Opportunities to Advance Equity Through Implementation Strategy Design Article Swipe
Katelin Hoskins
,
Melissa Maye
,
Leslie Wright
,
Shari Jager‐Hyman
,
Courtney Benjamin Wolk
,
Brian K. Ahmedani
,
Jennifer M. Boggs
,
Christina Johnson
,
Kristin A. Linn
,
LeeAnn M. Quintana
,
Celeste Pappas
,
Rinad S. Beidas
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-4773990/v1
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-4773990/v1
Background: Implementation strategies are potential tools for advancing equity goals in healthcare. Implementation scientists have increased attention to the integration of equity considerations into implementation research, but limited concrete guidance is available for developing implementation strategies to improve equity. Main: In parallel to an active hybrid effectiveness-implementation trial in two large health systems, our research team explored potential inequities in implementation across four non-study clinics, developed equity focused audit and feedback procedures, examined the feasibility of our approach, and identified design insights that could be tested in future work to inform equitable program scale-up. Based on our experiences deploying these strategies in pilot format, our research team identified key complexities meriting further examination in future work. These considerations are vital given the dearth of guidance on delivering feedback to clinicians in efforts to improve equity. Key takeaways include the importance of understanding local data culture, engaging constituents in co-design for the full feedback cycle, leveraging feedback for shared discourse, and centering multi-level strategies as part of robust implementation approaches. Conclusion: Prioritizing health equity in implementation science requires that research teams probe, interrogate, and innovate – and in doing so, grapple with central conceptual and pragmatic considerations that arise in the design of implementation strategies. Our work emphasizes the value of bidirectional and continuous learning.
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- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.21203/rs.3.rs-4773990/v1
- https://www.researchsquare.com/article/rs-4773990/latest.pdf
- OA Status
- gold
- Cited By
- 1
- References
- 17
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4402137256
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- OpenAlex ID
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https://openalex.org/W4402137256Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.21203/rs.3.rs-4773990/v1Digital Object Identifier
- Title
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Opportunities to Advance Equity Through Implementation Strategy DesignWork title
- Type
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-09-02Full publication date if available
- Authors
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Katelin Hoskins, Melissa Maye, Leslie Wright, Shari Jager‐Hyman, Courtney Benjamin Wolk, Brian K. Ahmedani, Jennifer M. Boggs, Christina Johnson, Kristin A. Linn, LeeAnn M. Quintana, Celeste Pappas, Rinad S. BeidasList of authors in order
- Landing page
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https://doi.org/10.21203/rs.3.rs-4773990/v1Publisher landing page
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https://www.researchsquare.com/article/rs-4773990/latest.pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.researchsquare.com/article/rs-4773990/latest.pdfDirect OA link when available
- Concepts
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Equity (law), Audit, Health equity, Implementation research, Work (physics), Computer science, Process management, Knowledge management, Public relations, Health care, Business, Management science, Medicine, Political science, Engineering, Psychological intervention, Accounting, Nursing, Law, Mechanical engineeringTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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17Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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