Understanding Disparities in Persons with Multiple Chronic Conditions: Research Approaches and Datasets. 8.2.4 Intervention research


Most of the disparities research that has been conducted on the MCC population to-date has been focused on measuring the magnitude of disparities rather than analyzing the causes of the disparities or methods of reducing disparities. The following types of research may be useful to develop interventions aimed at eliminating disparities.

  • Local intervention research, which takes into consideration the populations, resources and infrastructure that are specific to each setting. Such research is more likely than national research to allow analyses on and adaptations for within-group variations (e.g. Puerto-Rican or Mexican-American instead of Hispanic)
  • Interventions leveraging electronic medical records (EMRs). Due to the adoption of EMRs, health plans and health practices are becoming increasingly able to analyze causes of disparities and address them within their patient population. It may be useful to produce case studies of EMR use to reduce disparities, for example focusing on patients with HIV or diabetes, and pediatric patients with special needs.
  • Supplemental analyses on grants from the Centers for Medicare and Medicaid Innovation. Some CMMI grantees who are testing health system interventions are finding that enrolled patients include a high proportion of minority patients and persons with multiple chronic conditions. While the CMMI studies are not focused on MCC per se, they have an opportunity to provide new insights to the MCC field.

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