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Advancing health disparities research within the health care system: A conceptual framework

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  • Kilbourne, A.M.
  • Switzer, G.
  • Hyman, K.
  • Crowley-Matoka, M.
  • Fine, M.J.

Abstract

We provide a framework for health services-related researchers, practitioners, and policy makers to guide future health disparities research in areas ranging from detecting differences in health and health care to understanding the determinants that underlie disparities to ultimately designing interventions that reduce and eliminate these disparities. To do this, we identified potential selection biases and definitions of vulnerable groups when detecting disparities. The key factors to understanding disparities were multilevel determinants of health disparities, including individual beliefs and preferences, effective patient-provider communication; and the organizational culture of the health care system. We encourage interventions that yield generalizable data on their effectiveness and that promote further engagement of communities, providers, and policymakers to ultimately enhance the application and the impact of health disparities research.

Suggested Citation

  • Kilbourne, A.M. & Switzer, G. & Hyman, K. & Crowley-Matoka, M. & Fine, M.J., 2006. "Advancing health disparities research within the health care system: A conceptual framework," American Journal of Public Health, American Public Health Association, vol. 96(12), pages 2113-2121.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.077628_0
    DOI: 10.2105/AJPH.2005.077628
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    2. Klaas H J Ultee & Elke K M Tjeertes & Frederico Bastos Gonçalves & Ellen V Rouwet & Anton G M Hoofwijk & Robert Jan Stolker & Hence J M Verhagen & Sanne E Hoeks, 2018. "The relation between household income and surgical outcome in the Dutch setting of equal access to and provision of healthcare," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-13, January.
    3. Abrams, Jasmine A. & Tabaac, Ariella & Jung, Sarah & Else-Quest, Nicole M., 2020. "Considerations for employing intersectionality in qualitative health research," Social Science & Medicine, Elsevier, vol. 258(C).
    4. Sinha, Gaurav & Tan, Kevin & Zhan, Min, 2018. "Patterns of financial attributes and behaviors of emerging adults in the United States," Children and Youth Services Review, Elsevier, vol. 93(C), pages 178-185.
    5. Teal, Cayla R. & Street, Richard L., 2009. "Critical elements of culturally competent communication in the medical encounter: A review and model," Social Science & Medicine, Elsevier, vol. 68(3), pages 533-543, February.
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    7. Reitzel, Lorraine R. & Mazas, Carlos A. & Cofta-Woerpel, Ludmila & Vidrine, Jennifer I. & Businelle, Michael S. & Kendzor, Darla E. & Li, Yisheng & Cao, Yumei & Wetter, David W., 2010. "Acculturative and neighborhood influences on subjective social status among Spanish-speaking Latino immigrant smokers," Social Science & Medicine, Elsevier, vol. 70(5), pages 677-683, March.
    8. Evrosina I. Isaac & Andrea R. Meisman & Kirstin Drucker & Stephanie Violante & Kathryn L. Behrhorst & Alfonso Floyd & Jennifer M. Rohan, 2020. "The Relationship between Health Disparities, Psychosocial Functioning and Health Outcomes in Pediatric Hematology-Oncology and Stem Cell Transplant Populations: Recommendations for Clinical Care," IJERPH, MDPI, vol. 17(7), pages 1-14, March.
    9. Puckett, Cassidy & Wong, Jenise C. & Daley, Tanicia C. & Cossen, Kristina, 2020. "How organizations shape medical technology allocation: Insulin pumps and pediatric patients with type 1 diabetes," Social Science & Medicine, Elsevier, vol. 249(C).
    10. Evrosina I. Isaac & Urmila Sivagnanalingam & Andrea R. Meisman & Crista Wetherington Donewar & Linda J. Ewing & Ernest R. Katz & Anna C. Muriel & Jennifer M. Rohan, 2020. "Longitudinal Patterns of Social Problem-Solving Skills in an Ethnically Diverse Sample of Pediatric Patients with Cancer and their Caregivers," IJERPH, MDPI, vol. 17(5), pages 1-11, February.

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