Increasing Access to and Quality of Healthcare Services to Promote Community Health Equity

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Community Care".

Deadline for manuscript submissions: 15 January 2026 | Viewed by 222

Special Issue Editors


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Guest Editor
Department of Public Health, California State University, East Bay, Hayward, CA 94582, USA
Interests: health disparities; social and cultural determinants of health; community-engaged approaches
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Guest Editor
Department of Public Health, California State University, Los Angeles, Los Angeles, CA 90032, USA
Interests: psychosocial, environmental, and cultural determinants of health; life course perspective; community-based participatory research

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Guest Editor
Department of Human Services, California State University, Dominguez Hills, Carson, CA 90747, USA
Interests: mental illness; gerontology; community-based interventions

Special Issue Information

Dear Colleagues,

We are pleased to invite you to submit a manuscript for this Special Issue of Healthcare. The accessibility and quality of healthcare play an important role in protecting and promoting the health of populations. Given that many communities—especially those in racial/ethnic and sexual/gender minority groups, and those of lower socioeconomic positions—experience disproportionate burdens of disease, this Special Issue focuses on highlighting promising evidence-based and data-driven practices and studies that reduce health disparities and promote health equity.

This Special Issue aims to showcase descriptive, applied, and evaluative research—research which elucidates strategies for health promotion, including efforts to increase early diagnosis, promote access to quality care/treatment, and reduce social and economic burdens of disease across the life course, including those related to mental health. Submissions examining unequal access to and/or the utilization of care (including technological resources) and the efficacy of culturally appropriate resources (e.g., in-language materials, contextual messaging, community-based communication) are especially welcome. Populations of interest include immigrant communities (including those who are diasporic or intersectional in nature), communities whose data has been disaggregated from broader demographic categories, marginalized groups, and healthcare providers who serve diverse patients and clients.

In this Special Issue, original research articles and reviews are welcome. Research areas may include (but are not limited to) the following:

  • Investigations of social, cultural, economic, and political determinants of health disparities.
  • Promising evidence-based or data-driven practices which result in institutional changes improving access to and/or quality of care for patient populations at higher risk for adverse health outcomes.
  • Policy-level interventions (local, state, or federal) which increase access to culturally appropriate care, improved outcomes, and/or reduce disproportionate burdens of risk, illness, and/or death.

We look forward to receiving your contributions. 

Dr. Arnab Mukherjea
Dr. Melanie Sabado-Liwag
Dr. Hannah Thuy Nguyen
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • disparities in health care access and quality
  • vulnerable populations
  • determinants of health care utilization
  • culturally- appropriate interventions for improved health care outcomes

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Published Papers (1 paper)

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Research

13 pages, 713 KiB  
Article
Group-Based Trajectory Model to Assess Adjuvant Endocrine Therapy Adherence Pattern in HR-Positive Breast Cancer: Results from Rio Grande Valley Patients
by Bilqees Fatima, Phillip Shayne Pruneda, Parasto Mousavi, Rheena Sheriff, Ronnie Ozuna, Meghana V. Trivedi and Susan Abughosh
Healthcare 2025, 13(15), 1777; https://doi.org/10.3390/healthcare13151777 - 22 Jul 2025
Abstract
Background/Objectives: Adherence to oral endocrine therapy (OET) is essential to reduce recurrence but is predominantly lower among underserved patients, leading to worse health outcomes. We aimed to depict longitudinal patterns of OET adherence using group-based trajectory modeling (GBTM) and identify predictors associated [...] Read more.
Background/Objectives: Adherence to oral endocrine therapy (OET) is essential to reduce recurrence but is predominantly lower among underserved patients, leading to worse health outcomes. We aimed to depict longitudinal patterns of OET adherence using group-based trajectory modeling (GBTM) and identify predictors associated with each adherence trajectory. Methods: A single-center, retrospective study was conducted to analyze data from women 18 years or older with metastatic breast cancer who initiated with an OET and were treated from January to December 2022. Adherence was measured using a proportion of days covered (PDC > 80%) for 12 months. Binary monthly indicator of PDC was incorporated into GBTM. Four models were generated by changing the number of groups from 2 to 5, using a 2nd-order polynomial function of time. A multinomial logistic regression model was run to evaluate the predictors of non-adherence trajectories, and “adherence” was considered the reference group. Results: A total of 346 women had a (mean age of 60) years; 93% were Hispanic or of Mexican origin; 90% were taking aromatase inhibitors (AIs), with an endocrine therapy of 1.05 years. Three trajectories of adherence to GBTM were identified: a gradual decline in adherence (n = 88, 25.5%), improving suboptimal adherence (n = 106, 30.6%), and adherent (n = 152, 43.9%). Multinomial logistic regression analysis showed that significant predictors are diabetes (odds ratio (OR), 2.96; 95% confidence interval (CI), 1.57–5.57) and fewer years of therapy (OR, 2.96; 95% CI, 1.57–5.57). Suboptimal adherence among RGV patients receiving OET, with approximately 56% following a non-adherent trajectory. Conclusions: Suboptimal adherence among RGV patients receiving OET, with approximately 56% following a non-adherent trajectory. Significant predictors should be considered when designing targeted interventions. Full article
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