Timothy S. Carey, MD, MPH* *; Betty Bekemeier, PhD, MPH, RN†; Doug Campos-Outcalt, MD, MPA†; Susan Koch-Weser, ScD, MSc†; Sandra Millon-Underwood, PhD, RN†; Steven Teutsch, MD, MPH†
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-3171.
Corresponding Author: Timothy S. Carey, MD, MPH, University of North Carolina at Chapel Hill, 5034 Old Clinic Building, CB 7110 UNC Chapel Hill, Chapel Hill, NC 27599; e-mail, Tim_Carey@unc.edu.
Current Author Addresses: Dr. Carey: University of North Carolina at Chapel Hill, 5034 Old Clinic Building, CB 7110 UNC Chapel Hill, Chapel Hill, NC 27599.
Dr. Bekemeier: Northwest Center for Public Health Practice, University of Washington School of Nursing, 1959 Northeast Pacific Street, Box 357263, Seattle, WA 98195.
Dr. Campos-Outcalt: 12229 South Chinook, Phoenix, AZ 85044.
Dr. Koch-Weser: Department of Public Health and Community Medicine, Tufts University School of Medicine, 136 Harrison Avenue, Boston, MA 02111.
Dr. Millon-Underwood: College of Nursing, University of Wisconsin–Milwaukee, 1921 East Hartford Street, Milwaukee, WI 53211.
Dr. Teutsch: 841 Moon Avenue, Los Angeles, CA 90065.
Author Contributions: Conception and design: T.S. Carey, B. Bekemeier.
Analysis and interpretation of the data: T.S. Carey, B. Bekemeier, D. Campos-Outcalt, S. Koch-Weser, S. Millon-Underwood, S. Teutsch.
Drafting of the article: T.S. Carey, B. Bekemeier, D. Campos-Outcalt, S. Koch-Weser, S. Millon-Underwood, S. Teutsch.
Critical revision for important intellectual content: T.S. Carey, B. Bekemeier, D. Campos-Outcalt, S. Koch-Weser, S. Teutsch.
Final approval of the article: T.S. Carey, B. Bekemeier, D. Campos-Outcalt, S. Koch-Weser, S. Millon-Underwood, S. Teutsch.
Expert groups, including the U.S. Preventive Services Task Force (USPSTF), recommend a range of clinical preventive services for persons at average risk for disease. Use of these services often is substantially lower among racial and ethnic minority groups, rural residents, and persons of lower socioeconomic status. On 19 and 20 June 2019, the National Institutes of Health (NIH) convened the Pathways to Prevention Workshop: Achieving Health Equity in Preventive Services to assess the available evidence on disparities in the use of 10 USPSTF-recommended clinical preventive services for cancer, heart disease, and diabetes. The workshop was cosponsored by the NIH Office of Disease Prevention; National Institute on Minority Health and Health Disparities; National Cancer Institute; National Heart, Lung, and Blood Institute; and National Institute of Diabetes and Digestive and Kidney Diseases. A multidisciplinary working group developed the agenda, and an Evidence-based Practice Center prepared the evidence report. During the workshop, invited experts considered the evidence, with discussion among attendees. After weighing evidence from the review, presentations, and public comments, an independent panel prepared a draft report that was posted for public comment. This final report summarizes the panel's findings, identifying current gaps in knowledge. The panel made 26 recommendations for new research and methods development to improve implementation of proven services to reduce disparities in preventable conditions.
Table 1. Preventive Services Included in the NIH Pathways to Prevention Workshop
Table 2. Summary of Workshop Panel Recommendations for Future Research to Reduce Disparities in Preventive Services Use
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;:. [Epub ahead of print 14 January 2020]. doi: https://doi.org/10.7326/M19-3171
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Published: Ann Intern Med. 2020.
Healthcare Delivery and Policy.
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