{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T00:46:27Z","timestamp":1769301987537,"version":"3.49.0"},"reference-count":76,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2024,4,24]],"date-time":"2024-04-24T00:00:00Z","timestamp":1713916800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Genentech, Inc."}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.3390\/ijerph21050529","type":"journal-article","created":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T05:13:41Z","timestamp":1714108421000},"page":"529","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A Rapid Review of Interventions to Improve Care for People Who Are Medically Underserved with Multiple Sclerosis, Diabetic Retinopathy, and Lung Cancer"],"prefix":"10.3390","volume":"21","author":[{"given":"Sarah","family":"Mossburg","sequence":"first","affiliation":[{"name":"American Institutes for Research, Arlington, VA 22202, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4313-1997","authenticated-orcid":false,"given":"Mona","family":"Kilany","sequence":"additional","affiliation":[{"name":"American Institutes for Research, Arlington, VA 22202, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"Jinnett","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences, UCSF Institute for Health and Aging, San Francisco, CA 94158, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2814-3583","authenticated-orcid":false,"given":"Charlene","family":"Nguyen","sequence":"additional","affiliation":[{"name":"American Institutes for Research, Arlington, VA 22202, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Soles","sequence":"additional","affiliation":[{"name":"American Institutes for Research, Arlington, VA 22202, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Drew","family":"Wood-Palmer","sequence":"additional","affiliation":[{"name":"American Institutes for Research, Arlington, VA 22202, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marwa","family":"Aly","sequence":"additional","affiliation":[{"name":"Department of Applied Health Sciences, School of Public Health, Indiana University Bloomington, Bloomington, IN 47405, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,4,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1177\/00333549141291S213","article-title":"Transitioning from health disparities to a health equity research agenda: The time is now","volume":"129","author":"Srinivasan","year":"2014","journal-title":"Public Health Rep."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1186\/s12939-019-1058-3","article-title":"The historical roots and seminal research on health equity: A referenced publication year spectroscopy (RPYS) analysis","volume":"18","author":"Yao","year":"2019","journal-title":"Int. J. Equity Health"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1146\/annurev-publhealth-031210-101218","article-title":"The Social Determinants of Health: Coming of Age","volume":"32","author":"Braveman","year":"2011","journal-title":"Annu. Rev. Public Health"},{"key":"ref_4","unstructured":"Ndugga, N., and Aritga, S. (2022, June 23). Disparities in Health and Health Care: 5 Key Questions and Answers [Issue Brief]. 11 May 2021. Available online: https:\/\/www.kff.org\/racial-equity-and-health-policy\/issue-brief\/disparities-in-health-and-health-care-5-key-question-and-answers\/#:~:text=Research%20further%20finds%20that%20health,losses%20due%20to%20premature%20deaths."},{"key":"ref_5","unstructured":"U.S. Department of Health and Human Services\u2014Office of Disease Prevention and Health Promotion (2022, June 30). Social Determinants of Health. Social Determinants of Health\u2014Healthy People 2030, Available online: https:\/\/health.gov\/healthypeople\/priority-areas\/social-determinants-health."},{"key":"ref_6","unstructured":"Partnership to Fight Chronic Disease (2022, June 23). Fighting Chronic Disease: The Case for Enhancing the Congressional Budget Analysis Process. [Fact Sheet]. Available online: https:\/\/www.fightchronicdisease.org\/sites\/default\/files\/docs\/PFCD_ChronDisease_FactSheet3Final.pdf."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"159","DOI":"10.3389\/fpubh.2016.00159","article-title":"Use Your Words Carefully: What Is a Chronic Disease?","volume":"4","author":"Bernell","year":"2016","journal-title":"Front. Public Health"},{"key":"ref_8","unstructured":"Centers for Disease Control and Prevention (2022, June 23). About Chronic Diseases, Available online: https:\/\/www.cdc.gov\/chronicdisease\/about\/index.htm."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e11168","DOI":"10.2196\/11168","article-title":"The impact of disease-modifying therapy access barriers on people with multiple sclerosis: Mixed-methods study","volume":"20","author":"Simacek","year":"2018","journal-title":"J. Med. Internet Res."