在临床试验和健康和社会护理研究中嵌入公平,多样性和包容性过程
Keerti Gedela1,2, Richard Wong2, Suki Balendra3
1Chelsea and Westminster Hospital NHS Foundation Trust, London, England, UK k.gedela@nhs.net.
BMJ open
|March 27, 2025
概括
该框架促进英国临床研究中的公平,多样性和包容性 (EDI). 它提供了使研究值得信赖和可访问的实际步骤,通过确保多样化的人口参与来解决健康不平等问题.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床试验方法论 临床试验方法论
- 卫生公平研究 卫生公平研究
背景情况:
- 英国的健康不平等因临床研究人群缺乏多样性而加剧.
- 迫切需要可行的策略来加强研究中的公平,多样性和包容性 (EDI).
- 目前的临床研究系统需要改进,以使其值得信赖,并可供所有社区使用.
研究的目的:
- 为将EDI整合到临床研究的所有阶段提供一个实际的框架.
- 引导开发负责任的临床研究系统,以培养公众信任.
- 促进英国临床研究更公平,更包容,更具代表性的模式.
主要方法:
- 一个基于共识的指南,由伦敦西北部国家卫生和护理研究所 (NIHR) 临床研究网络的平等,多样性和包容性工作组开发.
- 分析将EDI整合到临床研究设计,协议和实施中的挑战.
- 与英国政府的临床研究战略和NIHR的INCLUDE项目保持一致.
主要成果:
- 在整个临床研究生命周期中嵌入EDI的实用框架.
- 识别行业赞助协议和NHS调查小组所带来的挑战.
- 创建可靠和可访问的临床研究系统的指南.
结论:
- 实施这一框架可以通过增加临床研究的多样性来帮助扭转健康不平等.
- 对EDI的相互连接方法对于改变临床研究实践至关重要.
- 该框架旨在确保临床研究更好地满足英国所有人口的需求.
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