Supplemental Evidence and Data Request on Healthcare System Level Strategies To Address Racial/Ethnic and Related Disparities in Health and Healthcare, 76044-76046 [2022-26931]
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Federal Register / Vol. 87, No. 237 / Monday, December 12, 2022 / Notices
marginalized due to other factors (such
as disability status, income status,
sexual identity and orientation, income,
geographic location, language etc)?
Which of these factors have been most
challenging to address and why? Which
factors are relatively easy to address and
implement?
f. What concerns do you have about
the sustainability of patient-level and
health professional-level strategies/
interventions intended to address racial
and ethnic disparities in health and
healthcare?
g. Gray literature: What are prominent
sources where you obtain information
on patient-level and health professionallevel strategies/interventions? Who has
conducted such interventions?
h. What information and resource
does your organization or institution
need to be more effective in
incorporating patient-level and health
professional-level interventions in
reducing racial and ethnic disparities in
health and healthcare?
i. What are current gaps in the
research and what future research is
needed most?
Questions for Patient Advocates,
Families, Caregivers
a. Data clearly shows that racial and
ethnic minority groups often have worse
health and care for chronic diseases.
Why do you think this is the case?
b. Have you or your loved ones
experienced differences in care
received, are you aware of any health
provider (that is doctor and nurse)
efforts to rectify these differences? What
are the efforts/programs?
c. Have you or your loved ones
participated in (or are you aware of)
such program(s)? Was there any effort to
consider your race and other social
factors (such as your disability status,
income status, sexual identity and
orientation, income, geographic
location, language etc) in the
program(s)?
d. Are you aware of community
collaboration efforts of such programs to
rectify the differences in your health
and care? Should community
organizations be involved in these
efforts? How? What are some barriers
that community organizations face in
collaborating with healthcare
organizations?
e. What types of efforts do you think
your health provider (that is doctor or
nurse) could do that might reduce these
differences in the care received by racial
and ethnic minority groups? What
would be needed for them to work? Are
there things you could do as well? Give
example(s).
f. Are there sources where you obtain
information about these efforts?
PICOTS (POPULATIONS, INTERVENTIONS, COMPARATORS, OUTCOMES, AND SETTINGS)
Element
Included
Population ..........
• Racial and ethnic minority adults with common chronic
conditions.
• Health Professionals providing healthcare for racial and
ethnic minority adults with common chronic conditions.
• Strategies specifically targeted to reduce racial and ethnic
minority health and healthcare disparities at patient-level
and health professional-level, with relevant links to
healthcare system.
• Strategies with community involvement with relevant links
to healthcare system.
• Standard care.
• Alternative strategy/intervention.
• Health-related outcome measures (e.g., disease specific
morbidity and mortality, BP control, Hba1c levels).
• Process of care measures (e.g., referrals to mental
healthcare, cultural relevance).
• Care utilization outcome measures (e.g., rates of readmission for long-term complications of diabetes).
• Financial/re-imbursement measures.
• Harms (e.g., unintended negative consequences, including
misallocation of effort, decreased patient satisfaction, etc.).
• Stigma other related experience of discrimination.
Any.
Any.
Randomized controlled trial, non-randomized controlled trial,
nonrandomized study designs, mixed methods.
Interventions .......
Comparators ......
Outcomes ...........
Timing ................
Settings ..............
Study design ......
Dated: December 7, 2022.
Marquita Cullom,
Associate Director.
[FR Doc. 2022–26930 Filed 12–9–22; 8:45 am]
Excluded
• Pediatric populations.
• Non-U.S populations.
• Exploratory sub-group analysis where the aims of the studies are not relevant to racial/ethnic health disparities.
• Public health/policy-based interventions without relevant
links to healthcare system.
• Interventions aimed at medical school students, pharmacy
students, and other allied health students.
Stand-alone qualitative studies, systematic reviews, narrative
reviews, case reports, case series protocols, conference
abstracts.
ACTION:
Agency for Healthcare Research and
Quality
SUMMARY:
lotter on DSK11XQN23PROD with NOTICES1
BILLING CODE 4160–90–P
Supplemental Evidence and Data
Request on Healthcare System Level
Strategies To Address Racial/Ethnic
and Related Disparities in Health and
Healthcare
Agency for Healthcare Research
and Quality (AHRQ), HHS.