},{"key":"ref_10","unstructured":"American Lung Association (2022, June 23). State of Lung Cancer: Racial and Ethnic Disparities. Available online: https:\/\/www.lung.org\/research\/state-of-lung-cancer\/racial-and-ethnic-disparities."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"2114","DOI":"10.1097\/BRS.0b013e31825d32f5","article-title":"Primary care referral of patients with low back pain to physical therapy: Impact on future health care utilization and costs","volume":"37","author":"Fritz","year":"2012","journal-title":"Spine"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"n2061","DOI":"10.1136\/bmj.n2061","article-title":"A new framework for developing and evaluating complex interventions: Update of Medical Research Council guidance","volume":"374","author":"Skivington","year":"2021","journal-title":"BMJ"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Jinnett, K., Kilany, M., Mossburg, S., and Nguyen, C. (2023, November 01). Equity and Access to Specialty Care Series of Infographics: Ophthalmology, Neurology and Lung Cancer Specialists (October 19, 2023). Available online: https:\/\/papers.ssrn.com\/sol3\/papers.cfm?abstract_id=4607300.","DOI":"10.2139\/ssrn.4607300"},{"key":"ref_14","unstructured":"Virginia Commonwealth University (2024, February 27). Rapid Review Protocol. Available online: https:\/\/guides.library.vcu.edu\/rapidreview."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: An updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"75","DOI":"10.18438\/B8WS5N","article-title":"Formulating the evidence based practice question: A review of the frameworks","volume":"6","author":"Davies","year":"2011","journal-title":"Evid. Based Libr. Inf. Pract."},{"key":"ref_17","unstructured":"Agency for Healthcare Research and Quality (2022, June 23). 2021 National Healthcare Quality and Disparities Report Introduction and Methods. AHRQ Publication No.21(22)-0054-EF, Available online: https:\/\/www.ahrq.gov\/research\/findings\/nhqrdr\/nhqdr21\/index.html."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"g1687","DOI":"10.1136\/bmj.g1687","article-title":"Better reporting of interventions: Template for intervention description and replication (TIDieR) checklist and guide","volume":"348","author":"Hoffmann","year":"2014","journal-title":"BMJ"},{"key":"ref_19","unstructured":"National Health, Lung, and Blood Institute (2024, February 27). Study Quality Assessment Tools, Available online: https:\/\/www.nhlbi.nih.gov\/health-topics\/study-quality-assessment-tools."},{"key":"ref_20","unstructured":"JBI (2024, February 27). Critical Appraisal Tools. Available online: https:\/\/jbi.global\/critical-appraisal-tools."},{"key":"ref_21","first-page":"2055217320932341","article-title":"Feasibility of \u201cSit Less, Move More\u201d: An intervention for reducing sedentary behavior among African Americans with MS","volume":"6","author":"Baird","year":"2020","journal-title":"Mult. Scler. J. Exp. Transl. Clin."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.msard.2018.07.014","article-title":"Treatment retention on fingolimod compared with injectable multiple sclerosis therapies in African-American patients: A subgroup analysis of a randomized Phase 4 study","volume":"25","author":"Cascione","year":"2018","journal-title":"Mult. Scler. Relat. Disord."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"102554","DOI":"10.1016\/j.msard.2020.102554","article-title":"The effect of out-of-pocket costs on initiation of disease-modifying therapies among Medicare beneficiaries with multiple sclerosis","volume":"46","author":"Hartung","year":"2020","journal-title":"Mult. Scler. Relat. Disord."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.cct.2018.10.009","article-title":"Results of a feasibility study of a patient informed, racially tailored home-based exercise program for Black persons with multiple sclerosis","volume":"75","author":"Motl","year":"2018","journal-title":"Contemp. Clin. Trials"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"2006","DOI":"10.1016\/j.apmr.2019.04.022","article-title":"Randomized controlled trial of a telephone-delivered physical activity and fatigue self-management interventions in adults with multiple sclerosis","volume":"100","author":"Plow","year":"2019","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1038\/s41746-018-0040-6","article-title":"Pivotal trial of an autonomous AI-based diagnostic system for detection of diabetic retinopathy in primary care offices","volume":"1","author":"Abramoff","year":"2018","journal-title":"NPJ Digit. Med."