Racial Inequalities In Access Research Articles

Situating implementation science (IS) in res(IS)tance: a conceptual frame toward the integration of scholarship from the black radical tradition.

This manuscript undertakes a disciplinary self-critique of the field of implementation science, a field which attempts to bridge the gap between evidence-based interventions and their practical application. Despite the heightened emphasis on health equity and racial disparities, the field's current discourse is limited by key epistemic shortcomings. First, even though prevalence of implementation gaps between racialized groups in the United States necessitates a comprehensive understanding of the systems perpetuating these disparities, the field does not operate with a general explanation for disparities not as a failure of systems, but a system historically and structural designed to produce disparities. Second, the field has attempted to address disparities without adequate dialog with a broad tradition of anti-racist and anti-colonial sociology, history and epistemology, and therefore risks a decontextualized analysis of disparities and under-informed approaches to achieving equity. Fortunately, scholarship from the Black radical tradition (BRT), such as the Public Health Critical Race Praxis (PHCRP), Critical Race Theory (CRT), and more broadly conceptual frameworks from post-modern, anti-colonial, Black feminist studies and social epistemology can offer to implementation science frameworks that center power dynamics and racialized oppression. This epistemic re-alignment of implementation research to "center at the margins" can enable the field of implementation science to more critically examine and dismantle systems that perpetuate racial inequalities in access to and utilization of health interventions. For example, normalization and dynamic fit, which are thought to be key mechanisms of implementation, are revealed in the light of this tradition of scholarship to be potentially problematic acquiescence to oppressive systems. Drawing from the concept of resistance anchored in the scholarship of the Black radical tradition as well as contemporary social epistemology such as the work of José Medina and Maria Fricker about epistemic justice, the authors further advance that implementation science could make more substantial contributions to the dismantling of racialized systems and actively work toward health justice through the transdisciplinary lens of resistance. This is a call to action for integrating implementation science with critical philosophical and theoretical perspectives rooted in Black studies and related insights, which have been acquired through the struggle for social justice, to inform the design of implementation strategies and research projects that improve health services and health outcomes for health disparity populations.

Racial and income inequalities in access to healthcare in Brazilian cities

IntroductionPeople's access to public healthcare can importantly contribute to reducing the prevalence of diseases and increasing life expectancy. Despite the advances of Brazil's Unified Health System (SUS), the country faces a permanent challenge in improving the coverage and equity of healthcare to reduce racial, spatial, and income inequalities in access to healthcare. Several studies have explored the spatial dimension of socioeconomic inequalities in access to healthcare in Brazil, but few analyze such inequalities within cities and bring evidence of racial inequalities. MethodsThis paper presents the first large-scale study in Brazil examining the social and racial inequalities of access to healthcare at a high spatial resolution. The analysis covers access to primary and high-complexity public healthcare by public transport, automobile, and walking for the 20 largest cities in Brazil in 2019. ResultsThe results show that individuals with low income, regardless of race, have greater accessibility to primary healthcare in general. In contrast, individuals with high-income, mostly white, have substantially better accessibility to high-complexity healthcare. Yet, we find that racial inequalities in access to healthcare become much smaller when controlling for income. ConclusionsThe results contribute to a better understanding of the geographical dimension of inequalities in access to healthcare in major Brazilian cities, showing how access to healthcare is strongly conditioned by social, economic, and transport-related factors.

6 The Role of CPAP Treatment on Associations Between Obstructive Sleep Apnea and Cognition Among Black and White Older Adults

