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Addressing Health Disparities: Insights from Finding Answers Initiative

The "Finding Answers: Disparities Research for Change" program seeks to identify and implement effective strategies to reduce health care disparities among racial and ethnic groups. Led by Dr. Marshall H. Chin from the University of Chicago, the initiative focuses on funding innovative solutions through grants, systematic reviews, and community engagement. The program aims to evaluate interventions related to cardiovascular disease, diabetes, and depression, launching multiple calls for proposals while disseminating critical findings to ensure improved health outcomes for underserved populations.

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Addressing Health Disparities: Insights from Finding Answers Initiative

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  1. Key Disparities Research Questions Marshall H. Chin, MD, MPH Associate Professor of Medicine University of Chicago Director, RWJF Finding Answers: Disparities Research for Change NPO AcademyHealth June 26, 2006

  2. Roadmap • Finding Answers • Key Questions

  3. Finding Answers • Finding Answers: Disparities Research for Change seeks to improve the quality of health care provided to patients from racial and ethnic backgrounds likely to experience disparities.

  4. Goals • Finding Answers will: • Grant funds to discover and evaluate practical and replicable solutions designed to reduce and eliminate racial and ethnic health care disparities. • Conduct systematic reviews regarding racial and ethnic health care disparities interventions. • Disseminate results.

  5. Grants • Cardiovascular disease, diabetes, depression • 3 Call for Proposals over 4 years • 20-25 grants • $5 million - $50K-$300K

  6. Eligible Interventions • Patient – e.g. disease management • Provider – e.g. cultural competency • Organization – e.g. QI • Community linkage – e.g. CHW • Policy – e.g. P4P

  7. Call for Proposals Cycles • Call for Proposals Cycle 1 • 178 Brief Proposals • 36 Full Proposal Invites • Grantees chosen October 2006 • Call for Proposals Cycle 2 • Launch end of 2006 • Call for Proposals Cycle 3 – late 2007 • www.solvingdisparities.org

  8. Systematic Reviews:3 Products • Supplement to Med Care Research Review • Searchable database on website – CVD, DM, Depression • Policy briefs

  9. Med Care Research Review • Intro • CVD • DM • Depression • Breast cancer • Culture-specific • P4P and public reporting • Policy

  10. Observations • Lots of general QI interventions • Relatively few studying minority populations • Vanishingly few on disparity reduction • Holes

  11. Key Questions: Targeting • Mix of general QI vs. culture-specific • Raise the tide of all vs. target • All providers vs. predominant providers of minority patients • General QI techniques vs. culture-specific • Operationalizing culture-specific • Patient-centered and cultural competency • Physical and mental – e.g. stigma

  12. Key Questions: Implementation • Inside black box of implementation • Replicable - $, effort, practical tools • Sustainable • Multicomponent – prioritization and resource allocation • Unintended consequences • Positive • Negative

  13. Key Questions: Cost • Cost issues – business and societal • Aligning the incentives • Resource capacity, esp. for predominant providers of minority patients

  14. Key Questions: Community and Policy • Leverage full strengths of both community and health care system • Public health and medical care • Community-based participatory research • P4P, public reporting, financial incentives

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