A conceptual model for using action inquiry technologies to address disparities in depression

Area of Science:

• Health Services Research
• Community Health
• Medical Education

Background:

• Significant disparities persist in depression care across the United States.
• Addressing these disparities requires innovative approaches to improve care delivery and outcomes.
• Action inquiry offers a framework for systematic improvement in healthcare settings.

Purpose of the Study:

• To explore the utility of action inquiry methods for reducing disparities in depression care.
• To present a conceptual model integrating action inquiry with domains-based outcomes assessment for depression care improvement.
• To inform continuing medical education (CME) planners on collaborative strategies to address care gaps.

Main Methods:

• Review of action inquiry methodologies, including participatory action research (PAR) and action research in clinical and CME settings.
• Development of a conceptual model for coordinating action inquiry strategies in depression care.
• Application of the domains-based outcomes assessment model to guide action inquiry cycles.

Main Results:

• Action inquiry provides a structured cycle (plan-act-evaluate-reflect) to address complex healthcare problems like depression care disparities.
• The proposed conceptual model integrates various stakeholders (providers, patients, planners) in a collaborative improvement process.
• This model can facilitate collaboration among CME planners and other stakeholders to tackle depression care inequities.

Conclusions:

• Action inquiry strategies, when coordinated through a domains-based outcomes assessment model, offer a promising approach to reducing depression care disparities.
• The conceptual model provides a framework for CME planners to engage in collaborative efforts to improve depression care.
• Further implementation and evaluation of this model are warranted to enhance equitable access and quality of depression care.