Objective:Obstructive sleep apnea (OSA) may be a modifiable risk factor for late-life cognitive impairment. We previously demonstrated that non-Hispanic Black older adults are less likely to be diagnosed with OSA despite having equal or greater health risk for OSA compared to non-Hispanic White older adults, and this disparity in diagnosis was strongest among individuals with lower education. Here, we aimed to determine 1) whether there are racial differences in continuous positive airway pressure (CPAP) treatment, 2) how CPAP treatment may influence OSA-cognition associations, and 3) whether CPAP differentially influences OSA-cognition associations across racial groups.Participants and Methods:Cross-sectional data were obtained from 424 socioeconomically diverse community-dwelling adults ages 55-83 (63.4±3.2 years, 41.7% male, 53.5% Black) from the Michigan Cognitive Aging Project. Physician-diagnosed OSA and current CPAP use were self-reported. Global cognition was operationalized as a composite of five factor scores derived from a comprehensive neuropsychological battery. Racial group differences were investigated with chi-square and Fisher’s exact tests with statistical significance set at the .05 level. Associations between OSA and cognition (adjusted for age, gender, race, and years of education) were investigated with linear regressions. Subsequent models isolated effects of uncontrolled OSA by excluding individuals using CPAP. Racial differences in OSA-cognition associations were investigated with race-stratified models.Results:Fewer Black participants (9.2%) reported diagnosed OSA compared to White participants (12.3%; x2 (1, N=424) =5.314, p=.021, cp=.112). In the whole sample, 47.3% of participants with diagnosed OSA reported CPAP use, and this proportion did not differ across race (x2 [1, N=86] =.048, p=.826). In the whole sample, OSA diagnosis was only associated with cognition when CPAP users were excluded (excluding CPAP users: ß=-.085, SE=.037, p=.024; including CPAP users: ß=-.067, SE=.036, p=.062). In race-stratified models, diagnosed OSA was only associated with cognition among Black participants, and this association was stronger when CPAP users were excluded (excluding CPAP users: ß=-.142, SE=.060, p=.018; including CPAP users: ß=-.126, SE=.058, p=.030). Diagnosed OSA was not associated with cognition among White participants, irrespective of whether CPAP users were included (excluding CPAP users: ß=-.084,SE=.068, p=.215; including CPAP users: ß=-.056, SE=.064, p=.378).Conclusions:Our findings support CPAP treatment as a potential intervention to mitigate late-life cognitive impairment among those with OSA. Despite being less likely to receive a diagnosis of OSA, Black older adults were equally likely to engage in CPAP treatment as White older adults when diagnosed. The detrimental impact of OSA on cognition may be more salient among Black older adults, which may reflect racial disparities in cardiovascular risk and/or resources that promote cognitive reserve. However, CPAP appears to be an effective treatment to reduce OSA-related cognitive impairment for Black older adults, highlighting the critical importance of diagnosis and treatment in this group. Intervention efforts that abate racial inequalities in access to quality healthcare in order to facilitate acquisition of a formal OSA diagnosis and CPAP treatment may help to reduce preventable cognitive health disparities among older adults.

American Indians travel great distances for obstetrical care: Examining rural and racial disparities

Rural, American Indian/Alaska Native (AI/AN) people, a population at elevated risk for complex pregnancies, have limited access to risk-appropriate obstetric care. Obstetrical bypassing, seeking care at a non-local obstetric unit, is an important feature of perinatal regionalization that can alleviate some challenges faced by this rural population, at the cost of increased travel to give birth. Data from five years (2014–2018) of birth certificates from Montana, along with the 2018 annual survey of the American Hospital Association (AHA) were used in logistic regression models to identify predictors of bypassing, with ordinary least squares regression models used to predict factors associated with the distance (in miles) birthing people drove beyond their local obstetric unit to give birth. Logit analyses focused on hospital-based births to Montana residents delivered during this time period (n = 54,146 births). Distance analyses focused on births to individuals who bypassed their local obstetric unit to deliver (n = 5,991 births). Individual-level predictors included maternal sociodemographic characteristics, location, perinatal health characteristics, and health care utilization. Facility-related measures included level of obstetric care of the closest and delivery hospitals, and distance to the closest hospital-based obstetric unit. Findings suggest that birthing people living in rural areas and on American Indian reservations were more likely to bypass to give birth, with bypassing likelihood depending on health risk, insurance, and rurality. AI/AN and reservation-dwelling birthing people traveled significantly farther when bypassing. Findings highlight that distance traveled was even farther for AI/AN people facing pregnancy health risks (23.8 miles farther than White people with pregnancy risks) or when delivering at facilities offering complex care (14–44 miles farther than White people). While bypassing may connect rural birthing people to more risk-appropriate care, rural and racial inequities in access persist, with rural, reservation-dwelling AI/AN birthing people experiencing greater likelihood of bypassing and traveling greater distances when bypassing.

