Disparities in Preventive Health Services: Targeting Minorities and Majorities
Authors: Michael Bretthauer, Mette Kalager
Journal: Annals of Internal Medicine (2020)

Editorials18 February 2020Disparities in Preventive Health Services: Targeting Minorities and MajoritiesMichael Bretthauer, MD, PhD and Mette Kalager, MD, PhDMichael Bretthauer, MD, PhDUniversity of Oslo and Oslo University Hospital, Oslo, Norway (M.B.) and Mette Kalager, MD, PhDUniversity of Oslo and Oslo University Hospital, Oslo Norway (M.K.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M19-3899 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail In June 2019, the National Institutes of Health (NIH) convened the Pathways to Prevention Workshop for health equity in preventive services. The workshop's aim was to assess the evidence on disparities in the use of 10 preventive services for cancer, heart disease, and diabetes recommended by the U.S. Preventive Services Task Force (USPSTF). The workshop panel's report, with 26 recommendations for future research to reduce disparities related to the 10 services (1), and a systematic review informing the recommendations (2) have been published in Annals.Not surprisingly, the panel identified insurance coverage as essential to securing equal access to the ...References1. Carey TS, Bekemeier B, Campos-Outcalt D, et al. National Institutes of Health Pathways to Prevention Workshop: achieving health equity in preventive services. Ann Intern Med. 2020;172:272-8. doi:10.7326/M19-3171 LinkGoogle Scholar2. Nelson HD, Cantor A, Wagner J, et al. Achieving health equity in preventive services: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. Ann Intern Med. 2020;172:258-71. doi:10.7326/M19-3199 LinkGoogle Scholar3. Meghani SH, Gallagher RM. Disparity vs inequity: toward reconceptualization of pain treatment disparities. Pain Med. 2008 Jul-Aug;9:613-23. [PMID: 18777609] CrossrefMedlineGoogle Scholar4. Arcaya MC, Arcaya AL, Subramanian SV. Inequalities in health: definitions, concepts, and theories. Glob Health Action. 2015;8:27106. [PMID: 26112142] doi:10.3402/gha.v8.27106 CrossrefMedlineGoogle Scholar5. U.S. Preventive Services Task Force. Grade definitions. Accessed at www.uspreventiveservicestaskforce.org/Page/Name/grade-definitions on 8 December 2019. Google Scholar6. Holme Ø, Schoen RE, Senore C, et al. Effectiveness of flexible sigmoidoscopy screening in men and women and different age groups: pooled analysis of randomised trials. BMJ. 2017;356:i6673. [PMID: 28087510] doi:10.1136/bmj.i6673 CrossrefMedlineGoogle Scholar7. Gøtzsche PC, Jørgensen KJ. Screening for breast cancer with mammography. Cochrane Database Syst Rev. 2013:CD001877. [PMID: 23737396] doi:10.1002/14651858.CD001877.pub5 CrossrefMedlineGoogle Scholar8. Holme Ø, Løberg M, Kalager M, et al. Effect of flexible sigmoidoscopy screening on colorectal cancer incidence and mortality: a randomized clinical trial. JAMA. 2014;312:606-15. [PMID: 25117129] doi:10.1001/jama.2014.8266 CrossrefMedlineGoogle Scholar9. Horwitz LI, Kuznetsova M, Jones SA. Creating a learning health system through rapid-cycle, randomized testing. N Engl J Med. 2019;381:1175-1179. [PMID: 31532967] doi:10.1056/NEJMsb1900856 CrossrefMedlineGoogle Scholar10. Kalager M, Bretthauer M. Improving cancer screening programs. Evaluating diagnostic tests in learning screening programs could improve public health. Science. 2020;367:143-4. doi:10.1126/science.aay3156 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of Oslo and Oslo University Hospital, Oslo, Norway (M.B.)University of Oslo and Oslo University Hospital, Oslo Norway (M.K.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-3899.Corresponding Author: Michael Bretthauer, MD, PhD, Clinical Effectiveness Research Group, Department of Health Management and Health Economics, Institute of Health and Society, University of Oslo, Postbox 1089 Blindern, 0317 Oslo, Norway; e-mail, michael.[email protected]uio.no.Current Author Addresses: Drs. Bretthauer and Kalager: Clinical Effectiveness Research Group, Department of Health Management and Health Economics, Institute of Health and Society, Postbox 1089 Blindern, 0317 Oslo, Norway.This article was published at Annals.org on 14 January 2020. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoNational Institutes of Health Pathways to Prevention Workshop: Achieving Health Equity in Preventive Services Timothy S. Carey , Betty Bekemeier , Doug Campos-Outcalt , Susan Koch-Weser , Sandra Millon-Underwood , and Steven Teutsch Achieving Health Equity in Preventive Services: A Systematic Review for a National Institutes of Health Pathways to Prevention Workshop Heidi D. Nelson , Amy Cantor , Jesse Wagner , Rebecca Jungbauer , Ana Quiñones , Lucy Stillman , and Karli Kondo Metrics Cited byColorectal Cancer Screening — Approach, Evidence, and Future DirectionsAdoption of the Website and Mobile App of a Preventive Health Program Across Neighborhoods With Different Socioeconomic Conditions in the Netherlands: Longitudinal Study 18 February 2020Volume 172, Issue 4Page: 287-288KeywordsCancer preventionCardiovascular disease riskColorectal cancerForecastingHealth disparitiesHealth economicsMedical servicesMortalityOverweightPopulation statistics ePublished: 14 January 2020 Issue Published: 18 February 2020 Copyright & PermissionsCopyright © 2020 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...