Understanding Obstacles to Clinical Trials & Healthcare


Understanding Obstacles to Clinical Trials & Healthcare 

June 10, 2015  |  Best Practice

1. Reduce External Barriers

External barriers like complex protocols and mistrust of clinical trials by minority communities lead to underrepresented populations in trials. With these barriers, minorities see no incentive to enroll in clinical trials.

2. Recognize Internal Barriers 

Internal barriers such as implicit biases of physicians, inadequate outreach, and not helping patients continue with the trials are issues that need to be solved within an organization before any meaningful change of minority representation occurs.

3. Implement Incentives to Diversify Clinical Trials 

With no mandates or financial consequences of having a representative sample of minorities in a trial, organizations may not be adequately incentivized to find, recruit, and ensure minorities stay with the trial.

4. Build Trust Between Professionals and Patients 

Building a trusting, comfortable relationship between physicians and patients is key to helping patients understand their importance in a clinical trial. It also allows patients to feel comfortable to ask questions and address issues.

5. Appreciate Minority Inclusion

Leaders in the clinical trial ecosystem and the FDA need to understand the importance of minority inclusion and teach their staff how to be culturally competent.


To learn more health equity best practices, attend an upcoming CHI educational event.


Joseph Gaspero

CEO & Co-Founder at CHI

Olivia Fowler

Senior Analyst at CHI

Brandon Bernhardt

Senior Analyst at CHI


2015 Diversity, Inclusion & Life Sciences Symposium Executive Summary

Joseph Gaspero is the CEO and Co-Founder of CHI. He is a healthcare executive, strategist, and researcher. He co-founded CHI in 2009 to be an independent, objective, and interdisciplinary research and education institute for healthcare. Joseph leads CHI’s research and education initiatives focusing on including patient-driven healthcare, patient engagement, clinical trials, drug pricing, and other pressing healthcare issues. He sets and executes CHI’s strategy, devises marketing tactics, leads fundraising efforts, and manages CHI’s Management team. Joseph is passionate and committed to making healthcare and our world a better place. His leadership stems from a wide array of experiences, including founding and operating several non-profit and for-profit organizations, serving in the U.S. Air Force in support of 2 foreign wars, and deriving expertise from time spent in industries such as healthcare, financial services, and marketing. Joseph’s skills include strategy, management, entrepreneurship, healthcare, clinical trials, diversity & inclusion, life sciences, research, marketing, and finance. He has lived in six countries, traveled to over 30 more, and speaks 3 languages, all which help him view business strategy through the prism of a global, interconnected 21st century. Joseph has a B.S. in Finance from the University of Illinois at Chicago. When he’s not immersed in his work at CHI, he spends his time snowboarding backcountry, skydiving, mountain biking, volunteering, engaging in MMA, and rock climbing.