CHILDREN’S SERVICE USE: CORRELATES AND PROPOSED SOLUTIONS TO DISPARITIES IN ACCESS

The objectives are to bring together a collection of research identifying demographic and clinical variables associated with children’s receipt of mental health (MH) care and identify possible solutions to address racial inequities in access to children’s MH care.

Green gentrification in European and North American cities

Although urban greening is universally recognized as an essential part of sustainable and climate-responsive cities, a growing literature on green gentrification argues that new green infrastructure, and greenspace in particular, can contribute to gentrification, thus creating social and racial inequalities in access to the benefits of greenspace and further environmental and climate injustice. In response to limited quantitative evidence documenting the temporal relationship between new greenspaces and gentrification across entire cities, let alone across various international contexts, we employ a spatially weighted Bayesian model to test the green gentrification hypothesis across 28 cities in 9 countries in North America and Europe. Here we show a strong positive and relevant relationship for at least one decade between greening in the 1990s–2000s and gentrification that occurred between 2000–2016 in 17 of the 28 cities. Our results also determine whether greening plays a “lead”, “integrated”, or “subsidiary” role in explaining gentrification.

Undoing structural racism in dentistry: Advocacy for dental therapy.

Like other areas of health, structural racism has a deep impact on oral health and is a key driver of racial inequities in access to care and outcomes. Racism also structures the relationship between oral health and access to economic opportunities. As a result, communities of color, American Indian/Alaska Native (AI/AN) communities, and low‐income populations experience the highest rates of the health, social, and economic costs of dental disease. This is compounded by issues of community‐level dental fear/trauma resulting from receiving itinerate care. Dentistry has long struggled to equitably distribute care and diversify its overwhelmingly white and affluent workforce, resulting in many communities not having access to providers who represent their identity and/or live in their community. While multi‐generational lack of access to dental care is not unique to Alaska, Alaska Native communities are the home to a reimagined, community‐centered care delivery system that is improving health outcomes. For almost two decades, AI/AN leaders have recruited and trained community members to serve as dental therapists—dental team members who offer routine and preventive care responsive to local geographic and cultural/community norms. As members of the communities they serve, dental therapists are fluent in the language and cultural norms of their patients, improving patient‐provider trust, access to care, and oral health outcomes. The communities that dental therapists serve are also now investing money and training in their community members, building educational opportunities, and professional wage jobs and directly countering the economic impact structural racism has on oral health.

Health ombudsman and racial inequities in Dental Specialities Centers performance in Brazil: A multilevel analysis.

This study aimed to verify racial differences in the performance of Dental Specialities Centers in Brazil, according to the presence of active health ombudsman on four primary outcomes: (1) access and dental appointment, (2) reception services, (3) bond and responsibility, and (4) social participation. Data came from the PMAQ-CEO national evaluation of public healthcare services, 2018-2019. The two main explanatory variables were the self-classified race at the individual level and the presence of the health ombudsman at the second level (level of services provision). Individual covariates included age, sex and schooling. Multilevel logistic regression was used to calculate the OR (Odds Ratios) in racial gaps according to the primary outcomes with individuals at the first level and public health services at the second level. The analytical sample comprised of 8993 respondents. Brown people were less likely to report better Access (27%), good reception services (31%), bond and responsibility (30%) and social participation (22%) than Whites. Black people showed similar patterns. Dental Specialities Centers that use health ombudsman for planning have attenuated racial inequities in all analysed dimensions. Dental Specialities Centers that use active health ombudsman for planning showed lower racial inequities in access, reception, bond and responsibility and social participation than those who did not use. Therefore, the health ombudsman should be implemented and used for planning better specialized dental services in Brazil.

Impact of Race, Ethnicity, and Socioeconomic Status on Digital Breast Tomosynthesis Access and Use.