AGENCY:
VerDate Sep<11>2014
18:08 Dec 09, 2022
Jkt 259001
Request for supplemental
evidence and data submissions.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
PO 00000
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Fmt 4703
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The Agency for Healthcare
Research and Quality (AHRQ) is seeking
scientific information submissions from
the public. Scientific information is
being solicited to inform our review on
Healthcare System Level Strategies to
Address Racial/Ethnic and Related
Disparities in Health and Healthcare,
which is currently being conducted by
the AHRQ’s Evidence-based Practice
Centers (EPC) Program. Access to
E:\FR\FM\12DEN1.SGM
12DEN1
lotter on DSK11XQN23PROD with NOTICES1
Federal Register / Vol. 87, No. 237 / Monday, December 12, 2022 / Notices
published and unpublished pertinent
scientific information will improve the
quality of this review.
DATES: Submission Deadline on or
before January 11, 2023.
ADDRESSES:
Email submissions: epc@
ahrq.hhs.gov.
Print submissions:
Mailing Address: Center for Evidence
and Practice Improvement, Agency for
Healthcare Research and Quality,
ATTN: EPC SEADs Coordinator, 5600
Fishers Lane, Mail Stop 06E53A,
Rockville, MD 20857.
Shipping Address (FedEx, UPS, etc.):
Center for Evidence and Practice
Improvement, Agency for Healthcare
Research and Quality, ATTN: EPC
SEADs Coordinator, 5600 Fishers Lane,
Mail Stop 06E77D, Rockville, MD
20857.
FOR FURTHER INFORMATION CONTACT:
Jenae Benns, Telephone: 301–427–1496
or Email: epc@ahrq.hhs.gov.
SUPPLEMENTARY INFORMATION: The
Agency for Healthcare Research and
Quality has commissioned the
Evidence-based Practice Center (EPC)
Program to complete a review of the
evidence for Healthcare System Level
Strategies to Address Racial/Ethnic and
Related Disparities in Health and
Healthcare. AHRQ is conducting this
systematic review pursuant to section
902 of the Public Health Service Act, 42
U.S.C. 299a.
The EPC Program is dedicated to
identifying as many studies as possible
that are relevant to the questions for
each of its reviews. In order to do so, we
are supplementing the usual manual
and electronic database searches of the
literature by requesting information
from the public (e.g., details of studies
conducted). We are looking for studies
that report on Healthcare System Level
Strategies to Address Racial/Ethnic and
Related Disparities in Health and
Healthcare, including those that
describe adverse events. The entire
research protocol is available online at:
https://effectivehealthcare.ahrq.gov/.
This is to notify the public that the
EPC Program would find the following
information on Healthcare System Level
Strategies to Address Racial/Ethnic and
Related Disparities in Health and
Healthcare helpful:
D A list of completed studies that
your organization has sponsored for this
indication. In the list, please indicate
whether results are available on
ClinicalTrials.gov along with the
ClinicalTrials.gov trial number.
D For completed studies that do not
have results on ClinicalTrials.gov, a
summary, including the following
VerDate Sep<11>2014
18:08 Dec 09, 2022
Jkt 259001
elements: study number, study period,
design, methodology, indication and
diagnosis, proper use instructions,
inclusion and exclusion criteria,
primary and secondary outcomes,
baseline characteristics, number of
patients screened/eligible/enrolled/lost
to follow-up/withdrawn/analyzed,
effectiveness/efficacy, and safety results.
D A list of ongoing studies that your
organization has sponsored for this
indication. In the list, please provide the
ClinicalTrials.gov trial number or, if the
trial is not registered, the protocol for
the study including a study number, the
study period, design, methodology,
indication and diagnosis, proper use
instructions, inclusion and exclusion
criteria, and primary and secondary
outcomes.
D Description of whether the above
studies constitute ALL Phase II and
above clinical trials sponsored by your
organization for this indication and an
index outlining the relevant information
in each submitted file.
Your contribution is very beneficial to
the Program. Materials submitted must
be publicly available or able to be made
public. Materials that are considered
confidential, marketing materials, study
types not included in the review, or
information on indications not included
in the review cannot be used by the EPC
Program. This is a voluntary request for
information, and all costs for complying
with this request must be borne by the
submitter.
The draft of this review will be posted
on AHRQ’s EPC Program website and
available for public comment for a
period of 4 weeks. If you would like to
be notified when the draft is posted,
please sign up for the email list at:
https://www.effectivehealthcare.
ahrq.gov/email-updates.
