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Published on: February 19, 2021
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Advancing healthcare equity through dissemination and implementation science
Ana A Baumann1, Rachel C Shelton2, Shiriki Kumanyika3
1Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.
Health Services Research
|May 23, 2023
Summary
Dissemination and implementation (D&I) science offers guiding principles and actionable recommendations to advance healthcare equity. Key areas include intervention adaptation, de-implementation of low-value care, and policy research for equitable health outcomes.
Area of Science:
- Dissemination and Implementation (D&I) Science
- Healthcare Equity Research
Background:
- The Agency for Healthcare Research and Quality (AHRQ) sponsored a Health Equity Summit in 2022.
- The summit aimed to identify how D&I science can advance healthcare equity.
Approach:
- Narrative review of D&I science and healthcare equity literature.
- Synthesis of published studies and expert insights.
- Iterative discussions and feedback from Summit attendees.
Key Points:
- Four guiding principles and three D&I science domains identified for advancing healthcare equity.
- Eight recommendations and over 60 opportunities for action proposed.
- Focus on equitable intervention development, adaptation, and de-implementation.
Conclusions:
- D&I science provides a framework for addressing healthcare disparities.
- Specific applications include monitoring equity markers and organizational policy development.
- Capacity building and policy research are crucial for accelerating progress.
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