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Journal article
Advancing healthcare equity through dissemination and implementation science
Health services research
23 May 2023
PMID: 37219339
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To provide guiding principles and recommendations for how approaches from the field of dissemination and implementation (D&I) science can advance healthcare equity.
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.
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.
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.
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.
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.
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Details
- Title
- Advancing healthcare equity through dissemination and implementation science
- Creators
- Ana A Baumann - Washington University in St. LouisRachel C Shelton - Columbia UniversityShiriki Kumanyika - Drexel UniversityDebra Haire-Joshu - Washington University in St. Louis
- Publication Details
- Health services research
- Publisher
- Wiley
- Grant note
- U24HL154426 / National Institute of Health P50MH122351 / National Institute of Health 5U01HL133994 / National Institute of Health R25DK123008 / National Institute of Health P50CA244690 / National Institute of Health UL1TR002345 / National Institute of Health U01OD033239 / National Institute of Health RSG-17-156-01-CPPB / American Cancer Society P50CA244431 / National Institute of Health R01DK121475 / National Institute of Health UG3HL162970 / National Institute of Health P30DK092950 / National Institute of Health
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Dana and David Dornsife School of Public Health
- Web of Science ID
- WOS:000992711600001
- Scopus ID
- 2-s2.0-85159872750
- Other Identifier
- 991020563187804721
UN Sustainable Development Goals (SDGs)
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Highly Cited Paper
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Health Policy & Services