  Milbank Q       Date:  2013-12       Impact factor: 4.911

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