The technical brief will answer the
following questions. This information is
provided as background. AHRQ is not
requesting that the public provide
answers to these questions.
Guiding Questions
What is the current evidence for
healthcare system-level strategies
(including components of multifaceted
strategies) designed to reduce racial,
ethnic, and related socioeconomic
disparities and improve health
outcomes?
a. What interventions have been
studied?
b. What racial and ethnic populations
have been studied?
c. What are the characteristics of the
healthcare systems involved in studies
of interventions to reduce disparities
(e.g., size, location, private/public, etc.)?
PO 00000
Frm 00022
Fmt 4703
Sfmt 4703
76045
d. What common (multiple and
single) chronic conditions have been
studied?
e. What primary outcomes have been
studied?
f. What are the reported effects of the
strategies used in studies of
interventions to reduce disparities?
g. What are the reported unintended
consequences, harms, or adverse events
of the strategies used in studies of
interventions to reduce disparities?
h. Within race/ethnic groups, what
other intersectional influences (e.g.,
disability status, income status, sexual
identity and orientation, income,
geographic location, language e.t.c) have
been targeted in studies of interventions
to reduce disparities?
i. What study designs have been used?
j. What information is available on the
applicability and sustainability of
interventions?
k. What gaps exist in the current
research?
Questions for Experts/Researchers/
Advocacy Organizations/Provider
Organizations/Practicing Clinicians
a. What healthcare system-level
efforts has your organization or
institution employed to reduce racial
and ethnic disparities in health and
healthcare?
i. Can you describe the rationale for
this effort, for instance what was driving
the decision of the problem and the
solution/intervention? Was the
intervention successful or not? What
were the challenges? How are you
measuring disparities and evaluating
interventions and outcomes? How are
these efforts funded?
b. Do you engage community
partnerships in your approach? If so,
how?
i. Are there similar approaches you
are aware of? Which other entity is
trying similar approaches?
c. Are there concepts, or conceptual
frameworks, that are important in
understanding the healthcare systemlevel interventions to reduce racial/
ethnic disparities in health and
healthcare?
d. Are there elements of healthcare
system-level interventions that are
important and/or preferred for reducing
racial/ethnic disparities in health and
healthcare?
e. How do you identify social identity
groups that are not being served at all
or not equally served, and how do you
prioritize which groups for designing
interventions? What are the challenges?
f. How does your organization tailor
the healthcare system-level approach to
reach racial and ethnic groups or
minorities that may be marginalized due
E:\FR\FM\12DEN1.SGM
12DEN1
76046
Federal Register / Vol. 87, No. 237 / Monday, December 12, 2022 / Notices
to other factors (such as disability
status, income status, sexual identity
and orientation, income, geographic
location, language, etc.)? Which of these
factors have been most challenging to
address and why? Which factors are
relatively easy to address and
implement?
g. What concerns do you have about
the sustainability of healthcare systemlevel strategies/interventions intended
to address racial and ethnic disparities
in health and healthcare?
h. Gray literature: What are prominent
sources where you obtain information
on healthcare system-level strategies/
interventions? Who has conducted such
interventions? Can you give examples of
successful interventions that have been
identified from these sources?
i. What information and resources
does your organization or institution
need to be more effective in
incorporating healthcare system-level
interventions in reducing racial and
ethnic disparities in health and
healthcare?
j. What are current gaps in the
research and what future research is
needed most?
Questions for Patient Advocates,
Families, Caregivers
a. Data clearly shows that racial and
ethnic minority groups often have worse
health and care. Why do you think this
is the case?
b. Have you or your loved ones
experienced differences in care
received, are you aware of any
healthcare organizational efforts to
rectify these differences? What are the
efforts/programs?
c. Have you or your loved ones
participated in (or are you aware of)
such program(s)? Was there any effort to
consider your race and other social
factors (such as your disability status,
income status, sexual identity and
orientation, income, geographic
location, language e.t.c) in the
program(s)?
d. Are you aware of community
collaboration efforts (such as social
service agencies, churches e.t.c) of such
programs to rectify the differences in
your health and care? Should
community organizations be involved in
these efforts? How? What are some
barriers that community organizations
face in collaborating with healthcare
organizations?
e. What types of efforts do you think
a healthcare organization could do that
might reduce these differences in the
care received by racial and ethnic
minority groups? What would be
needed for them to work?
f. Are there sources where you obtain
information about these efforts?
