Translational framework for implementation evaluation and research: a critical approach to patient-centred equity...

Area of Science:

• Implementation Science
• Health Equity Research
• Sociology in Healthcare

Background:

• Growing interest in health equity within implementation research.
• Recognition of macro-level processes influencing healthcare disparities.
• Need for justice-oriented approaches to address patient-centredness and inequities.

Purpose of the Study:

• To develop a patient-centred and justice-informed approach for designing complex healthcare interventions.
• To innovate healthcare service delivery with a focus on equity.

Main Methods:

• Developed Patient-centred Equity Design in five stages.
• Integrated theories from sociology, public health, and implementation science.
• Created a determinant framework, process models, generative principles, and critical design questions.

Main Results:

• A determinant framework linking macro, meso, and micro-level healthcare inequities.
• Generative principles for equitable, patient-centred interventions (e.g., fostering civility, reducing complexity).
• Critical questions for appraising inequities in healthcare interventions and services.

Conclusions:

• Patient-centred Equity Design integrates multiple disciplines to focus on equity in healthcare interventions.
• Provides a framework, models, principles, and questions to guide intervention design and service delivery.
• Offers actionable principles to center patient and caregiver experiences and address inequities.