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Alam, M., Le, D., Lim, J.I., Chan, R.V.P., and Yao, X.C. (2019). Supervised machine learning based multi-task artificial intelligence classification of retinopathies. J. Clin. Med., 8, Available online: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6617139\/.","DOI":"10.3390\/jcm8060872"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1097\/APO.0000000000000416","article-title":"Real-time mobile teleophthalmology for the detection of eye disease in minorities and low socioeconomics at-risk populations","volume":"10","author":"Elgin","year":"2021","journal-title":"Asia Pac. J. Ophthalmol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1001\/jamainternmed.2017.0204","article-title":"Implementation and evaluation of a large-scale teleretinal diabetic retinopathy screening program in the Los Angeles County Department of Health Services","volume":"177","author":"Daskivich","year":"2017","journal-title":"JAMA Intern. Med."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"207","DOI":"10.4103\/meajo.MEAJO_19_16","article-title":"Assessment of annual diabetic eye examination using telemedicine technology among underserved patients in primary care setting","volume":"24","author":"Hatef","year":"2017","journal-title":"Middle East Afr. J. Ophthalmol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1001\/jamaophthalmol.2017.1150","article-title":"Evaluation of diabetic retinal screening and factors for ophthalmology referral in a telemedicine network","volume":"135","author":"Jani","year":"2017","journal-title":"JAMA Ophthalmol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"e022594","DOI":"10.1136\/bmjopen-2018-022594","article-title":"Identification of barriers, facilitators and system-based implementation strategies to increase teleophthalmology use for diabetic eye screening in a rural US primary care clinic: A qualitative study","volume":"9","author":"Liu","year":"2019","journal-title":"BMJ Open"},{"key":"ref_33","first-page":"7","article-title":"Automated reminders improve retinal screening rates in low income, minority patients with diabetes and correct the African American disparity","volume":"44","author":"Mehranbod","year":"2019","journal-title":"J. Med. Syst."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Ramchandran, R.S., Yilmaz, S., Greaux, E., and Dozier, A. (2020). Patient perceived value of teleophthalmology in an urban, low income US population with diabetes. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0225300"},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Rowe, L.W., Scheive, M., Tso, H.L., Wuster, P., Kalafatis, N.E., Camp, D., Thau, A., and Yung, C.W.R. (2021). A seven-year analysis of the role and impact of a free community eye clinic. BMC Med. Educ., 21.","DOI":"10.1186\/s12909-021-03026-7"},{"key":"ref_36","first-page":"7015272","article-title":"Use of expectation disconfirmation theory to test patient satisfaction with asynchronous telemedicine for diabetic retinopathy detection","volume":"2018","author":"Serrano","year":"2018","journal-title":"Int. J. Telemed. Appl."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"2214","DOI":"10.1177\/15353702211037262","article-title":"Prospective evaluation of optical coherence tomography for disease detection in the Casey Mobile Eye Clinic","volume":"246","author":"Tan","year":"2021","journal-title":"Exp. Biol. Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1177\/0269216317733381","article-title":"What happens during early outpatient palliative care consultations for persons with newly diagnosed advanced cancer? A qualitative analysis of provider documentation","volume":"32","author":"Bagcivan","year":"2018","journal-title":"Palliat. Med."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1177\/0890117120924176","article-title":"A focus group evaluation of Breathe Easier: A mindfulness-based health app for survivors of lung cancer and their family members","volume":"34","author":"Beer","year":"2020","journal-title":"Am. J. Health Promot."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1017\/cts.2019.416","article-title":"Lung cancer screening in Appalachian Kentucky: The impact of Lung-RADS on subsequent testing and cancer identification","volume":"4","author":"Cardarelli","year":"2019","journal-title":"J. Clin. Transl. Sci."},{"key":"ref_41","first-page":"468","article-title":"A multi-faceted intervention aimed at Black-White disparities in the treatment of early stage cancers: The ACCURE Pragmatic Quality Improvement trial","volume":"112","author":"Cykert","year":"2020","journal-title":"J. Natl. Med. Assoc."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.1002\/cam4.2005","article-title":"A system-based intervention to reduce Black-White disparities in the treatment of early stage lung cancer: A pragmatic trial at five cancer centers","volume":"8","author":"Cykert","year":"2019","journal-title":"Cancer Med."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1007\/s10552-020-01383-0","article-title":"Adherence to annual lung cancer screening with low-dose CT scan in a diverse population","volume":"32","author":"Erkmen","year":"2021","journal-title":"Cancer Causes Control."