Workforce Diversity and Capacity Building to Address Health Disparities

Valantine, Hannah A.; Davis, Alison F.

doi:10.1002/9781119374855.ch26

Cited by 4 publications

(5 citation statements)

References 30 publications

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“…Diversity (e.g., in relation to race and ethnicity) within the caring professions has been linked to reduced inequalities for those being cared for (e.g., through greater concordance, improved access and uptake, greater cultural sensitivity)[49]. Inclusion of minoritised groups within the research community is similarly proposed to help produce research which more effectively addresses health inequities, for instance, via greater understanding of the needs and challenges of marginalised groups through shared life experiences, enhancing recruitment and trust in research, adoption of appropriate research methodologies, and development and implementation of interventions which best meet their needs [50–52]. Given the engrained and ubiquitous nature of organisational culture operating across multiple levels (e.g., shared assumptions, norms, values and beliefs), such culture change initiatives are difficult to implement [53,54].…”

Section: Discussionmentioning

confidence: 99%

“…inequities, for instance, via greater understanding of the needs and challenges of marginalised groups through shared life experiences, enhancing recruitment and trust in research, adoption of appropriate research methodologies, and development and implementation of interventions which best meet their needs[50][51][52]. Given the engrained and ubiquitous nature of organisational culture operating across multiple levels (e.g., shared assumptions, norms, values and beliefs), such culture change initiatives are difficult to implement[53,54].…”

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confidence: 99%

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Guiding principles for accelerating change through health inequities research and practice: A modified Delphi consensus process

Ahmed,

Woodhead,

Hossaini

et al. 2024

Preprint

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Despite a preponderance of evidence, and considerable resources, health & social inequities persist and there is evidence of widening unfair differences in markers of health and care. While power imbalances created by broader structural and economic systems are major influencing factors, reform within health inequities research, policy and health and social care practice is key to both bottom-up and top-down change. We aimed to develop agreement for an iterative set of guiding principles underpinning ways of working for a newly formed Health and Social Equity Collective comprising researchers, community leaders, policymakers, and health and care professionals, seeking to address inequity by identifying and engaging the levers of change within and across institutions. The principles aim to inform a more inclusive and translational knowledge base through research practices, tackling entrenched inequalities in education, training, and capacity-building; and centring communities affected by health inequities through engagement and advocacy. We carried out a modified Delphi consensus process between March and September 2022 with Collective members and networks through online workshops and surveys. Out of 24 consensus statements developed and refined over a workshop and three successive survey rounds, we identified eleven key principles agreed upon by a majority of respondents. Two of these were rated high priority by over 75% of respondents, four by over 60% and five by over 50%. These could be grouped into three main topics detailing ways of working and change needed within: Knowledge and framing of health and social inequities, and incorporation into practice, Community engagement, involvement and peer research, and Organisational culture change. Given the pressing need to address inequities, these principles offer a grounding for future consensus building initiatives which also incorporate a wider diversity of perspectives, and which should be iteratively updated with ongoing learning from health equity initiatives nationally and internationally.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Guiding principles for accelerating change through health inequities research and practice: A modified Delphi consensus process

Ahmed,

Woodhead,

Hossaini

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Most of the nation's healthcare workers (as well as clinical research personnel) are not culturally, racially, or ethnically similar to individuals for whom they provide care. 41 However, overall diversity among research staff may help to build trust in the research process, which can facilitate study recruitment and follow-up. Like with civilian populations, race and gender are risk factors for pain and co-occurring conditions within active duty military and veteran populations.…”

Section: Recruiting Participantsmentioning

confidence: 99%

“…Recruitment of non‐representative samples for chronic pain pragmatic trials may be exacerbated, again, by deeply entrenched systemic factors. Most of the nation's healthcare workers (as well as clinical research personnel) are not culturally, racially, or ethnically similar to individuals for whom they provide care 41 . However, overall diversity among research staff may help to build trust in the research process, which can facilitate study recruitment and follow‐up.…”

Section: Considering Justice and Equity Across The Life Cycle Of Prag...mentioning

confidence: 99%

Justice and equity in pragmatic clinical trials: Considerations for pain research within integrated health systems

Ali

Davis

Burgess

et al. 2021

Learning Health Systems

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Introduction Pragmatic clinical trials (PCTs) can overcome implementation challenges for bringing evidence‐based therapies to people living with pain and co‐occurring conditions, providing actionable information for patients, providers, health systems, and policy makers. All studies, including those conducted within health systems that have a history of advancing equitable care, should make efforts to address justice and equity. Methods Drawing from collective experience within pragmatic pain clinical trials networks, and synthesizing relevant literature, our multidisciplinary working group examined challenges related to integrating justice and equity into pragmatic pain management research conducted in large, integrated health systems. Our analysis draws from military and veteran health system contexts but offers strategies to consider throughout the lifecycle of pragmatic research more widely. Results We found that PCTs present a unique opportunity to address major influences on health inequities by occupying a space between research, healthcare delivery, and the complexities of everyday life. We highlight key challenges that require attention to support complementary advancement of justice and equity via pragmatic research, offering several strategies that can be pursued. Conclusions Efforts are needed to engage diverse stakeholders broadly and creatively in PCTs, such as through dedicated health equity working groups and other collaborative relationships with stakeholders, to support robust and inclusive approaches to research design and implementation across study settings. These considerations, while essential to pain management research, offer important opportunities toward achieving more equitable healthcare and health systems to benefit people living with pain and co‐occurring conditions.

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“…A diverse medical and research workforce has been shown to drive innovation and improve access to high-quality, culturally competent patient-centered care for racial and ethnic minorities. 1,2 Further, diversity in academic medicine and clinical and translational science (CTS) may broaden the medical research agenda 3 , allow for more diverse clinical trial recruitment 4 , support institutional excellence 5,6 , and enhance education. 4 As such, diversity, equity, and inclusion (DEI) in CTS are paramount to driving science forward and increasing health equity.…”

Section: Introductionmentioning

confidence: 99%

Advancing diversity, equity, and inclusion within clinical and translational science training programs: A qualitative content analysis of the training breakout session at the national CTSA program meeting

Shay¹,

Schmidt²,

Thurston³

et al. 2022

J. Clin. Trans. Sci.

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Workforce Diversity and Capacity Building to Address Health Disparities

Cited by 4 publications

References 30 publications

Guiding principles for accelerating change through health inequities research and practice: A modified Delphi consensus process

Guiding principles for accelerating change through health inequities research and practice: A modified Delphi consensus process

Justice and equity in pragmatic clinical trials: Considerations for pain research within integrated health systems

Advancing diversity, equity, and inclusion within clinical and translational science training programs: A qualitative content analysis of the training breakout session at the national CTSA program meeting

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