Disparities and Health Equity

The differences in ability to access health care and in health outcomes across the population.

Photo Page: 2018 SUMR Tour of Philadelphia's Crescenz VA Medical Center

Jun. 19, 2018
Photo montage: Hoag Levins As part of the LDI Summer Undergraduate Minority Research (SUMR) program, this year's scholars toured the Crescenz Veterans Affairs Medical Center, located directly next to the University of Pennsylvania campus. Sponsored by LDI and the Wharton School Health Care Management Department, the three-month long SUMR program is aimed at underrepresented minority undergraduates and others interested in exploring potential careers in the field of health services research (HSR). The visit was designed to familiarize the scholars with the extensive HSR programs that are a...

A Mixed Methods Evaluation of Early Childhood Abuse Prevention Within Evidence-Based Home Visiting Programs

Jun. 13, 2018

Meredith Matone, Katherine Kellom, Heather Griffis, William Quarshie, Jennifer Faerber, Peter Gierlach, Jennifer Whittaker, David M. Rubin...


Objectives: In this large scale, mixed methods evaluation, we determined the impact and context of early childhood home visiting on rates of child abuse-related injury. 

Methods: Entropy-balanced and propensity score matched retrospective cohort analysis comparing children of Pennsylvania Nurse–Family Partnership (NFP), Parents As Teachers (PAT), and Early Head Start (EHS) enrollees and children of Pennsylvania Medicaid eligible women from 2008 to 2014. Abuse-related injury episodes were identified in medical...

The ‘Warming Effect’ of DACA on American Children

Jun. 4, 2018

New research shows that young citizen children were more likely to receive important social services when their undocumented mothers became eligible for the Deferred Action for Childhood Arrivals (DACA) program. Providing evidence of the multi-generational spillover effects of immigration policy, this new analysis comes as the U.S.

What State Legislators Say About Medicaid, and Why It Matters

May. 29, 2018

Medicaid’s federal-state partnership structure has long permitted states to adopt modifications to coverage design, including benefits and cost-sharing. That structure, combined with an Administration signaling its support for greater state flexibility and funding constraints, could produce substantial shifts in state Medicaid policy.

Association of Race and Socioeconomic Status with Automatic External Defibrillator Training Prevalence in the United States

May. 10, 2018

D. Daphne Owen, Shaun K. McGovern, Andrew Murray, Marion Leary, Marina del Rios, Raina M.Merchant, Benjamin S.Abella, David Dutwin, Audrey L. Blewer...

Abstract [from journal]

Aim of the Study: Automated external defibrillators (AEDs) improve survival from out-of-hospital cardiac arrest (OHCA), however bystander use remains low. Limited AED training may contribute to infrequent use of these devices, yet no studies have assessed AED training nationally. Given previously documented racial disparities among Latinos in CPR provision and OHCA outcomes, we hypothesized that racial and socioeconomic differences exist in AED training, with Whites having increased training compared to Latinos and higher


The Harold Amos Medical Faculty Development Program: Evaluation of a National Program to Promote Faculty Diversity and Health Equity

May. 1, 2018

James P. Guevara, Melissa Wright, Nancy W. Fishman, David M. Krol, Johnson Jerry

Abstract [from journal]

Purpose: The Harold Amos Medical Faculty Development Program (AMFDP), a national program of the Robert Wood Johnson Foundation, seeks to support academic physicians from historically disadvantaged backgrounds and...

Being Uninsured in America

Apr. 26, 2018

For the nearly 30 million people in the United States who have no health insurance, gaining access to care and paying for that care can be a challenge.  A new “secret shopper” study explores whether the uninsured can get a new primary care appointment, and at what price.

Integrating Social Needs Into Health Care: A Twenty-Year Case Study Of Adaptation And Diffusion

Feb. 14, 2018

Rebecca D. Onie, Risa Lavizzo-Mourey, Thomas H. Lee, James S. Marks, and Rocco J. Perla

In Health Affairs, Rebecca Onie and colleagues, including Risa Lavizzo-Mourey, conduct a twenty-year qualitative case study of Health Leads, an organization that partners with health care institutions and communities to address patients’ basic resource needs, and its funders. The case study demonstrates the successful stages of diffusion, defined as the process by which an innovation is communicated over time within a social system, leading to increased exposure and adoption. The authors segmented the process for Health Leads into five distinct phases:

  1. Testing and
  2. ...

Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial

Research Brief
Feb. 7, 2018

In a pragmatic trial, offering complimentary ridesharing services broadly to Medicaid patients did not reduce rates of missed primary care appointments. The uptake of free rides was low, and rates of missed appointments remained unchanged at 36%. Efforts to reduce missed appointments due to transportation barriers may require more targeted approaches.