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Increasing Diversity, Equity, and Inclusion in the Health and Health Services Research Workforce: A Systematic

Margaret W Gichane1, Ida Griesemer2, Leah Cubanski3

  • 1Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA, USA. waru.gichane@ucsf.edu.

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Summary

This review identified 62 diversity, equity, and inclusion (DEI) programs in health research, finding most focus on short-term metrics and faculty. More institutional support is needed for long-term workforce advancement.

Keywords:
diversity, equity, and inclusionhealth services research workforcepromotionrecruitmentretention

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Area of Science:

  • Health Services Research
  • Workforce Development
  • Diversity, Equity, and Inclusion (DEI)

Background:

  • Health and health services research institutions aim to enhance diversity, equity, and inclusion (DEI) to address structural biases.
  • A growing number of programs target the health research workforce to foster DEI.

Purpose of the Study:

  • To systematically identify, characterize, and evaluate programs designed to strengthen DEI in health and health services research workforces.
  • To understand the focus, characteristics, and outcomes of existing DEI initiatives.

Main Methods:

  • A systematic scoping review of North American peer-reviewed empirical studies published between 2012 and 2022.
  • Literature search conducted in PubMed and Embase using the Arksey and O'Malley approach.
  • Identified and analyzed 62 distinct DEI programs.

Main Results:

  • Programs supported diverse underrepresented groups (race/ethnicity, gender identity, sexual orientation, disability, socioeconomic status).
  • Most programs targeted faculty/investigators, were short-term (≤1 year), and utilized skill-building, mentoring, and networking.
  • Key infrastructure strategies included leadership support, inclusive climate, resources, and community engagement.
  • Program evaluation predominantly used short-term metrics (grants, publications), with limited collection of long-term workforce outcomes (hiring, promotion, retention).

Conclusions:

  • The review outlines prevalent practices for advancing DEI in health research but highlights a need for greater focus on long-term workforce outcomes.
  • Research institutions, universities, and funders must realign culture and structures, expand resources, improve measurement, and enhance opportunities for underrepresented groups across all career stages.