SEARCHSYSTEMATIC_REVIEWpublic health, epidemiology

systematic_review·public health, epidemiology, research methods, systematic review·PMC10639125

Disparity dashboards: an evaluation of the literature and framework for health equity improvement

The Lancet. Digital health · 10 authors, 1 centre

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TL;DR

The central finding was that while dashboards are promising tools for visualizing and highlighting inequities, most are static and lack continuous data updates, limiting their sustained impact for ongoing monitoring.

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This is a scoping review that systematically searched PubMed to identify and analyze 22 published studies on disparity dashboards designed to monitor health inequities across population subgroups. The authors extracted data on dashboard characteristics, including focus area, data sources, update frequency, and disaggregated demographic features. A key limitation noted was the prevalence of static dashboards, indicating that maintaining the necessary infrastructure for continuous updates is a significant challenge for organizations.

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systematic_review

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public health

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AI pipeline

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ORIGINAL PAPER

PMC10639125

Disparity dashboards: an evaluation of the literature and framework for health equity improvement

The Lancet. Digital health

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ABSTRACT

The growing recognition of differences in health outcomes across populations has led to a slow but increasing shift towards transparent reporting of patient outcomes. In addition, pay-for-equity initiatives, such as those proposed by the Centers for Medicare and Medicaid, will require the reporting of health outcomes across subgroups over time. Dashboards offer one means of visualising data in the health-care context that can highlight essential disparities in clinical outcomes, guide targeted quality-improvement efforts, and ultimately improve health equity. In this Viewpoint, we evaluate all studies that have reported the successful development of a disparity dashboard and share the data collected and unintended consequences reported. We propose a framework for systematic equality improvement through incentivisation of the collecting and reporting of health data and through implementation of reward systems to reduce health disparities.

CITATION EXPORT

Jack Gallifant, Emmett Alexander Kistler, Luis Filipe Nakayama et al.. Disparity dashboards: an evaluation of the literature and framework for health equity improvement. The Lancet. Digital health. (2023). https://doi.org/10.1016/S2589-7500(23)00150-4

AUTHORS

10 · 1 CENTRES

Jack Gallifant, Emmett Alexander Kistler, Luis Filipe Nakayama, Chloe Zera, Sunil Kripalani, Adelline Ntatin, Leonor Fernandez, David Bates, Irene Dankwa-Mullan, Leo Anthony Celi

Laboratory for Computational Physiology, Massachusetts Institute of Technology, Cambridge, MA, USA (J Gallifant MBBS, L F Nakayama MD, L A Celi MD); Division of Pulmonary, Critical Care, and Sleep Medicine (E A Kistler MD, L A Celi), Department of Obstetrics, Gynecology and Reproductive Biology (C Zera MD), and Department of Medicine (L Fernandez MD), Beth Israel Deaconess Medical Center, Boston, MA, USA; Department of Ophthalmology, São Paulo Federal University, São Paulo, Brazil (L F Nakayama); Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA (S Kripalani MD); Department of Health Equity, Beth Israel Lahey Health, Boston, MA, USA (A Ntatin RN); Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital, Boston, MA, USA (D Bates MD); Department of Medicine, Harvard Medical School, Boston, MA, USA (D Bates); Merative & Center for AI, Research, and Evaluation, IBM Watson Health, Cambridge, MA, USA (I Dankwa-Mullan MD); Department of Health Policy and Management, Milken Institute School of Public Health, George Washington University, Washington, DC, USA (I Dankwa-Mullan); Department of Biostatistics, Harvard T H Chan School of Public Health, Boston, MA, USA (L A Celi)