Analysis of the Effects of a Patient-Centered Rideshare Program on Missed Appointments and Timeliness for MRI Appointments at an Academic Medical Center

Whorms, Debra S.; Narayan, Anand K.; Pourvaziri, Ali; Miles, Randy C.; Glover, McKinley; Herrington, Jeremy; Saini, Sanjay; Brink, James A.; Flores, Efrén J.

doi:10.1016/j.jacr.2020.05.037

Cited by 21 publications

(30 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Among 152 studies in multiracial or multiethnic populations, only 21 (14%) 26 , 28 , 29 , 47 , 62 , 68 , 78 , 80 , 87 , 93 , 95 , 96 , 101 , 126 , 128 , 151 , 159 , 161 , 165 , 170 , 171 reported whether intervention outcomes differed by race or ethnicity of participants. Another 23 studies 23 , 30 , 34 , 35 , 58 , 63 , 66 , 74 , 82 , 83 , 85 , 92 , 94 , 102 , 117 , 129 , 135 , 142 , 143 , 163 , 167 , 168 , 169 (15%) included race or ethnicity in their analyses as confounders.…”

Section: Resultsmentioning

confidence: 99%

“…Table 1 provides brief intervention characteristics and outcomes for the 21 studies that examined differential outcomes by race or ethnicity, categorized along the axes of conceptual thoughtfulness and analytical informativeness, and organized by category of intervention. Two-thirds of the studies (14 of 21 studies [67%]) 28 , 62 , 68 , 78 , 87 , 93 , 95 , 96 , 101 , 126 , 151 , 161 , 170 , 171 categorized as analytically informative reported no differences in intervention outcomes by race or ethnicity. Among the 7 studies that did find differential intervention outcomes by race or ethnicity, 26 , 29 , 47 , 80 , 128 , 159 , 165 6 were studies of relatively intense case management or community health worker/peer mentor outreach in diverse settings, and 1 addressed the Reach Out and Read–based intervention for children ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Racial Health Equity and Social Needs Interventions

et al. 2023

View full text Add to dashboard Cite

ImportanceSocial needs interventions aim to improve health outcomes and mitigate inequities by addressing health-related social needs, such as lack of transportation or food insecurity. However, it is not clear whether these studies are reducing racial or ethnic inequities.ObjectiveTo understand how studies of interventions addressing social needs among multiracial or multiethnic populations conceptualize and analyze differential intervention outcomes by race or ethnicity.Evidence ReviewSources included a scoping review of systematic searches of PubMed and the Cochrane Library from January 1, 1995, through November 29, 2021, expert suggestions, and hand searches of key citations. Eligible studies evaluated interventions addressing social needs; reported behavioral, health, or utilization outcomes or harms; and were conducted in multiracial or multiethnic populations. Two reviewers independently assessed titles, abstracts, and full text for inclusion. The team developed a framework to assess whether the study was “conceptually thoughtful” for understanding root causes of racial health inequities (ie, noted that race or ethnicity are markers of exposure to racism) and whether analyses were “analytically informative” for advancing racial health equity research (ie, examined differential intervention impacts by race or ethnicity).FindingsOf 152 studies conducted in multiracial or multiethnic populations, 44 studies included race or ethnicity in their analyses; of these, only 4 (9%) were conceptually thoughtful. Twenty-one studies (14%) were analytically informative. Seven of 21 analytically informative studies reported differences in outcomes by race or ethnicity, whereas 14 found no differences. Among the 7 that found differential outcomes, 4 found the interventions were associated with improved outcomes for minoritized racial or ethnic populations or reduced inequities between minoritized and White populations. No studies were powered to detect differences.Conclusions and RelevanceIn this review of a scoping review, studies of social needs interventions in multiracial or multiethnic populations were rarely conceptually thoughtful for understanding root causes of racial health inequities and infrequently conducted informative analyses on intervention effectiveness by race or ethnicity. Future work should use a theoretically sound conceptualization of how race (as a proxy for racism) affects social drivers of health and use this understanding to ensure social needs interventions benefit minoritized racial and ethnic groups facing social and structural barriers to health.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Racial Health Equity and Social Needs Interventions

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Our study results also showed that appointment-related barriers, including patients who reported that they "delayed getting care because of the telephone," "couldn't obtain an appointment soon enough," "waited too long to see the doctor," or "experienced the doctor's office not being open when they could get there" were largely not associated with decreased screening mammography utilization. Other studies have demonstrated similar results with no association between specific appointment-related barriers and care utilization; when associated cost-related concerns are present, however, decreased use of health care services have been observed in these cases [29,30]. These findings may indicate that appointment-related barriers may largely be influenced by perceived financial burden; thus, initiatives intending to increase access must address underlying cost concerns to improve overall utilization.…”

Section: Discussionmentioning

confidence: 66%

Impact of Health Care–Associated Cost Concerns on Mammography Utilization: Cross-Sectional Survey Results From the National Health Interview Survey

Miles¹,

Flores²,

Carlos³

et al. 2022

Journal of the American College of Radiology

Self Cite

View full text Add to dashboard Cite

“…Almost any KPIs from radiology dashboards or scorecards [5] could be evaluated for differential performance by such factors. Articles have already been published looking at the evaluation of health equity factors as pertains to missed appointments for advanced imaging and the associated consequences [6].…”

Section: Applications To Radiologymentioning

confidence: 99%

Evaluation of Factors Influencing Health Equity: Key Performance Indicators in Quality, Safety, and Service

Donnelly

2022

Journal of the American College of Radiology

View full text Add to dashboard Cite

Analysis of the Effects of a Patient-Centered Rideshare Program on Missed Appointments and Timeliness for MRI Appointments at an Academic Medical Center

Cited by 21 publications

References 27 publications

Racial Health Equity and Social Needs Interventions

Racial Health Equity and Social Needs Interventions

Impact of Health Care–Associated Cost Concerns on Mammography Utilization: Cross-Sectional Survey Results From the National Health Interview Survey

Evaluation of Factors Influencing Health Equity: Key Performance Indicators in Quality, Safety, and Service

Contact Info

Product

Resources

About