PICOTS (POPULATIONS, INTERVENTIONS, COMPARATORS, OUTCOMES, AND SETTINGS)
Element
Included
Population ..........
• Racial and ethnic minority groups ........................................
• Healthcare Systems providing healthcare for racial and
ethnic minority groups.
• Healthcare system strategies that are specifically targeted
to reduce racial and ethnic minority health and healthcare
disparities at population-level with relevant links to
healthcare system.
• Strategies specifically targeted to reduce racial and ethnic
minority health and healthcare disparities at heath care organization-level (e.g., structure of the organization).
• Strategies with community involvement with relevant links
to healthcare system.
• Standard care.
• Alternative strategy/intervention.
• Health-related outcome measures (e.g., disease specific
morbidity and mortality, BP control, Hba1c levels).
• Process of care measures.
• Care utilization outcome measures.
• Barriers to care measures.
• Financial/re-imbursement measures.
• Harms (e.g., unintended negative consequences).
• Stigma other related experience of discrimination.
Any.
Any.
Randomized controlled trial, non-randomized controlled trial,
nonrandomized study designs, mixed methods.
Interventions .......
Comparators ......
Outcomes ...........
Timing ................
Settings ..............
Study design ......
Dated: December 5, 2022.
Marquita Cullom,
Associate Director.
• Non-U.S populations.
• Exploratory sub-group analysis where the aims of the studies are not relevant to racial/ethnic health disparities.
• Public health/policy-based interventions without relevant
links to healthcare systems.
• Interventions aimed at medical school students, pharmacy
students, and other allied health students.
Stand-alone qualitative studies, systematic reviews, narrative
reviews, case reports, case series protocols, conference
abstracts.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[FR Doc. 2022–26931 Filed 12–9–22; 8:45 am]
BILLING CODE 4160–90–P
lotter on DSK11XQN23PROD with NOTICES1
Excluded
Agency for Healthcare Research and
Quality
Request for Information on Creating a
National Healthcare System Action
Alliance To Advance Patient Safety
Agency for Healthcare Research
and Quality, HHS.
AGENCY:
VerDate Sep<11>2014
18:45 Dec 09, 2022
Jkt 259001
PO 00000
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Notice of request for
information.
ACTION:
The Agency for Healthcare
Research and Quality (AHRQ), on behalf
of the Department of Health and Human
Services (HHS), seeks public comment
about advancing patient and healthcare
workforce safety through the
development of a National Healthcare
System Action Alliance to Advance
Patient Safety (Action Alliance) in
partnership with healthcare systems,
patients, families and caregivers, HHS
SUMMARY:
E:\FR\FM\12DEN1.SGM
12DEN1
]]>Agencies
[Federal Register Volume 87, Number 237 (Monday, December 12, 2022)]
[Notices]
[Pages 76044-76046]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-26931]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
Supplemental Evidence and Data Request on Healthcare System Level
Strategies To Address Racial/Ethnic and Related Disparities in Health
and Healthcare
AGENCY: Agency for Healthcare Research and Quality (AHRQ), HHS.
ACTION: Request for supplemental evidence and data submissions.
-----------------------------------------------------------------------
SUMMARY: The Agency for Healthcare Research and Quality (AHRQ) is
seeking scientific information submissions from the public. Scientific
information is being solicited to inform our review on Healthcare
System Level Strategies to Address Racial/Ethnic and Related
Disparities in Health and Healthcare, which is currently being
conducted by the AHRQ's Evidence-based Practice Centers (EPC) Program.
Access to
[[Page 76045]]
published and unpublished pertinent scientific information will improve
the quality of this review.
DATES: Submission Deadline on or before January 11, 2023.
ADDRESSES:
Email submissions: [email protected].
Print submissions:
Mailing Address: Center for Evidence and Practice Improvement,
Agency for Healthcare Research and Quality, ATTN: EPC SEADs
Coordinator, 5600 Fishers Lane, Mail Stop 06E53A, Rockville, MD 20857.
Shipping Address (FedEx, UPS, etc.): Center for Evidence and
Practice Improvement, Agency for Healthcare Research and Quality, ATTN:
EPC SEADs Coordinator, 5600 Fishers Lane, Mail Stop 06E77D, Rockville,
MD 20857.
