Table 3

Summary of interventions, clinical areas, and outcomes of 27 studies aimed at improving quality of health care for racial/ethnic minorities

Intervention Type1

Clinical Area (references)

Total # Studies

Overall Outcome Assessment across Studies

Rating of Evidence


Tracking/Reminders

General Adult Prevention (9,10)

10

All studies reported favorable outcomes.

A

Cancer Screening (10,15,19,21,25,35)

Tobacco Cessation (30)

End of Life (31)

Multifaceted

Adult Cancer Screening (28,29)

9

Although almost all studies reported some favorable impact on one or more outcome type, results were inconsistent across studies

C

Cholesterol Reduction(24)

Tobacco Cessation (27)

Depression (14,34)

Alcohol Cessation (20)

Asthma (22)

Upper Respiratory Tract Infections (33)

Bypass MD

Cancer Screening (12,23)

2

Both studies reported favorable outcomes in the provision of preventive services to patients

C

Provider Education

Adult General Prevention (17)

2

Both studies reported favorable impact on provider counseling behaviors.

C

Child Injury Prevention (32)

Use of STQ2

Adolescent Health Risks (16)

1

One study reported favorable impact on provider counseling behavior.

D

Use of RST3

Well Baby Care (18)

1

One study reported favorable outcomes on accuracy of translation and provider/patient satisfaction.

D

Use of Specialty Consult

Chronic Renal Disease (26)

1

One study did not demonstrate improvement.

D

Use of Defibrillators

Emergency Medicine (13)

1

One study did not demonstrate improvement.

D


1 Note that characterization of interventions for purposes of synthesis reflects a simplification of employed methods. Consult Supplementary Table for details on methods for individual studies [See 1].

2 STQ = safe times questionnaire

3 RST = remote simultaneous translation

Beach et al. BMC Public Health 2006 6:104   doi:10.1186/1471-2458-6-104

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