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The Fallacy of Community-Based Research.
Simar S Bajaj1, Jaeah Kim2, Fatima Cody Stanford3
1Stanford University School of Medicine, Palo Alto, CA, USA.
Community-based research can foster equitable partnerships but faces challenges in engagement and funding. Reforms are needed for sustained collaboration and accountability to achieve better public health outcomes.
Area of Science:
- Public Health
- Community-Engaged Research
- Health Equity
Background:
- Community-based research (CBR) aims for equitable partnerships with marginalized communities.
- Current CBR practices often suffer from superficial engagement and systemic inequities.
- This disconnect hinders the potential of CBR for impactful public health outcomes.
Discussion:
- Ethical, procedural, and structural shortcomings impede effective CBR.
- Institutional review boards and funding mechanisms require reform.
- Sustained community engagement, power-sharing, and accountability are crucial.
Key Insights:
- Stated goals of CBR often diverge from actual implementation.
- Systemic inequities in funding and representation undermine partnerships.
- Reimagining research as a collaborative, long-term endeavor is essential.
Outlook:
- Reformed institutional processes can enhance CBR effectiveness.
- Achieving genuine collaboration requires addressing power dynamics.
- Just and effective public health outcomes depend on equitable research practices.
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