wow-inequalities/02-data/intermediate/wos_sample/183b46dc8feb2b2d3f4cc1b6d17d61aa-harper-logan-j.-and/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'There is expansive literature documenting the presence of health
disparities, but there are disproportionately few studies describing
interventions to reduce disparity. In this narrative review, we
categorize interventions to reduce health disparity in pulmonary disease
within the US health care system to support future initiatives to reduce
disparity. We identified 211 articles describing interventions to reduce
disparity in pulmonary disease related to race, income, or sex. We
grouped the studies into the following four categories: biologic,
educational, behavioral, and structural. We identified the following
five main themes: (1) there were few interventional trials compared with
the breadth of studies describing health disparities, and trials
involving patients with asthma who were Black, low income, and living in
an urban setting were overrepresented; (2) race or socioeconomic status
was not an effective marker of individual pharmacologic treatment
response; (3) telehealth enabled scaling of care, but more work is
needed to understand how to leverage telehealth to improve outcomes in
marginalized communities; (4) future interventions must explicitly
target societal drivers of disparity, rather than focusing on individual
behavior alone; and (5) individual interventions will only be maximally
effective when specifically tailored to local needs. Much work has been
done to catalog health disparities in pulmonary disease. Notable gaps in
the identified literature include few interventional trials, the need
for research in diseases outside of asthma, the need for high quality
effectiveness trials, and an understanding of how to implement proven
interventions balancing fidelity to the original protocol and the need
to adapt to local barriers to care.'
affiliation: 'Harper, LJ (Corresponding Author), Cleveland Clin, Resp Inst, Dept Pulm
Med, Cleveland, OH 44103 USA.
Harper, Logan J.; Khatri, Sumita B.; Culver, Daniel A., Cleveland Clin, Resp Inst,
Dept Pulm Med, Cleveland, OH 44103 USA.
Kidambi, Pranav, Michigan State Univ, Coll Human Med, E Lansing, MI USA.
Kidambi, Pranav, Corewell Hlth Med Grp, Div Pulm \& Crit Care Med, Grand Rapids,
MI USA.
Kirincich, Jason M., Cleveland Clin, Community Care Inst, Dept Internal Med, Cleveland,
OH USA.
Thornton, J. Daryl, Metrohlth Campus Case Western Reserve Univ, Ctr Reducing Hlth
Dispar, Populat Hlth Res Inst, Cleveland, OH USA.
Thornton, J. Daryl, Metro Hlth Campus Case Western Reserve Univ, Div Pulm Crit Care
\& Sleep Med, Cleveland, OH USA.'
author: Harper, Logan J. and Kidambi, Pranav and Kirincich, Jason M. and Thornton,
J. Daryl and Khatri, Sumita B. and Culver, Daniel A.
author-email: Harperl3@ccf.org
author_list:
- family: Harper
given: Logan J.
- family: Kidambi
given: Pranav
- family: Kirincich
given: Jason M.
- family: Thornton
given: J. Daryl
- family: Khatri
given: Sumita B.
- family: Culver
given: Daniel A.
da: '2023-09-28'
doi: 10.1016/j.chest.2023.02.033
earlyaccessdate: JUL 2023
eissn: 1931-3543
files: []
issn: 0012-3692
journal: CHEST
keywords: 'asthma; COPD; health care disparities; health inequalities; lung cancer;
lung cancer screening; racial disparity; social determinants of health'
keywords-plus: 'INNER-CITY CHILDREN; RANDOMIZED CONTROLLED-TRIAL; IMPROVING ASTHMA
OUTCOMES; LUNG-CANCER; MINORITY CHILDREN; AFRICAN-AMERICANS; URBAN
CHILDREN; PROGRAM; CARE; THERAPY'
language: English
month: JUL
number: '1'
number-of-cited-references: '73'
pages: 179-189
papis_id: 7d978a783cda884a28852c43c0564495
ref: Harper2023healthdisparities
tags:
- review
times-cited: '0'
title: Health Disparities Interventions for Pulmonary Disease-A Narrative Review
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:001035931400001
usage-count-last-180-days: '0'
usage-count-since-2013: '0'
volume: '164'
web-of-science-categories: Critical Care Medicine; Respiratory System
year: '2023'