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1622","DOI":"10.1002\/cncr.31111","article-title":"Impact of a cancer education seminar on knowledge and screening intent among Chinese Americans: Results from a randomized, controlled, community-based trial","volume":"124","author":"Fung","year":"2018","journal-title":"Cancer"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1530","DOI":"10.1200\/PO.21.00210","article-title":"Molecular tumor board review and improved overall survival in non-small-cell lung cancer","volume":"5","author":"Huang","year":"2021","journal-title":"JCO Precis. Oncol."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.amepre.2020.07.004","article-title":"Lung cancer screening knowledge, perceptions, and decision making Among African Americans in Detroit, Michigan","volume":"60","author":"Lau","year":"2021","journal-title":"Am. J. Prev. Med."},{"key":"ref_47","first-page":"433","article-title":"Adaptation and preliminary evaluation of a lung cancer screening decision tool for older Chinese American populations","volume":"112","author":"Li","year":"2020","journal-title":"J. Natl. Med. Assoc."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1289","DOI":"10.1001\/jamaoncol.2020.1040","article-title":"Association of Medicaid expansion under the Patient Protection and Affordable Care Act with non-small cell lung cancer survival","volume":"6","author":"Liu","year":"2020","journal-title":"JAMA Oncol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"e42","DOI":"10.1200\/JOP.2017.025684","article-title":"Health reform and utilization of high-volume hospitals for complex cancer operations","volume":"14","author":"Loehrer","year":"2018","journal-title":"J. Oncol. Pract."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1200\/JCO.2021.39.15_suppl.6538","article-title":"One size does not fit all: Evaluating disparities in lung cancer screening eligibility amongst Hispanic\/LatinX and African Americans","volume":"39","author":"Olazagasti","year":"2021","journal-title":"J. Clin. Oncol."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"e676","DOI":"10.1200\/OP.20.00820","article-title":"Impact of patients\u2019 companions on clinical encounters between Black patients and their non-Black oncologists","volume":"17","author":"Otto","year":"2021","journal-title":"JCO Oncol. Pract."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1188\/20.ONF.331-341","article-title":"A qualitative cultural sensitivity assessment of the Breathe Easier mobile application for lung cancer survivors and their families","volume":"47","author":"Owens","year":"2020","journal-title":"Oncol. Nurs. Forum"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1738","DOI":"10.1016\/j.jtho.2020.08.006","article-title":"Risk prediction model versus United States Preventive Services Task Force lung cancer screening eligibility criteria: Reducing race disparities","volume":"15","author":"Pasquinelli","year":"2020","journal-title":"J. Thorac. Oncol."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1002\/cam4.1297","article-title":"Patient navigation for lung cancer screening among current smokers in community health centers: A randomized controlled trial","volume":"7","author":"Ashburner","year":"2018","journal-title":"Cancer Med."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"e2119629","DOI":"10.1001\/jamanetworkopen.2021.19629","article-title":"Association of inclusion of more Black individuals in lung cancer screening with reduced mortality","volume":"4","author":"Prosper","year":"2021","journal-title":"JAMA Netw. Open"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"e777","DOI":"10.1634\/theoncologist.2019-0802","article-title":"Initial results from mobile low-dose computerized tomographic lung cancer screening unit: Improved outcomes for underserved populations","volume":"25","author":"Raghavan","year":"2020","journal-title":"Oncologist"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"1415","DOI":"10.1177\/000313481808400942","article-title":"Lung cancer screening in the community setting: Challenges for adoption","volume":"84","author":"Randhawa","year":"2018","journal-title":"Am. Surg."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"A7","DOI":"10.1016\/j.chest.2019.08.109","article-title":"Effectiveness of implementing a lung cancer screening workflow at a rural university medical center","volume":"156","author":"Sender","year":"2019","journal-title":"CHEST J."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1093\/pubmed\/fdaa063","article-title":"Aiding shared decision making in lung cancer screening: Two decision tools","volume":"43","author":"Sferra","year":"2021","journal-title":"J. Public Health"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.1007\/s10552-018-1080-6","article-title":"Lung cancer screening: An emerging cancer control issue presents opportunities for an awareness campaign in rural Michigan","volume":"29","author":"Springer","year":"2018","journal-title":"Cancer Causes Control."