评估学术卫生机构的背景,以改善基于公平,社区和患者参与的研究
Prajakta Adsul1,2, Shannon Sanchez-Youngman3, Elizabeth Dickson3
1Department of Internal Medicine, School of Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
Journal of clinical and translational science
|January 20, 2025
概括
学术机构越来越多地关注健康公平和患者/社区参与的研究 (P/CenR). 然而,机构的支持和资源往往缺乏,这阻碍了P/CenR的有效实施.
科学领域:
- 卫生科学 卫生科学 卫生科学
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
背景情况:
- 基于公平,患者/社区参与的研究 (P/CenR) 的势头在健康科学中越来越大.
- 在P/CenR方面取得的进展主要依赖于个人伙伴关系和有限的机构支持.
研究的目的:
- 了解支持或阻碍患者/社区参与的研究的机构背景.
- 确定影响学术卫生机构内P/CenR实施的关键主题和障碍.
主要方法:
- 混合方法方法结合了机构范围的调查 (n=99),与领导层的定性访谈 (n=11) 以及与社区成员 (n=22) 和研究人员 (n=9) 的焦点小组.
- 数据收集涉及三个学术卫生机构的调查,采访和焦点小组.
主要成果:
- 对健康公平的关注出现了,但并没有始终转化为P/CenR支持或与机构声誉保持一致.
- 制度结构造成了权力不平衡和不信任,被认为是关键障碍.
- 资源,投资,问责制,沟通和培训被认为是P/CenR成功的关键.
结论:
- 调查结果突出了学术卫生机构中对P/CenR的关键障碍.
- 需要针对支持性政策和实践的干预措施,以改善基于公平的P/CenR.
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