Advancing healthcare equity through dissemination and implementation science
2023/05/23 by Ana A. Baumann, Rachel C. Shelton, Shiriki Kumanyika +1 · 27 citations
Health Professions · #Health Policy Implementation Science #Healthcare cost, quality, practices #Primary Care and Health Outcomes
paper · pdf · doi:10.1111/1475-6773.14175
Abstract
OBJECTIVE: To provide guiding principles and recommendations for how approaches from the field of dissemination and implementation (D&I) science can advance healthcare equity. DATA SOURCES AND STUDY SETTING: This article, part of a special issue sponsored by the Agency for Healthcare Research and Quality (AHRQ), is based on an outline drafted to support proceedings of the 2022 AHRQ Health Equity Summit and further revised to reflect input from Summit attendees. STUDY DESIGN: This is a narrative review of the current and potential applications of D&I approaches for understanding and advancing healthcare equity, followed by discussion and feedback with Summit attendees. DATA COLLECTION/EXTRACTION METHODS: We identified major themes in narrative and systematic reviews related to D&I science, healthcare equity, and their intersections. Based on our expertise, and supported by synthesis of published studies, we propose recommendations for how D&I science is relevant for advancing healthcare equity. We used iterative discussions internally and at the Summit to refine preliminary findings and recommendations. PRINCIPAL FINDINGS: We identified four guiding principles and three D&I science domains with strong promise for accelerating progress toward healthcare equity. We present eight recommendations and more than 60 opportunities for action by practitioners, healthcare leaders, policy makers, and researchers. CONCLUSIONS: Promising areas for D&I science to impact healthcare equity include the following: attention to equity in the development and delivery of evidence-based interventions; the science of adaptation; de-implementation of low-value care; monitoring equity markers; organizational policies for healthcare equity; improving the economic evaluation of implementation; policy and dissemination research; and capacity building.
Citations
Cited by
- Advancing the selection of implementation science theories, models, and frameworks: a scoping review and the development of the SELECT-IT meta-framework
- Methodological recommendations for assessing the impact of adaptations on outcomes in implementation research
- Moving toward targeted eating disorder care for transgender, non-binary, and gender expansive patients in the United States. [europepmc]
- Disseminating for impact: creating curriculum activities for translational dissemination for the clinical and translational research workforce. [europepmc]
- Leveraging artificial intelligence to advance implementation science: potential opportunities and cautions. [europepmc]
- Implementation Science to Achieve Equity in Heart Failure Care: A Scientific Statement From the American Heart Association. [europepmc]
- Using the consolidated framework for implementation research to identify challenges and opportunities for implementing a reproductive health education program into sickle cell disease care. [europepmc]
- Using an intersectionality lens to explore barriers and enablers to hepatitis C point-of-care testing: a qualitative study among people who inject drugs and service providers. [europepmc]
- Pre-implementation determinants for digital mental health integration in Chicago pediatric primary care. [europepmc]
- A review of implementation research funded by the National Institute on Drug Abuse, 2007-2023: Progress and opportunities. [europepmc]
- Determinants of the implementation of eHealth-based long-term follow-up care for young cancer survivors: a qualitative study. [europepmc]
- A community-academic partnership to develop an implementation support package for overdose prevention in permanent supportive housing. [europepmc]
- A Scoping Review of Implementation Science Studies in the Field of Traumatic Brain Injury: State of the Science and Future Directions. [europepmc]
- Harnessing Implementation Science in Clinical Psychology: Past, Present, and Future. [europepmc]
- Equity-grounded implementation science: Comparative case analysis of three studies. [europepmc]
- Adapting a sexual and reproductive health program for Latina teens and their female caregivers: a qualitative study. [europepmc]
- IM4Equity: an implementation science meta-framework for community-engaged partnerships to advance health equity. [europepmc]
- Building the Road to End the HIV Epidemic Through Coordinating and Capacity-Building Hubs to Enhance the Science of HIV Implementation REsearch (CHESHIRE): Reflections and Directions. [europepmc]
- A mapping review and critique of the literature on translation, dissemination, and implementation capacity building initiatives for different audiences. [europepmc]
- Multilevel socioecological determinants of colorectal cancer screening among American Indian communities in New Mexico. [europepmc]
- A case study of the co-creation of the PrEP-SIC: a roadmap to support introduction of pre-exposure prophylaxis into new settings. [europepmc]
- Reaching Priority Populations When Scaling Up: A Qualitative Study of Practitioners' Experiences of Implementing Early Childhood Health Interventions in Victoria, Australia. [europepmc]
- Time to de-implementation of low-value cancer screening practices: a narrative review. [europepmc]
- Advancing the selection of implementation science theories, models, and frameworks: a scoping review and the development of the SELECT-IT meta-framework. [europepmc]
- Methodological recommendations for assessing the impact of adaptations on outcomes in implementation research. [europepmc]
- Implementing capacity-building initiatives addressing health equity through community-academic partnerships: A qualitative study. [europepmc]
- Implementation Science in School Mental Health: A 10-Year Progress Update and Development of a New Research Agenda. [europepmc]
Related