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

Amy M. Kilbourne*, Galen Switzer, Kelly Hyman, Megan Crowley-Matoka, Michael J. Fine

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

309 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)2113-2121
Number of pages9
JournalAmerican journal of public health
Volume96
Issue number12
DOIs
StatePublished - Dec 2006

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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