HomeRadiology: Imaging CancerVol. 3, No. 4 PreviousNext Research HighlightsFree AccessImpact of Race, Ethnicity, and Socioeconomic Status on Digital Breast Tomosynthesis Access and UseKenneth Wimmer, Kimberly RayKenneth Wimmer, Kimberly RayKenneth WimmerKimberly RayPublished Online:Jul 30 2021https://doi.org/10.1148/rycan.2021219013MoreSectionsPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In Take-Away Points■ Major Focus: To evaluate sociodemographic disparities regarding access to and use of digital breast tomosynthesis (DBT) for screening.■ Key Result: From 2011 to 2017, DBT access and use became more equitable across sociodemographic groups overall, but disparities were evident during early implementation and persisted throughout the study period for Black and Asian women, as well as women with less than a high school education and those living in rural areas.■ Impact: Efforts are needed to address barriers to DBT access and uptake among underserved women.In 2011, the Food and Drug Administration approved DBT, which has been shown in large, multicenter screening studies to improve cancer detection rates and decrease recall rates when compared to conventional two-dimensional mammography. DBT adoption has been hampered by equipment costs and inconsistent insurance coverage. Lee et al hypothesized that traditionally underserved populations have limited access to DBT and that these individuals would undergo DBT less frequently when available. The authors conducted a cross-sectional study of 2 313 118 screening examinations performed from 2011 to 2017 across 92 geographically diverse centers that are members of the Breast Cancer Surveillance Consortium. Of these examinations, 87.3% were performed in community settings unaffiliated with academic centers.Overall rates of DBT use were lower among Black (37.7%), Hispanic (44%), and Asian (42.8%) women relative to White women (53.1%). Women with lower educational attainment (defined as less than high school vs college level) and those who lived in zip codes with lower median income (defined as lowest vs highest income quartile) also demonstrated relatively lower DBT use rates (40.8% vs 50.6% and 43.9% vs. 51.4%, respectively). Disparities were most pronounced during the initial years of DBT adoption. For example, the relative risk of on-site DBT access for Black relative to White women was 0.05 (95% CI: 0.03, 0.11) in 2012, but increased during the study to peak at 1.28 (95% CI: 1.05, 1.56) in 2016. However, by the end of the study period, the authors observed persistent inequities in DBT access for Asian women, as well as women with less than a high school education and those living in rural areas.Interestingly, despite an improvement in DBT access over time, Black women consistently used DBT less than White women throughout the study period. This latter observation is especially salient as Black women are more likely than White women to present with advanced-stage breast cancer at the time of diagnosis. Thus, decreased DBT use by Black women may exacerbate existing racial disparities in breast cancer outcomes.Overall, the findings of the present study are consistent with prior studies showing that minorities and those of lower socioeconomic status experience delayed and diminished benefits from advanced imaging technologies. The ability to pay out-of-pocket and awareness of the relative benefits and risks of newer screening technologies are likely to influence DBT use. As practices continue to transition to offering DBT, results of this study should inform the efforts of radiology practices and policy makers to address barriers to DBT access and uptake among underserved populations.Highlighted ArticleLee, CI, Zhu, W, Onega, T, et al. Comparative access to and use of digital breast tomosynthesis screening by women's race/ethnicity and socioeconomic status. JAMA Netw Open 2021;4(2):e2037546. doi:https://doi.org/10.1001/jamanetworkopen.2020.37546Highlighted ArticleLee, CI, Zhu, W, Onega, T, et al. Comparative access to and use of digital breast tomosynthesis screening by women’s race/ethnicity and socioeconomic status. JAMA Netw Open 2021;4(2):e2037546. doi:10.1001/jamanetworkopen.2020.37546 Crossref, Medline, Google ScholarArticle HistoryPublished online: July 30 2021 FiguresReferencesRelatedDetailsRecommended Articles Clinical Performance of Synthesized Two-dimensional Mammography Combined with Tomosynthesis in a Large Screening PopulationRadiology2017Volume: 283Issue: 1pp. 70-76Relationship between Race and Access to Newer Mammographic Technology in Women with Medicare InsuranceRadiology2022Volume: 306Issue: 2Addressing Racial Inequities in Access to State-of-the-Art Breast ImagingRadiology2022Volume: 306Issue: 2Does Reader Performance with Digital Breast Tomosynthesis Vary according to Experience with Two-dimensional Mammography?Radiology2017Volume: 283Issue: 2pp. 371-380Racial Disparities in Digital Breast Tomosynthesis ScreeningRadiology: Imaging Cancer2021Volume: 3Issue: 4See More RSNA Education Exhibits Let’s Talk about Next-Generation Breast Cancer Screening Programs: How Should We Do? What Should We Use?Digital Posters2020Encouraging Mammography Screening: Strategies for Designing a Culturally and Linguistically Targeted Breast Cancer Educational Program for a Multicultural PopulationDigital Posters2018Developing a Personalized Breast Screening Program and Centralized Breast Imaging Center in a Community-Based Health Network: A How-To Guide with Clinical OutcomesDigital Posters2018 RSNA Case Collection Invasive Lobular CarcinomaRSNA Case Collection2021Breast edemaRSNA Case Collection2021Deodorant ArtifactRSNA Case Collection2021 Vol. 3, No. 4 Metrics Altmetric Score PDF download

