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Mending the gap: Measurement needs to address policy implementation through a health equity lens
Journal article - Review   Open access

Mending the gap: Measurement needs to address policy implementation through a health equity lens

Gabriella M McLoughlin, Shiriki Kumanyika, Yanfang Su, Ross C Brownson, Jennifer O Fisher and Karen M Emmons
Translational behavioral medicine, v 14(4), pp 207-214
01 Apr 2024
PMID: 38402599
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1093/tbm/ibae004View
Published, Version of Record (VoR)CC BY V4.0 Open

Abstract

policy implementation health equity measurement implementation science
Policies represent a key opportunity to improve the health outcomes of populations, and if implemented well, can reduce disparities affecting marginalized populations. Many policies are only evaluated on whether they elicit their intended health outcome. However, a lack of understanding regarding if and how they are implemented may hinder the intended impact overall and on addressing health disparities. Implementation science offers an array of frameworks and methodological approaches for assessing policy delivery, yet few examples exist that meaningfully include health equity as a core focus. This commentary describes the importance of equity-informed implementation measurement by providing case examples and implications for assessment. In addition, we highlight examples of emerging work in policy implementation grounded in health equity with suggested steps for moving the field forward. The ultimate goal is to move toward open-access measurement approaches that can be adapted to study implementation of a variety of policies at different stages of implementation, driven by input from marginalized populations and implementation practitioners, to move the needle on addressing health disparities.

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9 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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