FOR FURTHER INFORMATION CONTACT: Jenae Benns, Telephone: 301-427-1496
or Email: [email protected].
SUPPLEMENTARY INFORMATION: The Agency for Healthcare Research and
Quality has commissioned the Evidence-based Practice Center (EPC)
Program to complete a review of the evidence for Healthcare System
Level Strategies to Address Racial/Ethnic and Related Disparities in
Health and Healthcare. AHRQ is conducting this systematic review
pursuant to section 902 of the Public Health Service Act, 42 U.S.C.
299a.
The EPC Program is dedicated to identifying as many studies as
possible that are relevant to the questions for each of its reviews. In
order to do so, we are supplementing the usual manual and electronic
database searches of the literature by requesting information from the
public (e.g., details of studies conducted). We are looking for studies
that report on Healthcare System Level Strategies to Address Racial/
Ethnic and Related Disparities in Health and Healthcare, including
those that describe adverse events. The entire research protocol is
available online at: https://effectivehealthcare.ahrq.gov/.
This is to notify the public that the EPC Program would find the
following information on Healthcare System Level Strategies to Address
Racial/Ethnic and Related Disparities in Health and Healthcare helpful:
[ssquf] A list of completed studies that your organization has
sponsored for this indication. In the list, please indicate whether
results are available on ClinicalTrials.gov along with the
ClinicalTrials.gov trial number.
[ssquf] For completed studies that do not have results on
ClinicalTrials.gov, a summary, including the following elements: study
number, study period, design, methodology, indication and diagnosis,
proper use instructions, inclusion and exclusion criteria, primary and
secondary outcomes, baseline characteristics, number of patients
screened/eligible/enrolled/lost to follow-up/withdrawn/analyzed,
effectiveness/efficacy, and safety results.
[ssquf] A list of ongoing studies that your organization has
sponsored for this indication. In the list, please provide the
ClinicalTrials.gov trial number or, if the trial is not registered, the
protocol for the study including a study number, the study period,
design, methodology, indication and diagnosis, proper use instructions,
inclusion and exclusion criteria, and primary and secondary outcomes.
[ssquf] Description of whether the above studies constitute ALL
Phase II and above clinical trials sponsored by your organization for
this indication and an index outlining the relevant information in each
submitted file.
Your contribution is very beneficial to the Program. Materials
submitted must be publicly available or able to be made public.
Materials that are considered confidential, marketing materials, study
types not included in the review, or information on indications not
included in the review cannot be used by the EPC Program. This is a
voluntary request for information, and all costs for complying with
this request must be borne by the submitter.
The draft of this review will be posted on AHRQ's EPC Program
website and available for public comment for a period of 4 weeks. If
you would like to be notified when the draft is posted, please sign up
for the email list at: https://www.effectivehealthcare.ahrq.gov/email-updates.
The technical brief will answer the following questions. This
information is provided as background. AHRQ is not requesting that the
public provide answers to these questions.
Guiding Questions
What is the current evidence for healthcare system-level strategies
(including components of multifaceted strategies) designed to reduce
racial, ethnic, and related socioeconomic disparities and improve
health outcomes?
a. What interventions have been studied?
b. What racial and ethnic populations have been studied?
c. What are the characteristics of the healthcare systems involved
in studies of interventions to reduce disparities (e.g., size,
location, private/public, etc.)?
d. What common (multiple and single) chronic conditions have been
studied?
e. What primary outcomes have been studied?
f. What are the reported effects of the strategies used in studies
of interventions to reduce disparities?
g. What are the reported unintended consequences, harms, or adverse
events of the strategies used in studies of interventions to reduce
disparities?
h. Within race/ethnic groups, what other intersectional influences
(e.g., disability status, income status, sexual identity and
orientation, income, geographic location, language e.t.c) have been
targeted in studies of interventions to reduce disparities?
i. What study designs have been used?
j. What information is available on the applicability and
sustainability of interventions?
k. What gaps exist in the current research?
