Disparities and Health Equity

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

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.

Koh Promotes Partnerships at Penn 2018 Health Equity Symposium

Feb. 5, 2018

At Penn’s fourth annual Martin Luther King, Jr., Health Equity Symposium, keynote speaker Howard Koh, MD, MPH, former Assistant Secretary for Health for the U.S. Department of Health and Human Services (HHS), shared a motivating quote by Dr. King: “Life’s most persistent and urgent question is, ‘What are you doing for others?’”

Nursing Care Disparities in Neonatal Intensive Care Units

Oct. 11, 2017

Eileen T. Lake, Douglas Straiger, Erika Miles Edwards, Jessica G. Smith, Jeannette A. Rogowski

In Health Services Research, Eileen Lake and colleagues, including Jessica Smith and Jeannette Rogowski, compared missed nursing care for infants in neonatal intensive care units (NICUs) across hospitals with a predominantly-black versus non-black patient population. The authors sought to understand the factors that cause nurses to miss care. At sites across four states, NICU nurses completed a survey on the floor’s average patient load, nursing environment, and nursing professional characteristics, as well as their individual patient load and the care that they missed on their...

Progressive rural-urban disparity in acute stroke care

Aug. 29, 2017

Sergio Gonzales, Michael T. Mullen, Leslie Skolarus, Dylan P. Thibault, Uduak Udoeyo, and Allison W. WIllis

In Neurology, Sergio Gonzales and colleagues, including Michael Mullen and Allison Willis, examine differences in tissue plasminogen activator (tPA) utilization between rural and urban stroke patients. As with many health services, disparities in care based on geographic location or income exist, and rural populations often have little access to medical care. The authors used ten years of hospital discharge data from the National Inpatient Sample and indicators of tPA utilization for acute strokes. They find that, of 914,500 cases, tPA use in urban hospitals was quadruple that of...

Community Health Worker Support For Disadvantaged Patients With Multiple Chronic Diseases: A Randomized Clinical Trial

Research Brief
Aug. 21, 2017

Community health worker interventions hold promise for improving outcomes of low-income patients with multiple chronic diseases.

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