Structural Justice Ethics in Health Care

Structural Justice Ethics in Health Care

Reduction of inequities of access to appropriate childbirth care in Rede Cegonha.

This article compares the findings of "Avaliação da Rede Cegonha" (ARC - Stork Network Assessment), an evaluative study on the Rede Cegonha (RC - Stork Network) program, with Nascer no Brasil (NB - Born in Brazil), a national survey on labor and birth, conducted in 2011-12, before the start implementation of RC. ARC was conducted in 2017, in 606 maternity hospitals involved in RC and NB included a sample with national representation of 266 hospitals. In the current analysis, we included the 136 SUS hospitals that participated in both studies, totaling 3,790 and 12,227 puerperal women. We perform comparisons of best practices and interventions in the management of labor and delivery using Pearson's chi-square test for independent samples. The prevalence of best practices was, on average, 150% higher in ARC than in NB, with a greater relative increase in less developed regions, for older, brown and black women and less educated. Regarding interventions, there was an average reduction of 30% between NB and ARC, with a greater relative reduction in less developed regions and less educated women. There was a significant improvement in the scenario of care for labor and childbirth, with a reduction in regional, educational and racial inequalities in access to appropriate technologies, suggesting that the RC intervention was effective.

Geographic access to COVID-19 healthcare in Brazil using a balanced float catchment area approach.

The rapid spread of COVID-19 across the world has raised concerns about the responsiveness of cities and healthcare systems during pandemics. Recent studies try to model how the number of COVID-19 infections will likely grow and impact the demand for hospitalization services at national and regional levels. However, less attention has been paid to the geographic access to COVID-19 healthcare services and to hospitals’ response capacity at the local level, particularly in urban areas in the Global South. This paper shows how transport accessibility analysis can provide actionable information to help improve healthcare coverage and responsiveness. It analyzes accessibility to COVID-19 healthcare at high spatial resolution in the 20 largest cities of Brazil. Using network-distance metrics, we estimate the vulnerable population living in areas with poor access to healthcare facilities that could either screen or hospitalize COVID-19 patients. We then use a new balanced floating catchment area (BFCA) indicator to estimate spatial, income, and racial inequalities in access to hospitals with intensive care unit (ICU) beds and mechanical ventilators while taking into account congestion effects. Based on this analysis, we identify substantial social and spatial inequalities in access to health services during the pandemic. The availability of ICU equipment varies considerably between cities, and it is substantially lower among black and poor communities. The study maps territorial inequalities in healthcare access and reflects on different policy lessons that can be learned for other countries based on the Brazilian case.

