The Importance of Evaluating Health Disparities Research
The Importance of Evaluating Health Disparities Research
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DOI：
10.2105/ajph.2018.304808
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发表时间：
2019-01-01
影响因子：
12.7
通讯作者：
Engelgau, Michael M.
中科院分区：
文献类型：
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作者：
Dye, Bruce A.;Duran, Deborah G.;Engelgau, Michael M.
健康不平等人口在社会上处于不利地位，他们经常受到多重歧视，这意味着他们的特点和属性不同于主流人群。旨在减少健康差距或改善少数群体健康的计划和政策必须考虑这些差异。尽管评估健康差距研究以产生可指导决策的高质量数据的重要性，但它尚未成为惯例。虽然健康差距评估采用了与所有评估相同的科学方法，但它们具有独特的组成部分，如人口特征，社会文化背景，以及缺乏在研究的每个阶段都必须考虑的健康差距共同指标和衡量标准。本文介绍了分为3个组成部分的评估策略：形成性（需求评估和过程），设计和方法（在现实世界中使用的多层次设计）和总结性（结果，影响和成本）。每个部分将描述每个组成部分的标准，讨论独特的健康差距方面，并提供来自国家少数民族健康和健康差距研究所的战略和措施愿景研讨会（2016年4月），以推进健康差距研究的评估。
Health disparity populations are socially disadvantaged, and the multiple levels of discrimination they often experience mean that their characteristics and attributes differ from those of the mainstream. Programs and policies targeted at reducing health disparities or improving minority health must consider these differences.Despite the importance of evaluating health disparities research to produce high-quality data that can guide decision-making, it is not yet a customary practice. Although health disparities evaluations incorporate the same scientific methods as all evaluations, they have unique components such as population characteristics, sociocultural context, and the lack of health disparity common indicators and metrics that must be considered in every phase of the research.This article describes evaluation strategies grouped into 3 components: formative (needs assessments and process), design and methodology (multilevel designs used in real-world settings), and summative (outcomes, impacts, and cost). Each section will describe the standards for each component, discuss the unique health disparity aspects, and provide strategies from the National Institute on Minority Health and Health Disparities Metrics and Measures Visioning Workshop (April 2016) to advance the evaluation of health disparities research.