转变综合初级保健中的健康公平研究的研究方案:反种族主义作为颠覆性创新
Sylvie Naar1, Carrie Pettus2, Norman Anderson3
1Center for Translational Behavioral Science, Florida State University, Tallahassee, FL, United States of America.
PloS one
|June 27, 2024
概括
需要新的反种族主义干预措施来解决健康差异. 这项研究引入了一个新的范式,将社区研究和系统科学整合起来,为初级保健机构开发和测试干预措施.
科学领域:
- 卫生公平研究 卫生公平研究
- 医疗服务研究 医疗服务研究
- 翻译科学是翻译的科学.
背景情况:
- 医疗保健中的系统性种族主义导致黑人/非洲裔美国人患有并发症的健康差异显著.
- 尽管进行了数十年的研究,但在健康公平方面没有发生有意义的变化,缺乏基于证据的反种族主义干预措施.
- 新方法对于积极干预医疗保健系统中的种族主义至关重要,而不是仅仅记录其影响.
研究的目的:
- 在初级保健机构中开发反种族主义干预措施的变革性范式.
- 在社区参与的框架内整合精神和身体健康护理.
- 建立一种新的方法,将基于社区的参与性研究和系统科学结合起来,用于干预开发.
主要方法:
- 利用系统科学的新应用,将定性组模型构建 (GMB) 与定量模拟建模相结合.
- 让社区参与者参加GMB研讨会,以绘制种族主义驱动因素,并确定干预杆点.
- 雇佣咨询委员会进行反和选干预组件,并使用项目响应理论制定核心措施.
主要成果:
- 研究协议概述了一个社区参与的过程,以定义和优先考虑反种族主义干预措施.
- 将生成模拟模型,以评估各种条件下的潜在干预影响.
- 开始制定组织系统和提供者级干预有效性的核心措施.
结论:
- 这项研究引入了一个新的,社区参与的范式,用于开发和测试初级保健中的反种族主义干预措施.
- 系统科学和参与式研究的综合方法为解决医疗保健种族主义提供了一个强大的框架.
- 开发的范式有可能改善黑人/非洲裔美国人和其他边缘化群体的健康平等.
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