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Managing Diversity to Eliminate Disparities: A Framework For Health (Health Affairs)

Publication Topics

California Health Interview Survey; 2014 California Health Interview Survey (CHIS 2014); 2016 California Health Interview Survey (CHIS 2016); Health Insurance Coverage and Programs; Health Insurance Expansion; Diabetes

Publication Type

CHIS Journal Article

Publication Date


Author 1

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1148&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1148&RootFolder=*">Michelle Ko MD, PhD</a>

Author 2

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1552&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1552&RootFolder=*">Cary Sanders</a>

Author 3

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1551&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1551&RootFolder=*">Sarah de Guia</a>

Author 4

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1313&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1313&RootFolder=*">Riti Shimkhada, PhD</a>

Author 5

<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=243&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=243&RootFolder=*">Ninez A. Ponce, PhD, MPP</a>

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​By 2044 there will be no single racial or ethnic majority group in the US, according to the Census Bureau. California experienced this shift in 2000, making the state a bellwether in its attempts to bring health equity to a highly diverse population. Pooled 2014-16 (weighted to the 2016 population) data from the California Health Interview Survey and the California Regional Health Care Cost and Quality Atlas were used to examine health, health care access, and quality of care by race/ethnicity, payer, and region.

Evaluating insurance coverage and diabetes as a sentinel condition, the authors found that wealthy regions exhibited the widest disparities — with advantages among non-Latino whites and people with commercial coverage. Disparities were narrowest in rural and agricultural regions, but health and quality of care were lower overall in those regions.
State initiatives to address health equity include requiring health plans to reduce disparities by language and race/ethnicity and investing carbon cap-and-trade revenues in disadvantaged communities. Prominent advocacy, community engagement, the systematic use of data, local flexibility, and mechanisms for stronger accountability are driving these initiatives. Evidence has yet to emerge on how effective these policies will be in reducing health disparities in the state.


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Journal Article: Managing Diversity to Eliminate Disparities: A Framework For Health

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Press Release

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Created at 8/31/2018 7:49 AM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 9/6/2018 8:18 AM by i:0#.f|uclachissqlmembershipprovider|venetia