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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 2 of 2 Research Studies DisplayedHernandez-Boussard T, Siddique SM, Bierman AS
AHRQ Author: Bierman AS
Promoting equity in clinical decision making: dismantling race-based medicine.
The authors recommended a race-aware approach to clinical decision support to address concerns raised about racial and ethnic biases built into the algorithms that lead to persistent disparities in health and healthcare. The proposed approach will require sustained commitment and effort among stakeholders, research, and technology sectors. Important steps will include increasing diversity in clinical trial populations, broadening the focus of precision medicine, improving education about complex factors that shape health outcomes, and developing new guidelines and policies that enable culturally responsive care.
AHRQ-authored.
Citation: Hernandez-Boussard T, Siddique SM, Bierman AS .
Promoting equity in clinical decision making: dismantling race-based medicine.
Health Affairs 2023 Oct; 42(10):1369-73. doi: 10.1377/hlthaff.2023.00545..
Keywords: Racial and Ethnic Minorities, Clinical Decision Support (CDS), Health Information Technology (HIT)
Krishnan JA, Margellos-Anast H, Kumar R
Coordinated Health Care Interventions for Childhood Asthma Gaps in Outcomes (CHICAGO) plan.
The purpose of this clinical trial was to compare an emergency-department- (ED) only intervention and home visits by community health workers for 6 months (ED-plus-home) and enhanced usual care (UC). The study enrolled children aged 5 to 11 years with uncontrolled asthma. The primary outcomes were change over 6 months in the Patient-Reported Outcomes Measurement Information System Asthma Impact Scale score in children and Satisfaction with Participation in Social Roles score in caregivers. The secondary outcomes included guideline-recommended ED discharge care and self-management. The study found that of the 373 children recruited, only 63% completed the 6-month follow-up visit. Differences in Asthma Impact Scores or caregivers' Satisfaction with Participation in Social Roles scores were not significant. However, in the intervention groups guideline-recommended ED discharge care improved significantly versus in the UC group, and self-management behaviors were significantly improved in the ED-plus-home group versus in the ED-only and UC groups.
AHRQ-funded; HS027804.
Citation: Krishnan JA, Margellos-Anast H, Kumar R .
Coordinated Health Care Interventions for Childhood Asthma Gaps in Outcomes (CHICAGO) plan.
J Allergy Clin Immunol Glob 2023 Aug; 2(3). doi: 10.1016/j.jacig.2023.100100..
Keywords: Children/Adolescents, Asthma, Respiratory Conditions, Outcomes, Patient-Centered Outcomes Research, Evidence-Based Practice, Emergency Department, Clinical Decision Support (CDS), Health Information Technology (HIT), Racial and Ethnic Minorities