一个简单的干预措施,以提高产科研究中的公平性
Rebecca Feldman Hamm1,2, Meaghan G McCabe1, Abike James1
1Department of Obstetrics and Gynecology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Health equity
|November 1, 2023
概括
一个简单的干预措施改善了黑人对产科研究的方法和招生. 这涉及到一个研究公平委员会和数据仪表板来追踪和解决差异,从而提高包容性.
科学领域:
- 产科和妇科 产科和妇科
- 临床研究 临床研究
- 健康 公平 卫生 公平
背景情况:
- 在临床研究中公平地纳入各种人群至关重要,但往往具有挑战性.
- 产科研究在历史上低估了黑人分娩个体的代表性,限制了概括性,并延续了健康差异.
研究的目的:
- 评估一项简单的干预措施的有效性,旨在改善黑人分娩个体在产科研究中的公平纳入.
- 评估研究公平委员会和基于种族的招生数据仪表板对研究参与的影响.
主要方法:
- 从2021年7月到2022年6月,在一个学术大学进行了前性评估.
- 该干预包括一个研究公平委员会,定期提交研究方法和按种族分类的入学数据,对代表人数不足的根本原因分析 (RCA) 和行动计划.
- 分析了来自七项前性产科研究的数据,包括692名患者.
主要成果:
- 进行了6次根本原因分析 (RCAs) 和行动规划会议.
- 行动计划的重点是标准化患者的治疗方法,招募脚本,并将研究地点扩展到不同的诊所.
- 四项研究显示,干预后情况有所改善,其中一项研究在黑人分娩个体的方法 (p=0.002) 和招生 (p=0.02) 中实现了统计学上显著的增加.
结论:
- 一个简单的干预措施,包括专门的委员会和数据监测,可以提高黑人分娩个体在产科研究中的方法和招生.
- 这种方法提供了一种实际的策略,以促进临床试验中的健康公平.
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