IM4Equity:一个实施科学元框架,用于社区参与的伙伴关系,以推进健康公平
Lilian G Perez1, James L Merle2, Justin D Smith2
1Behavioral and Policy Sciences Department, RAND, Santa Monica, CA, USA. lgperez12@gmail.com.
这项研究开发了IM4Equity,这是一个以公平为中心的实施框架,与社区合作伙伴共同创建. 它综合了现有的框架,通过确定共同的决定因素和促进公平的实施策略来推进健康公平.
科学领域:
- 实施科学 实施科学
- 健康 公平 研究 健康 公平 研究
- 社区参与的研究
背景情况:
- 实施决定性框架指导采用基于证据的创新 (EBI).
- 现有的框架缺乏综合和社区合作伙伴的投入,阻碍了健康公平的努力.
- 为了解决这些差距,DECIPHeR联盟开发了IM4Equity (4个IM实施框架的交叉路口,以促进健康公平)
研究的目的:
- 通过跨越现有的实施框架,开发一个以公平为中心的元框架 (IM4Equity).
- 将社区合作伙伴的观点纳入实施框架的制定中.
- 创建一个工具,促进健康创新的公平实施.
主要方法:
- 来自四个关键实施框架 (Eps,PRISM,CFIR,HEIF) 的交叉决定因素.
- 使用以用户为中心的设计方法与研究团队和社区合作伙伴进行反.
- 采用主题分析来代地完善框架并开发支持材料.
主要成果:
- IM4Equity确定了共享和独特的实施领域和结构.
- 确定了影响健康公平的决定因素 (例如,结构性种族主义) 的例子.
- 基于社区合作伙伴关于设计和整合视角的反,框架的可用性得到了增强.
结论:
- IM4Equity综合了跨框架的决定因素,促进了健康公平倡议的共享学习.
- 这个元框架是第一个优先考虑与社区合作伙伴共同创造的元框架之一.
- IM4Equity可以为推进健康公平的更公平的实施措施和战略提供信息.
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