Questions for Experts/Researchers/Advocacy Organizations/Provider
Organizations/Practicing Clinicians
a. What healthcare system-level efforts has your organization or
institution employed to reduce racial and ethnic disparities in health
and healthcare?
i. Can you describe the rationale for this effort, for instance
what was driving the decision of the problem and the solution/
intervention? Was the intervention successful or not? What were the
challenges? How are you measuring disparities and evaluating
interventions and outcomes? How are these efforts funded?
b. Do you engage community partnerships in your approach? If so,
how?
i. Are there similar approaches you are aware of? Which other
entity is trying similar approaches?
c. Are there concepts, or conceptual frameworks, that are important
in understanding the healthcare system-level interventions to reduce
racial/ethnic disparities in health and healthcare?
d. Are there elements of healthcare system-level interventions that
are important and/or preferred for reducing racial/ethnic disparities
in health and healthcare?
e. How do you identify social identity groups that are not being
served at all or not equally served, and how do you prioritize which
groups for designing interventions? What are the challenges?
f. How does your organization tailor the healthcare system-level
approach to reach racial and ethnic groups or minorities that may be
marginalized due
[[Page 76046]]
to other factors (such as disability status, income status, sexual
identity and orientation, income, geographic location, language, etc.)?
Which of these factors have been most challenging to address and why?
Which factors are relatively easy to address and implement?
g. What concerns do you have about the sustainability of healthcare
system-level strategies/interventions intended to address racial and
ethnic disparities in health and healthcare?
h. Gray literature: What are prominent sources where you obtain
information on healthcare system-level strategies/interventions? Who
has conducted such interventions? Can you give examples of successful
interventions that have been identified from these sources?
i. What information and resources does your organization or
institution need to be more effective in incorporating healthcare
system-level interventions in reducing racial and ethnic disparities in
health and healthcare?
j. What are current gaps in the research and what future research
is needed most?
Questions for Patient Advocates, Families, Caregivers
a. Data clearly shows that racial and ethnic minority groups often
have worse health and care. Why do you think this is the case?
b. Have you or your loved ones experienced differences in care
received, are you aware of any healthcare organizational efforts to
rectify these differences? What are the efforts/programs?
c. Have you or your loved ones participated in (or are you aware
of) such program(s)? Was there any effort to consider your race and
other social factors (such as your disability status, income status,
sexual identity and orientation, income, geographic location, language
e.t.c) in the program(s)?
d. Are you aware of community collaboration efforts (such as social
service agencies, churches e.t.c) of such programs to rectify the
differences in your health and care? Should community organizations be
involved in these efforts? How? What are some barriers that community
organizations face in collaborating with healthcare organizations?
e. What types of efforts do you think a healthcare organization
could do that might reduce these differences in the care received by
racial and ethnic minority groups? What would be needed for them to
work?
f. Are there sources where you obtain information about these
efforts?
PICOTS (Populations, Interventions, Comparators, Outcomes, and Settings)
------------------------------------------------------------------------
Element Included Excluded
------------------------------------------------------------------------
Population............. Racial and Non-U.S
ethnic minority groups. populations.
Healthcare
Systems providing
healthcare for racial
and ethnic minority
groups.
Interventions.......... Healthcare Exploratory
system strategies that sub-group analysis
are specifically where the aims of the
targeted to reduce studies are not
racial and ethnic relevant to racial/
minority health and ethnic health
healthcare disparities disparities.
at population-level Public health/
with relevant links to policy-based
healthcare system. interventions without
Strategies relevant links to
specifically targeted healthcare systems.
to reduce racial and Interventions
ethnic minority health aimed at medical
and healthcare school students,
disparities at heath pharmacy students,
care organization- and other allied
level (e.g., structure health students.
of the organization).
Strategies
with community
involvement with
relevant links to
healthcare system.
Comparators............ Standard care.
Alternative
strategy/intervention..
Outcomes............... Health-related
outcome measures
(e.g., disease
specific morbidity and
mortality, BP control,
Hba1c levels).
Process of
care measures..
Care
utilization outcome
measures..
Barriers to
care measures..
Financial/re-
imbursement measures..
Harms (e.g.,
unintended negative
consequences)..
Stigma other
related experience of
discrimination..
Timing................. Any....................
Settings............... Any....................
Study design........... Randomized controlled Stand-alone
trial, non-randomized qualitative studies,
controlled trial, systematic reviews,
nonrandomized study narrative reviews,
designs, mixed methods. case reports, case
series protocols,
conference abstracts.
------------------------------------------------------------------------
Dated: December 5, 2022.
Marquita Cullom,
Associate Director.
[FR Doc. 2022-26931 Filed 12-9-22; 8:45 am]
BILLING CODE 4160-90-P
