Article Figures & Data
Tables
- Table 1.
A Dozen Gaps in Existing Disparities Research and How Practice-based Research Could Meet the Need
Why Current Disparities Research Sometimes Falls Short How Practice-based Research Could Meet the Need 1. Research in academic or closed-panel settings Conduct research in real-world, limited resource, high-disparity primary care practice settings 2. Nondiverse research teams Develop diverse research teams that are proportionately representative of the disparity population being studied 3. Investigator-initiated research True community partnership 4. Focus on changing provider behaviors Research on systems change involving patients, teams, and processes of care 5. ‘Inside-the-practice’ research Blur the boundaries between practice-based research and community-based interventions 6. Focus on process measures Measure health outcomes at the community population health level 7. Narrowly focused single disease interventions Address complex mix of disparities in chronic disease outcomes, risk factors, and mental health co-morbidities 8. Experiments test one intervention Test multidimensional interventions that triangulate on improved outcomes from at least three directions—provider, patient, and community 9. Static interventions held constant throughout the study period Test dynamic, constantly-improving interventions 10. Academic cycle time Rapid-change cycles, continuously revising intervention based on rapid-feedback health outcomes data loops 11. Randomized-controlled clinical trials Alternative study designs to measure multidimensional, dynamic interventions repeatedly 12. Replicability without scalability Test interventions that are both replicable and scalable in real-world, underresourced settings that serve high-disparity populations
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