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1097\/CEJ.0000000000000652","article-title":"Do the 2013 United States Preventive Services Task Force guidelines for lung cancer screening fail high-risk African American smokers? An institutional retrospective observational cohort study","volume":"30","author":"Thurlapati","year":"2021","journal-title":"Eur. J. Cancer Prev."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"S1176","DOI":"10.1016\/j.jtho.2021.08.644","article-title":"Feasibility of lung cancer screening with low-dose computed tomography in a rural community setting: An 8-year experience","volume":"16","author":"Townsend","year":"2021","journal-title":"J. Thorac. Oncol."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1097\/NCC.0000000000000748","article-title":"Promoting community awareness of lung cancer screening among disparate populations: Results of the Cancer-Community Awareness Access Research and Education Project","volume":"44","author":"Williams","year":"2021","journal-title":"Cancer Nurs."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1007\/s10900-020-00864-2","article-title":"Using implementation science to disseminate a lung cancer screening education intervention through community health workers","volume":"46","author":"Williams","year":"2021","journal-title":"J. Community Health"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"e646","DOI":"10.1016\/j.cllc.2020.12.013","article-title":"Treatment at integrated centers might bridge the academic-community survival gap in patients with metastatic non-small cell carcinoma of the lung","volume":"22","author":"Ramalingam","year":"2021","journal-title":"Clin. Lung Cancer"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1080\/10810730.2012.712621","article-title":"Low health literacy, limited English proficiency, and health status in Asians, Latinos, and other racial\/ethnic groups in California","volume":"17","author":"Sentell","year":"2012","journal-title":"J. Health Commun."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.2105\/AJPH.87.9.1491","article-title":"Social capital, income inequality, and mortality","volume":"87","author":"Kawachi","year":"1997","journal-title":"Am. J. Public Health"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"105858","DOI":"10.1016\/j.ypmed.2019.105858","article-title":"Patient navigator reported patient barriers and delivered activities in two large federally-funded cancer screening programs","volume":"129","author":"Barrington","year":"2019","journal-title":"Prev. Med."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1146\/annurev.soc.27.1.363","article-title":"Conceptualizing stigma","volume":"27","author":"Link","year":"2001","journal-title":"Annu. Rev. Sociol."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"e223764","DOI":"10.1001\/jamahealthforum.2022.3764","article-title":"Assessment of Strategies Used in US Hospitals to Address Social Needs During the COVID-19 Pandemic","volume":"3","author":"Figueroa","year":"2022","journal-title":"JAMA Health Forum"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1377\/hlthaff.2017.0033","article-title":"The Role of Nonprofit Hospitals in Identifying and Addressing Health Inequities in Cities","volume":"36","author":"Henson","year":"2017","journal-title":"Health Aff. (Proj. Hope)"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"4160","DOI":"10.1007\/s11606-022-07531-3","article-title":"\u201cMore than just giving them a piece of paper\u201d: Interviews with Primary Care on Social Needs Referrals to Community-Based Organizations","volume":"37","author":"Beidler","year":"2022","journal-title":"J. Gen. Intern. Med."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1146\/annurev-publhealth-090419-102204","article-title":"Addressing Social Needs in Health Care Settings: Evidence, Challenges, and Opportunities for Public Health","volume":"42","author":"Kreuter","year":"2021","journal-title":"Annu. Rev. Public Health"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1016\/j.amepre.2017.05.011","article-title":"A Systematic Review of Interventions on Patients\u2019 Social and Economic Needs","volume":"53","author":"Gottlieb","year":"2017","journal-title":"Am. J. Prev. Med."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"S47","DOI":"10.1016\/j.amepre.2019.07.018","article-title":"Improving Social Needs Intervention Research: Key Questions for Advancing the Field","volume":"57","author":"Fichtenberg","year":"2019","journal-title":"Am. J. Prev. Med."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1007\/s40615-019-00602-y","article-title":"The impact of patient-provider race\/ethnicity concordance on provider visits: Updated evidence from the Medical Expenditure Panel Survey","volume":"6","author":"Ma","year":"2019","journal-title":"J. Racial Ethn. 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