Centering Equity in Evidence-Informed Decision Making: Theoretical and Practical Considerations.

IF 4.1 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Milbank Quarterly Pub Date : 2025-03-01 Epub Date: 2025-02-27 DOI:10.1111/1468-0009.70002
Bomi Kim Hirsch, Kiersten Frobom, Gillian Giglierano, Michael C Stevenson, Marjory L Givens
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引用次数: 0

Abstract

Policy Points The population health research field should develop a synthesized approach to evaluate evidence for an intervention's potential impact on equity. When empirical evidence is lacking, theory and frameworks should guide the equity assessments in four areas: 1) understanding historical context, meaning root causes of disparities and inequity; 2) understanding intervention design and intended beneficiaries; 3) understanding differential impact and intersectionality; and 4) understanding community context before implementing or scaling interventions. The synthesized approach of equity assessment better informs practitioners and policymakers in evidence-based decision making to advance equity.

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循证决策中以公平为中心:理论与实践考量。
政策要点:人口健康研究领域应制定一种综合方法来评估干预措施对公平的潜在影响的证据。在缺乏经验证据的情况下,理论和框架应在以下四个方面指导公平评估:1)理解历史背景,了解差异和不公平的根本原因;2)了解干预设计和预期受益者;3)理解不同的影响和交叉性;4)在实施或扩大干预措施之前了解社区背景。公平评估的综合方法更好地为实践者和决策者提供基于证据的决策以促进公平。
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来源期刊
Milbank Quarterly
Milbank Quarterly 医学-卫生保健
CiteScore
9.60
自引率
3.00%
发文量
37
审稿时长
>12 weeks
期刊介绍: The Milbank Quarterly is devoted to scholarly analysis of significant issues in health and health care policy. It presents original research, policy analysis, and commentary from academics, clinicians, and policymakers. The in-depth, multidisciplinary approach of the journal permits contributors to explore fully the social origins of health in our society and to examine in detail the implications of different health policies. Topics addressed in The Milbank Quarterly include the impact of social factors on health, prevention, allocation of health care resources, legal and ethical issues in health policy, health and health care administration, and the organization and financing of health care.
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