scholarly journals Reducing Health Disparities to Promote Health Equity through Policy Research

2019 ◽  
Vol 29 (Supp2) ◽  
pp. 321-322
Author(s):  
Eliseo J. Perez-Stable ◽  
Michael Sayre

Health policy research aligns with the vision, mission, and strategic goals of the National Institute on Minority Health and Health Disparities (NIMHD). Understanding the effects of a policy change at a local, state or national level that impacts health requires setting up data collection or accessing existing data to evaluate impact at a population health level. The translational work in  the current special supplement issue of Ethnicity & Disease is a powerful and essential approach in optimizing scientific inquiry that supports increasing awareness and selected strategies for cultivating the lives of vulnerable and underserved individuals, families, and communities.

2019 ◽  
Vol 29 (Supp2) ◽  
pp. 385-392
Author(s):  
Latrice Rollins ◽  
Tiffany Zellner Lawrence ◽  
Tabia Henry Akintobi ◽  
Jammie Hopkins ◽  
Ananya Banerjee ◽  
...  

This article describes the participatory evalu­ation framework for the Transdisciplinary Collaborative Center for Health Disparities Research (TCC) funded by the National Institute of Minority Health and Health Disparities. In collaboration with TCC stake­holders, logic models, the McKinlay model, and process and outcome evaluation plans, including quantitative and qualitative methods, have been developed and used to document the impact of the TCC. The McKinlay model, a widely used compre­hensive health model for eliminating health disparities, was also tailored to document the outcomes of the TCC. The process and outcome evaluation plans for the TCC guide continuous improvement and the achieve­ment of its specific aims. The evaluation of the TCC occurred between 2012 and 2019 and involved key stakeholders in TCC re­search and programming. Several challenges exist for implementing an evaluation plan of a health equity-focused policy research center. However, we learned several lessons that will ensure progress toward specific aims and will help the TCC serve as a model for similar programs and centers.Ethn Dis. 2019;29(Suppl 2):385-392. doi:10.18865/ed.29.S2.385


2019 ◽  
Vol 29 (Supp2) ◽  
pp. 323-328 ◽  
Author(s):  
Kisha B. Holden ◽  
Jammie Hopkins ◽  
Allyson Belton ◽  
Klahe Butty ◽  
Derrick C. Tabor ◽  
...  

Advancing health equity and reducing disparities through evidence-based policy research requires the expertise, insights, and active participation of various policy stakeholders – particularly those represent­ing vulnerable populations who may be disproportionately affected by such policies. Unfortunately, there are few sustainable settings for these diverse stakeholders to convene, share their knowledge, develop and execute research in a collaborative fashion, and effectively translate evidence-based findings. The development of a health policy-focused center supports the collaborative structure needed to present a unified, multi-disciplinary approach toward informing health policy. The Transdisci­plinary Collaborative Center for Health Disparities Research (TCC) at Morehouse School of Medicine (U54MD008173) was funded in 2012 by the National Institute on Minority Health and Health Dispari­ties (NIMHD) as an innovative approach for conducting health policy research and disseminating evidence-based science to diverse stakeholders. This article provides an overview of the research projects, pilot project programs, infrastructure cores, com­munications, and strategic dissemination activities supported by the TCC. Ethn Dis. 2019;29(Suppl 2):323-328; doi:10.18865/ed.29.S2.323


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Coman ◽  
O Oltean ◽  
M Palianopoulou ◽  
D Plancikova ◽  
C Zedini ◽  
...  

Abstract Over the past years, Tunisia has experienced important reforms in the field of public health. The Tunisian medical faculties (Universities of Sfax, Tunis el Manar, Sousse and Monastir) play a key role in this endeavor by training public health professionals who can contribute to the modernization of the health system. Funded by the EC through Erasmus+ programme, the CONFIDE project (coordinated by Babes-Bolyai University, having as EU partners the Universities of Southern Denmark and Trnava, and the above mentioned Tunisian universities) has established the Research into Policy training programme by strengthening their capacity to provide public health training. The Research into Policy training programme has been delivered by the Centres for Evidence into Health Policy (C4EHPs) established within the Tunisian partner universities for the needs of CONFIDE. The training programme was implemented in four steps: (1) train the trainer sessions - the European experts trained 18 Tunisian trainers; (2) shadowing sessions - the trainers participated in shadowing sessions in the European partner institutions; (3) training delivery - the CONFIDE trainers, assisted by the European experts, delivered the training to an interdisciplinary group of 25 students and professionals; (4) internships - the students participated in internships in local health institutions. Three modules have been built within the Research into Policy training programme: Public health research, Health promotion policies and Evidence based public health policy. They contributed to increasing the public health knowledge and skills of the professionals trained. The training programme was well received by the Tunisian universities and the material developed so far during the project was adapted to the Tunisian context in the third step of implementation. On the long term, the project is expected to have an impact at the national level and produce updates at curricula level in the Tunisian medical faculties. Key messages Research into Policy training programme developed by the EC partners and culturally adapted by the Tunisian partners to the Tunisian public health context. Research into Policy training is a well-received tool for the high quality learning process in the public health field in Tunisian medical faculties.


2019 ◽  
Vol 7 (2) ◽  
pp. e000076 ◽  
Author(s):  
Alina Engelman ◽  
Ben Case ◽  
Lisa Meeks ◽  
Michael D Fetters

Healthcare guidelines play a prominent role in the day-to-day practice of primary care providers, and health policy research leads to the formation of these guidelines. Health policy research is the multidisciplinary approach to public policy explaining the interaction between health institutions, special interests and theoretical constructs. In this article, we demonstrate how primary care providers can conduct high-impact health policy research using Eugene Bardach’s eightfold policy analysis framework in a primary care context. In a medical case, a woman with a history of total hysterectomy had scheduled a visit for a Papanicolaou (Pap) smear screening test as part of a well-woman health check-up with a family medicine resident. Conflicting recommendations on Pap smear screening after total hysterectomy sparked an investigation using the US Preventive Services Task Force criteria for conducting a health policy analysis. We illustrate broadly how clinical care dilemmas can be examined by using Bardach’s broadly applicable health policy framework in order to inform meaningful policy change. Bardach’s framework includes (1) defining the problem, (2) assembling evidence, (3) constructing alternatives, (4) selecting criteria, (5) projecting outcomes, (6) confronting trade-offs, (7) decision-making and (8) sharing the results of the process. The policy analysis demonstrated insufficient evidence to recommend Pap test screening after hysterectomy and the findings contributed to national recommendations. By following Bardach’s steps, primary care researchers have a feasible and powerful tool for conducting meaningful health policy research and analysis that can influence clinical practice.


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