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Health Policy • Access & Equity Analytics • Social Determinants Research

Socioeconomic Impacts on Outcomes

Research program examining how socioeconomic factors, education, and health literacy influence spine care outcomes and developing evidence-based interventions to reduce healthcare disparities and improve patient outcomes across diverse populations.

Socioeconomic impacts on outcomes research

Research Program Overview

The Socioeconomic Impacts on Outcomes research domain at SCOLI employs advanced computational modeling, health services research, and epidemiological analysis to examine how social determinants of health influence spine care delivery and patient outcomes. Our multidisciplinary approach combines quantitative analysis of large healthcare datasets with qualitative research to understand patient experiences and identify systemic barriers to equitable care.

Through partnerships with healthcare systems, policy organizations, and community health centers, we investigate the complex relationships between patient demographics, socioeconomic status, geographic factors, insurance coverage, and treatment accessibility. Our research directly informs clinical practice guidelines, healthcare policy recommendations, and quality improvement initiatives.

Research Impact

Our socioeconomic impacts research program has achieved significant milestones:

  • 420+ peer-reviewed publications advancing spine research and healthcare equity
  • $600,000+ in active research funding supporting ongoing disparity studies
  • Clinical Translation focus on developing evidence-based interventions that reduce healthcare disparities and improve patient outcomes across diverse populations

Clinical Translation

Research findings are directly integrated into clinical practice through the development of decision support tools, patient stratification protocols, and targeted intervention programs. We collaborate with healthcare administrators, policy makers, and quality improvement teams to implement system-level changes that address identified disparities in spine care delivery.

Research Inquiries Collaboration Opportunities

Mission

To understand how socioeconomic factors, education, and health literacy influence spine care outcomes and to develop evidence-based interventions that reduce healthcare disparities and improve patient outcomes across diverse populations.

Primary Research Areas

Geographic Disparities

Analysis of spine care access patterns across urban, suburban, and rural communities to identify and address geographic barriers to treatment

Health Literacy & Adherence

Research on how health literacy levels impact treatment adherence and outcomes in spine care patients

Economic Burden Analysis

Comprehensive assessment of healthcare costs and economic impact across different socioeconomic populations

Insurance Coverage Patterns

Examination of how insurance type and coverage levels influence treatment selection and outcomes

Risk Stratification

Development of algorithms that incorporate social determinants to improve patient risk assessment and care planning

Telemedicine Effectiveness

Evaluation of telehealth interventions for spine care in underserved and rural populations

Research Methodology

Our research program utilizes state-of-the-art statistical methods including machine learning algorithms, predictive analytics, and causal inference techniques to analyze multi-institutional electronic health record systems, insurance claims databases, and patient-reported outcome measures. We employ both retrospective cohort studies and prospective clinical trials to evaluate interventions designed to reduce healthcare disparities. Qualitative research components include structured interviews with patients and healthcare providers, focus groups examining barriers to care, and community-based participatory research initiatives. This mixed-methods approach ensures comprehensive understanding of both individual and systemic factors influencing spine care outcomes.

Current Initiatives

Health Equity in Spine Surgery Study

Ongoing

A multi-center prospective cohort study examining socioeconomic predictors of surgical outcomes in complex spine surgery, funded through SCOLI's research program.

Rural Access to Spine Care Initiative

In Development

Collaborative research with community health centers to understand and address barriers to spine care in rural Pennsylvania communities.

Telemedicine Spine Care Pilot

Planning Phase

Evaluation of telehealth interventions for spine care consultation and follow-up in underserved populations.

Principal Investigators

Nitin Agarwal, M.D.

Co-Director, SCOLI; Associate Professor of Neurological Surgery

D. Kojo Hamilton, M.D.

Co-Director, SCOLI; Professor of Neurological Surgery

Key Research Personnel

Rida Mitha, M.D.

Research Fellow

Neurotrauma & Healthcare Disparities

mithar@upmc.edu

Armani Manov

Clinical Research Student

Department of Neurological Surgery

manova2@upmc.edu

Research Collaboration

Research Collaboration Partnership Opportunities We welcome partnerships with healthcare systems, policy organizations, community health centers, and health services researchers interested in addressing healthcare disparities and improving access to spine care. Our collaborative approach fosters innovation and accelerates the translation of research findings into policy and practice for improved healthcare equity.

Training Opportunities

Training Opportunities Fellowship and Training Programs Fellowship and training positions are available for researchers interested in health services research, health policy analysis, and healthcare disparities research. We offer comprehensive training programs that combine theoretical knowledge with hands-on experience in cutting-edge health equity research methodologies.