Racial inequalities in access to care for young people living with pain due to sickle cell disease

Sickle cell disease is among the most common genetic disorders globally, predominantly affecting individuals from African, Mediterranean, Arabian, and Indian origins. The most severe forms (ie, HbSS and HbSβ0) uniformly present with severe anaemia, and the generally milder forms (ie, HbSC and HbSβ+) show variable degrees of severity. The basic pathophysiology of sickle cell disease is the polymerisation of affected haemoglobin in the deoxygenated state, which leads to microvascular obstruction, tissue infarction, and a cascade of endothelial damage, end organ damage (eg, stroke), kidney impairment, and avascular necrosis.

Let COVID-19 Serve as a Catalyst to Fix National Crisis of Poor Maternal Mortality Data.

Let COVID-19 Serve as a Catalyst to Fix National Crisis of Poor Maternal Mortality Data.

Structural Racism and Health Disparities: Reconfiguring the Social Determinants of Health Framework to Include the Root Cause.

The government recognizes that social factors cause racial inequalities in access to resources and opportunities that result in racial health disparities. However, this recognition fails to acknowledge the root cause of these racial inequalities: structural racism. As a result, racial health disparities persist.

Racial Differences in the use of Genetic Testing among Patients with Hypertrophic Cardiomyopathy

Background Hypertrophic cardiomyopathy (HCM), the prototypical cardiovascular genetic disease, is caused by dominantly inherited mutations in genes encoding sarcomeric proteins. Genetic testing is recommended for individuals with HCM, the results of which promote prevention of morbidity and mortality through detection of disease in at-risk relatives. However, utilization of genetic testing in clinical medicine has not been widely adopted. Prior studies of inherited cancer syndromes have noted racial inequities in access to genetic testing. The aim of this study was to investigate for structural inequities in referral to a cardiovascular genetics clinic for genetic testing and counseling among Black, Latinx, and female patients with HCM. Methods We performed a case-control study (January 2012-December 2017) of 280 patients with HCM within a large academic health system. HCM patients were identified by ICD-9 diagnostic codes, and then verified by manual chart review. Of these 280 patients, 20% were referred to cardiovascular genetics clinic for genetic testing (cases) and 80% were not (controls). Demographic factors including race and gender were extracted for both cases and controls. Fischer exact, χ2tests, and t tests were used to assess the statistical significance of difference in the characteristics of cases and controls as indicated. Results HCM patients who were referred to cardiovascular genetics clinic for genetic testing (cases) were less likely to be black (5.4% of cases vs. 8.0% of controls) and less likely to be female (46.4% of cases vs 56.7% controls), but this did not achieve statistical significance (p=0.82 for race; p=0.17 for gender). English language was not associated with referral (p=0.30). Older patients, however, were significantly less likely to be referred for genetic testing (odds ratio 0.94 [95% CI 0.92, 0.96][p Conclusions Overall referral rates to a cardiovascular genetics clinic for genetic testing were low among patients with HCM. Additional ascertainment is important to understand if the demonstrated trends are significant on a larger scale.

The impact of reimbursement systems on equity in access and quality of primary care: A systematic literature review.

BackgroundReimbursement systems provide incentives to health care providers and may drive physician behaviour. This review assesses the impact of reimbursement system on socioeconomic and racial inequalities in access, utilization and quality of primary care.MethodsA systematic search was performed in Web of Science and PubMed for English language studies published between 1980 and 2013, supplemented by reference tracking. Articles were selected based on inclusion criteria, and data extraction and critical appraisal were performed by two authors independently. Data were synthesized in a narrative manner and categorized according to study outcome and reimbursement system.ResultsTwenty seven articles, mostly from the United States and United Kingdom, were included in the data synthesis. Reimbursement systems seem to have limited effect on socioeconomic and racial inequity in access, utilization and quality of primary care. Capitation might have a more beneficial impact on inequity in access to primary care and number of ambulatory care sensitive admissions than fee-for-service, but did worse in patient satisfaction. Pay-for-performance had little or no impact on socioeconomic and racial inequity in the management of diabetes, cardiovascular diseases, chronic obstructive pulmonary disease, and preventive services.ConclusionWe found little scientific evidence supporting an association between reimbursement system and socioeconomic or racial inequity in access, utilization and quality of primary care. Overall, few studies addressed this research question, and heterogeneity in context and outcomes complicates comparisons across studies. Further empirical studies are warranted.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1805-8) contains supplementary material, which is available to authorized users.

