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Advancing healthcare equity through dissemination and implementation science

Baumann, Ana A. ; Shelton, Rachel C. ; Kumanyika, Shiriki ; Haire‐Joshu, Debra

Health services research, 2023-12, Vol.58 (S3), p.327-344 [Periódico revisado por pares]

Oxford, UK: Blackwell Publishing Ltd

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  • Título:
    Advancing healthcare equity through dissemination and implementation science
  • Autor: Baumann, Ana A. ; Shelton, Rachel C. ; Kumanyika, Shiriki ; Haire‐Joshu, Debra
  • Assuntos: Capacity building approach ; Capacity development ; Cost analysis ; Data collection ; Dissemination ; dissemination and implementation science ; evidence‐based intervention ; Extraction ; Health care ; Health disparities ; health equity ; healthcare equity ; Implementation ; Medical research ; Narratives ; Organizational policy ; Policy making ; Principles ; racism ; Science ; social determinants of health ; Systematic review
  • É parte de: Health services research, 2023-12, Vol.58 (S3), p.327-344
  • Notas: ObjectType-Article-2
    SourceType-Scholarly Journals-1
    ObjectType-Feature-3
    content type line 23
    ObjectType-Review-1
  • Descrição: Objective To provide guiding principles and recommendations for how approaches from the field of dissemination and implementation (D&I) science can advance healthcare equity. Data Sources and Study Setting This article, part of a special issue sponsored by the Agency for Healthcare Research and Quality (AHRQ), is based on an outline drafted to support proceedings of the 2022 AHRQ Health Equity Summit and further revised to reflect input from Summit attendees. Study Design This is a narrative review of the current and potential applications of D&I approaches for understanding and advancing healthcare equity, followed by discussion and feedback with Summit attendees. Data Collection/Extraction Methods We identified major themes in narrative and systematic reviews related to D&I science, healthcare equity, and their intersections. Based on our expertise, and supported by synthesis of published studies, we propose recommendations for how D&I science is relevant for advancing healthcare equity. We used iterative discussions internally and at the Summit to refine preliminary findings and recommendations. Principal Findings We identified four guiding principles and three D&I science domains with strong promise for accelerating progress toward healthcare equity. We present eight recommendations and more than 60 opportunities for action by practitioners, healthcare leaders, policy makers, and researchers. Conclusions Promising areas for D&I science to impact healthcare equity include the following: attention to equity in the development and delivery of evidence‐based interventions; the science of adaptation; de‐implementation of low‐value care; monitoring equity markers; organizational policies for healthcare equity; improving the economic evaluation of implementation; policy and dissemination research; and capacity building.
  • Editor: Oxford, UK: Blackwell Publishing Ltd
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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