RECOMMENDATIONS FOR ADDRESSING STRUCTURAL RACISM IN IMPLEMENTATION SCIENCE: A CALL TO THE FIELD
RECOMMENDATIONS FOR ADDRESSING STRUCTURAL RACISM IN IMPLEMENTATION SCIENCE: A CALL TO THE FIELD
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DOI：
10.18865/ed.31.s1.357
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发表时间：
2021-05-01
影响因子：
3.2
通讯作者：
Oh, April
中科院分区：
文献类型：
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作者：
Shelton, Rachel C.;Adsul, Prajakta;Oh, April
实施科学（IS）是为了应对研究与实践之间的巨大差距而出现的，其目标是加速和解决循证干预措施（EBI）的发展，翻译和广泛吸收。尽管基础设施服务大有希望，但在明确促进卫生公平方面，这一领域仍然存在重大差距和机会，特别是因为这些差距和机会与卫生的社会决定因素和结构性种族主义的作用有关。在这篇评论中，我们为伊斯兰国领域提出了建议，将结构性种族主义纳入我们工作的更明确的重点。首先，我们提出的情况下，包括结构性种族主义作为一个结构，并促进其测量作为一个决定因素，在现有的IS框架/模型，奠定了基础的实证证据基础上的机制，通过这些因素的影响不公平的采用，实施和可持续性的EBI。其次，我们建议考虑EBI和实施战略，直接或间接地解决结构性种族主义和影响健康公平。最后，我们呼吁在IS中使用可能更适合于在多个生态层面以及我们进行IS的临床和社区环境中解决结构性种族主义的方法和方法，包括基于社区的参与性研究和利益相关者的参与。我们认为，这些是机会，以推动重点卫生公平内IS和结束与收费的领域，考虑使结构性种族主义和种族主义的拆除是研究议程的一个明确的一部分。
Implementation science (IS) has emerged in response to a striking research-to-practice gap, with the goal of accelerating and addressing the development, translation, and widespread uptake of evidence-based interventions (EBIs). Despite the promise of IS, critical gaps and opportunities remain within the field to explicitly facilitate health equity, particularly as they relate to the role of social determinants of health and structural racism. In this commentary, we propose recommendations for the field of IS to include structural racism as a more explicit focus of our work. First, we make the case for including structural racism as a construct and promote its measurement as a determinant within existing IS frameworks/models, laying the foundation for an empirical evidence base on mechanisms through which such factors influence inequitable adoption, implementation, and sustainability of EBIs. Second, we suggest considerations for both EBIs and implementation strategies that directly or indirectly address structural racism and impact health equity. Finally, we call for use of methods and approaches within IS that may be more appropriate for addressing structural racism at multiple ecological levels and clinical and community settings in which we conduct IS, including community-based participatory research and stakeholder engagement. We see these as opportunities to advance the focus on health equity within IS and conclude with a charge to the field to consider making structural racism and the dismantling of racism an explicit part of the IS research agenda.