Racial inequalities in access to women's health care in southern Brazil

The aim of this population-based cross-sectional study was to investigate access by 20 to 60 year-old women--both black and white--to early detection (pap-smear) exams for breast and cervical cancer in two towns--São Leopoldo and Pelotas--in Rio Grande do Sul State, southern Brazil. Estimates of the association between race/color and access to Pap-smear and breast exams were adjusted for income, education, economic class and age. Of the 2,030 women interviewed, 16.1% were black and 83.9%, white. Black women were significantly less likely to have had a Pap-smear and/or breast exam than white women. Racial inequalities in access to cancer early detection exams persisted after controlling for age and other socioeconomic factors. Racial differentials in access to early detection (Pap-smear) exams for breast and cervical cancers might result from racial and socioeconomic inequalities experienced by black women in access to reproductive health care services and programs.

P1-137 Racial differences in infant mortality: analysis of avoidable child deaths in Belo Horizonte, Brazil (2000–2007)

Infant mortality (IM) is an important health index. Avoidable deaths are those preventable through effective health services. Analyses by race seek to reflect racial inequalities in access to health services....

Moving the Mission Forward: Annual Report from the RSNA Radiology Informatics Committee for 2010

HomeRadioGraphicsVol. 31, No. 4 PreviousNext Special CommunicationsMoving the Mission Forward: Annual Report from the RSNA Radiology Informatics Committee for 2010David E. Avrin, Adam E. Flanders David E. Avrin, Adam E. Flanders Author AffiliationsFrom the Department of Clinical Radiology and Biomedical Imaging, University of California–San Francisco, San Francisco, Calif (D.E.A.); and Department of Radiology, Division of Neuroradiology/ENT, Thomas Jefferson University Hospital, Suite 1080B, Main Building, 132 S Tenth St, Philadelphia, PA 19107-5244 (A.E.F.).Address correspondence to A.E.F. (e-mail: [email protected]).David E. AvrinAdam E. Flanders Published Online:Jul 8 2011https://doi.org/10.1148/rg.314115107MoreSectionsFull textPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In Article HistoryReceived: May 3 2011Accepted: May 12 2011Published online: July 8 2011Published in print: July 2011 FiguresReferencesRelatedDetailsRecommended Articles Equalizing the Performance of Radiologists and Physician Extenders in Screening MammographyRadiology2022Volume: 0Issue: 0Addressing Racial Inequities in Access to State-of-the-Art Breast ImagingRadiology2022Volume: 0Issue: 0Integrating Al Algorithms into the Clinical WorkflowRadiology: Artificial Intelligence2021Volume: 3Issue: 6Linda Moy, MD, Named New Editor of RadiologyRadioGraphics2022Volume: 42Issue: 2pp. E37-E38Linda Moy, MD, Named New Editor of RadiologyRadiology2022Volume: 303Issue: 1pp. 3-4See More RSNA Education Exhibits The 3D Slicer Open-source Platform for Medical Image Analysis and 3D Visualization of DICOM DataDigital Posters2020From the Reading Room to the Living Room: Implementation of a Virtual Breast Imaging Teaching Curriculum During Covid-19Â Digital Posters2020Artificial Intelligence in Breast Imaging: Past, Present, and FutureDigital Posters2020 RSNA Case Collection Lung Carcinoma Metastatic to the BreastRSNA Case Collection2020Carotid WebRSNA Case Collection2020Bilateral Diabetic MastopathyRSNA Case Collection2021 Vol. 31, No. 4 AbbreviationsAbbreviations:ACRAmerican College of RadiologyDICOMDigital Imaging and Communications in MedicineHIThealthcare information technologyIHEIntegrating the Healthcare EnterpriseMIRCMedical Imaging Resource CenterNIBIBNational Institute of Biomedical Imaging and BioengineeringPHRpersonal health recordRICRadiology Informatics Committee Metrics Altmetric Score PDF download