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Loretta Jones, MA; Kenneth Wells, MD

JAMA. 2007;297:407-410.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

There have been recent practice and policy concerns over the "quality chasm," or gap between the promise of evidence-based medicine and the realities of community practice¹ with little variation by geographic and sociodemographic factors.² Studies document disparities in access of care for particular conditions, and there is widespread concern about disparities in health status and health risk factors disadvantaging underserved ethnic minority and lower-socioeconomic status groups.^3-4 Addressing quality gaps and health disparities will require implementation of programs to address social determinants of health and improve services delivery across diverse communities. Doing so for underserved communities may be especially challenging owing to resource constraints, underdevelopment of research, and historical distrust in research and health care in some groups.^{3, 5}

Experts recommend promoting public participation and engagement of diverse communities in research as a strategy to enhance its relevance and to address disparities more effectively^{4, 6-7} Community-based participatory . . . [Full Text of this Article]

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Author Affiliations: Healthy African American Families, Los Angeles, and Charles R. Drew University, University of Medicine & Science, Lynwood, Calif (Ms Jones); RAND Corp, Santa Monica, Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine and Department of Health Services, University of California Los Angeles School of Public Health and Semel Institute, Los Angeles (Mr Wells).

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