A Rapid Review of Interventions to Improve Care for People Who Are Medically Underserved with Multiple Sclerosis, Diabetic Retinopathy, and Lung Cancer

In the United States, patients with chronic conditions experience disparities in health outcomes across the care continuum. Among patients with multiple sclerosis, diabetic retinopathy, and lung cancer, there is a lack of evidence summarizing interventions to improve care and decrease these disparit...

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Bibliographic Details
Published in:	International journal of environmental research and public health Vol. 21; no. 5; p. 529
Main Authors:	Mossburg, Sarah, Kilany, Mona, Jinnett, Kimberly, Nguyen, Charlene, Soles, Elena, Wood-Palmer, Drew, Aly, Marwa
Format:	Journal Article
Language:	English
Published:	Switzerland MDPI AG 24-04-2024
Subjects:	Chronic illnesses Diabetes Diabetic retinopathy Diabetic Retinopathy - therapy Disease Health care access Health care expenditures Health disparities Health Services Accessibility Healthcare Disparities Humans Indigent care Intervention Lung cancer Lung Neoplasms - therapy Minority & ethnic groups Multiple sclerosis Multiple Sclerosis - therapy Patients Retention United States United States United States > US medically underserved rapid review interventions
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Summary:	In the United States, patients with chronic conditions experience disparities in health outcomes across the care continuum. Among patients with multiple sclerosis, diabetic retinopathy, and lung cancer, there is a lack of evidence summarizing interventions to improve care and decrease these disparities. The aim of this rapid literature review was to identify interventions among patients with these chronic conditions to improve health and reduce disparities in screening, diagnosis, access to treatment and specialists, adherence, and retention in care. Using structured search terms in PubMed and Web of Science, we completed a rapid review of studies published in the prior five years conducted in the United States on our subject of focus. We screened the retrieved articles for inclusion and extracted data using a standard spreadsheet. The data were synthesized across clinical conditions and summarized. Screening was the most common point in the care continuum with documented interventions. Most studies we identified addressed interventions for patients with lung cancer, with half as many studies identified for patients with diabetic retinopathy, and few studies identified for patients with multiple sclerosis. Almost two-thirds of the studies focused on patients who identify as Black, Indigenous, or people of color. Interventions with evidence evaluating implementation in multiple conditions included telemedicine, mobile clinics, and insurance subsidies, or expansion. Despite documented disparities and a focus on health equity, a paucity of evidence exists on interventions that improve health outcomes among patients who are medically underserved with multiple sclerosis, diabetic retinopathy, and lung cancer.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1
ISSN:	1660-4601 1661-7827 1660-4601
DOI:	10.3390/ijerph21050529