The Use of Health Equity Impact Assessments to Modify Evidence Based Strategies within Local Health Departments in North Carolina.

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Imani J Belton, Lindsey Yates, Erin Magee, Dorothy Cilenti, Christine Tucker

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Abstract

Background: Health equity impact assessments (HEIAs) inform the reduction of health inequities by evaluating programs or policies that affect target populations. Local health departments (LHD) receiving funding through the Improving Community Outcomes for Maternal and Child Health (ICO4MCH) Program conducted HEIAs for evidence-based strategies (EBSs). This paper describes the impact of HEIAs on the implementation of EBSs and highlights lessons learned during implementation of HEIA modifications.

Methods: We conducted a content analysis using data from the HEIA Modification Tracker and focus groups to identify themes and lessons learned.

Results: Fifteen HEIAs were conducted by five LHDs between 2016 and 2020. The most common modifications to EBS implementation were 1) increasing education and training for community members and 2) altering messaging mediums and language to reach intended audiences.

Discussion: Health equity impact assessments serve as a systematic and tangible way to center health equity, reflect on past processes, and inform improvements.

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利用健康公平影响评估在北卡罗来纳州地方卫生部门内修改循证策略。

背景：健康公平影响评估（HEIAs）通过评估影响目标人群的计划或政策，为减少健康不公平现象提供信息。通过 "改善社区妇幼保健成果（ICO4MCH）计划 "获得资助的地方卫生部门（LHD）对循证策略（EBS）进行了健康公平影响评估。本文描述了 HEIA 对实施 EBS 的影响，并重点介绍了在实施 HEIA 修改过程中吸取的经验教训：我们利用 HEIA 修改跟踪器和焦点小组的数据进行了内容分析，以确定主题和经验教训：在 2016 年至 2020 年期间，5 个地方卫生署开展了 15 项 HEIA。对 EBS 实施最常见的修改是：1）加强对社区成员的教育和培训；2）改变信息传播媒介和语言，以达到预期受众：健康公平影响评估是以健康公平为中心、反思过去的过程并为改进提供信息的一种系统而具体的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.