Improving the Delivery of Effective Care to Minorities, Phase Two


For the second part of this three-phase grant, project staff will continue to investigate the widespread underuse of certain medical services within minority populations and test clinical interventions to improve care. In the previous phase, multidisciplinary teams of clinicians derived evidence-based guidelines that defined how tests and treatments identified as effective for breast cancer, recurrent stroke, hypertension, and premature birth-four illnesses for which minorities experience poorer outcomes relative to whites-should be used and what constitutes their underuse. In the second phase, the investigative team will complete its assessment of the extent and causes of underuse, finalize designs for interventions at selected New York City hospitals to improve treatment for three of the conditions, and initiate the interventions. Funding for a third phase to evaluate the interventions' effectiveness and to complete the underuse assessment for premature birth would be requested if this work proceeds satisfactorily. The Agency for Healthcare Research and Quality will provide cofunding for all phases of the project.

Grant Details

Grantee Organization:
Mount Sinai School of Medicine
Principal Investigator:
Mark Chassin, M.D., M.P.H., M.P.P.
Award Amount:
Approval Date:
November 11, 2002

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