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Now that racial and ethnic health care disparities have been well documented, what is being done to reduce them in real-world settings?
3-11-08
A study, published as a Grant Watch Report in Health Affairs, analyzes the brief proposals received and awards made during the first round of Finding Answers:Disparities Research for Change grantmaking in 2006 to examine what types of interventions are being proposed and evaluated to eliminate racial and ethnic health care disparities.
Of the 177 brief proposals received, the most prevalent proposed interventions were patient or provider education (57%), community health workers (25%), case management (24%), integrated health care (24%), and cultural modification (24%).
After a full proposal submission and site visit review, 11 grantees were selected during the first round of funding and target the following domains:
Patients
Choctaw National Health Services Authority
Cooper Green Hospital
Massachusetts League of Community Health Centers
University of California-Irvine
Providers
Harvard Vanguard Medical Associates
Morehouse School of Medicine
Westside Health Services, Inc.
Organizations
Neighborhood Health Plan of Rhode Island
Olive View-UCLA-DREW
University of Southern California
Yale University School of Medicine
Gaps in proposals and literature were found in the following areas: pay for performance (P4P) or public reporting interventions; non-physician provider interventions; ethnic geriatric and pediatric populations; American Indian and Asian American populations. The second round of Finding Answers grantmaking encouraged proposals for P4P, public reporting of data, and nurse-led interventions to address some of these gaps.
This study was funded by the Robert Wood Johnson Foundation Finding Answers program.
Read the full article (with subscription): http://content.healthaffairs.org/cgi/reprint/27/2/568
Learn more about Finding Answers: Disparities Research for Change.
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