Advancing Health Services Research to Eliminate Health Care Disparities

Findings from health services research highlight continuing health care disparities in the United States, especially in the areas of access to health care and quality of care. Although attention to health care disparities has increased, considerable knowledge gaps still exist. A better understanding of how cultural, behavioral, and health system factors converge and contribute to unequal access and differential care is needed. Research-informed approaches for reducing health care disparities that are feasible and capable of sustained implementation are needed to inform policymakers. More important, for health equity to be achieved, it is essential to create a health care system that provides access, removes barriers to care, and provides equally effective treatment to all persons living in the United States.

[1]  L Zhang,et al.  The Role of Ethnicity in Variability in Response to Drugs: Focus on Clinical Pharmacology Studies , 2008, Clinical pharmacology and therapeutics.

[2]  N. Kressin,et al.  Race/ethnicity, and Americans’ perceptions and experiences of over- and under-use of care: a cross-sectional study , 2015, BMC Health Services Research.

[3]  S. Gregorich,et al.  Convenient Access to Professional Interpreters in the Hospital Decreases Readmission Rates and Estimated Hospital Expenditures for Patients With Limited English Proficiency , 2017, Medical care.

[4]  A. Zaslavsky,et al.  Racial and ethnic disparities among enrollees in Medicare Advantage plans. , 2014, The New England journal of medicine.

[5]  M. LoPresti,et al.  End-of-Life Care for People With Cancer From Ethnic Minority Groups , 2016, The American journal of hospice & palliative care.

[6]  Y. Jabbarpour The Impact of Primary Care Practice Transformation on Cost , Quality , and Utilization , 2017 .

[7]  Meredith B. Rosenthal,et al.  The (Missed) Potential of the Patient-centered Medical Home for Disparities , 2016, Medical care.

[8]  M. Marmot,et al.  Social determinants of health equity. , 2014, American journal of public health.

[9]  R. Antonelli,et al.  No Equity, No Triple Aim: Strategic Proposals to Advance Health Equity in a Volatile Policy Environment , 2017, American journal of public health.

[10]  Adrienne Y. Stith,et al.  Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care , 2005 .

[11]  Anne L. Taylor,et al.  Should ethnicity serve as the basis for clinical trial design? Importance of race/ethnicity in clinical trials: lessons from the African-American Heart Failure Trial (A-HeFT), the African-American Study of Kidney Disease and Hypertension (AASK), and the Antihypertensive and Lipid-Lowering Treatment , 2005, Circulation.

[12]  J. Manson,et al.  Ethnicity, Obesity, and Risk of Type 2 Diabetes in Women , 2006, Diabetes Care.

[13]  M. Fine,et al.  Quality and equity of care in U.S. hospitals. , 2014, The New England journal of medicine.

[14]  R. Gupta,et al.  Consensus statement for diagnosis of obesity, abdominal obesity and the metabolic syndrome for Asian Indians and recommendations for physical activity, medical and surgical management. , 2009, The Journal of the Association of Physicians of India.

[15]  C. Rand,et al.  The contributing role of health-care communication to health disparities for minority patients with asthma. , 2007, Chest.

[16]  K. Fiscella,et al.  Racial and Ethnic Disparities in the Quality of Health Care. , 2016, Annual review of public health.

[17]  Steven H. Day,et al.  Implicit Racial/Ethnic Bias Among Health Care Professionals and Its Influence on Health Care Outcomes: A Systematic Review. , 2015, American journal of public health.

[18]  P. Cleary,et al.  The effect of patients' preferences on racial differences in access to renal transplantation. , 1999, The New England journal of medicine.

[19]  J. Dovidio,et al.  Disparities and distrust: the implications of psychological processes for understanding racial disparities in health and health care. , 2008, Social science & medicine.

[20]  Salomeh Keyhani,et al.  Overuse of health care services in the United States: an understudied problem. , 2012, Archives of internal medicine.

[21]  D. Kansagara,et al.  The Effects of Pay-for-Performance Programs on Health, Health Care Use, and Processes of Care , 2017, Annals of Internal Medicine.

[22]  G. Fitzmaurice,et al.  Cultural Competency Training and Performance Reports to Improve Diabetes Care for Black Patients , 2010, Annals of Internal Medicine.

[23]  L. Siminoff,et al.  Cancer communication patterns and the influence of patient characteristics: disparities in information-giving and affective behaviors. , 2006, Patient education and counseling.

[24]  J. Steiner,et al.  Unconscious (implicit) bias and health disparities: where do we go from here? , 2011, The Permanente journal.

[25]  M. Chin Quality Improvement Implementation and Disparities: The Case of the Health Disparities Collaboratives , 2010, Medical care.

[26]  D. Horey,et al.  Cultural competence education for health professionals. , 2014, The Cochrane database of systematic reviews.

[27]  Richard L Street,et al.  Racial differences in doctors' information‐giving and patients' participation , 2006, Cancer.

[28]  J. Katz Preferences, disparities, and the authenticity of patient choices. , 2003, The Journal of rheumatology. Supplement.

[29]  Robert S. Nocon,et al.  Solving Disparities Through Payment And Delivery System Reform: A Program To Achieve Health Equity. , 2017, Health affairs.

[30]  R. Hasnain-Wynia,et al.  Analysis raises questions on whether pay-for-performance in Medicaid can efficiently reduce racial and ethnic disparities. , 2011, Health affairs.

[31]  M. Wilson,et al.  Racial and Ethnic Health Disparities and the Affordable Care Act: a Status Update , 2015, Journal of Racial and Ethnic Health Disparities.

[32]  A. Zaslavsky,et al.  Quality of Care and Racial Disparities in Medicare Among Potential ACOs , 2014, Journal of General Internal Medicine.

[33]  C. Moylan,et al.  Role of patient factors, preferences, and distrust in health care and access to liver transplantation and organ donation , 2016, Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society.

[34]  K. Grumbach,et al.  Effects of limited English proficiency and physician language on health care comprehension , 2005, Journal of General Internal Medicine.