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Remote Collaborative Specialist Panel Deployment to Address Health Disparities in the RICH LIFE Project.
Qual Manag Health Care
November 2024
Author Affiliations: Johns Hopkins Center for Health Equity (Drs Mathews, Miller, Cooper, Marsteller, Ndumele, Antoine, Carson, Ahima, Daumit, Oduwole, Onuoha, Brown, Dietz, Avornu, Chung and Crews), Welch Center for Epidemiology, Prevention, and Clinical Research (Drs Mathews, Miller, Cooper, Ndumele, Carson, Ahima, Daumit, and Crews), Department of Medicine (Drs Mathews, Miller, Cooper, Marsteller, Ndumele, Ahima, Daumit, and Crews), Department of Psychiatry and Behavioral Medicine (Dr Antoine), Department of Emergency Medicine, Johns Hopkins University School of Medicine (Dr Avornu), Baltimore, Maryland; Department of Epidemiology (Dr Cooper and Carson), Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; and University of California, San Francisco School of Medicine (Ms Onuoha), San Francisco, California.
Background And Objectives: Individuals with low income or from minoritized racial or ethnic groups experience a high burden of hypertension and other chronic conditions (eg, diabetes, chronic kidney disease, and mental health conditions) and often lack access to specialist care when compared to their more socially advantaged counterparts. We used a mixed-methods approach to describe the deployment of a Remote Collaborative Specialist Panel intervention aimed at the comprehensive and coordinated management of patients with hypertension and comorbid conditions to address health disparities.
Methods: Participants of the collaborative care/stepped care arm of the Reducing Inequities in Care of Hypertension: Lifestyle Improvement for Everyone (RICH LIFE) Project, a cluster-randomized trial comparing the effectiveness of enhanced standard of care to a multilevel intervention (collaborative care/stepped care) for improving blood pressure control and reducing disparities, were included.