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Multilevel Interventions To Address Health Disparities Show Promise In Improving Population Health
Journal article   Open access   Peer reviewed

Multilevel Interventions To Address Health Disparities Show Promise In Improving Population Health

Electra Paskett, Beti Thompson, Alice S Ammerman, Alexander N Ortega, Jill Marsteller and DeJuran Richardson
Health affairs Web exclusive, v 35(8), pp 1429-1434
01 Aug 2016
PMID: 27503968
url
https://doi.org/10.1377/hlthaff.2015.1360View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze) Open

Abstract

Delivery of Health Care, Integrated - organization & administration Female Health Education - organization & administration Health Status Disparities Healthcare Disparities Humans Male Minority Groups - statistics & numerical data Patient Protection and Affordable Care Act - organization & administration Population Health Poverty - statistics & numerical data Quality Assurance, Health Care Randomized Controlled Trials as Topic Research Design Risk Factors United States
Multilevel interventions are those that affect at least two levels of influence-for example, the patient and the health care provider. They can be experimental designs or natural experiments caused by changes in policy, such as the implementation of the Affordable Care Act or local policies. Measuring the effects of multilevel interventions is challenging, because they allow for interaction among levels, and the impact of each intervention must be assessed and translated into practice. We discuss how two projects from the National Institutes of Health's Centers for Population Health and Health Disparities used multilevel interventions to reduce health disparities. The interventions, which focused on the uptake of the human papillomavirus vaccine and community-level dietary change, had mixed results. The design and implementation of multilevel interventions are facilitated by input from the community, and more advanced methods and measures are needed to evaluate the impact of the various levels and components of such interventions.

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140 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#10 Reduced Inequalities
#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Health Care Sciences & Services
Health Policy & Services
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