Division of General Pediatrics, Department of Pediatrics, Boston Medical Center, 801 Albany Street, 02119, Boston, MA, USA.
Matern Child Health J. 2023 Feb;27(2):210-217. doi: 10.1007/s10995-022-03564-6. Epub 2023 Jan 2.
Preventive health care, delivered through well child care visits, serves as a universal and primary entry point for promoting child wellbeing, yet children with lower socioeconomic status and children of color receive less consistent and lower quality preventive health care. Currently, limited research exists comparing models for delivering preventive care to children and their impact on longstanding racial/ethnic and socioeconomic inequities.
Practice-based research networks can help to advance health equity by more rapidly studying and scaling innovative, local models of care to reduce racial/ethnic and socioeconomic inequities in primary care and preventive care utilization. This paper outlines a framework of community engagement that can be utilized by practice-based research networks to advance health equity and details the application of the framework using the GROWBABY Research Network (GROup Wellness Visits for BABies and FamilY Research Network).
The GROWBABY Research Network launched in 2020, engaged clinical practices utilizing this unique model of group well childcare - CenteringParenting® - with the following goals: to promote collaboration among researchers, clinicians, patients, and community members; facilitate practice-based research; and increase the use of shared assessment measures and protocols. As a research collaborative, the GROWBABY Research Network connects clinical partners facing similar challenges and creates opportunities to draw upon the assets and strengths of the collective to identify solutions to the barriers to research participation.
Primary care, practice-based research networks like the GROWBABY Research Network that intentionally integrate community engagement principles and community-based participatory research methods can advance equitable health care systems and improve child wellbeing.
通过儿童健康检查提供的预防保健服务是促进儿童健康的普遍和主要切入点，但社会经济地位较低的儿童和有色人种儿童得到的预防保健服务一致性较差，质量也较低。目前，关于为儿童提供预防保健的模式及其对长期存在的种族/族裔和社会经济不平等的影响的研究有限。
基于实践的研究网络可以通过更快速地研究和推广创新的、地方性的护理模式来帮助实现健康公平，从而减少初级保健和预防保健利用方面的种族/族裔和社会经济不平等。本文概述了一个社区参与框架，实践为基础的研究网络可以利用这个框架来促进健康公平，并详细介绍了利用 GROWBABY 研究网络（GROup Wellness Visits for BABies and FamilY Research Network）来应用该框架的情况。
GROWBABY 研究网络于 2020 年启动，利用这种独特的团体儿童保健模式——CenteringParenting®——让临床实践参与进来，其目标是：促进研究人员、临床医生、患者和社区成员之间的合作；促进基于实践的研究；并增加使用共同评估措施和方案。作为一个研究协作组织，GROWBABY 研究网络将面临类似挑战的临床合作伙伴联系起来，并创造机会利用集体的资产和优势来确定解决参与研究障碍的办法。
初级保健，像 GROWBABY 研究网络这样的基于实践的研究网络，如果有意整合社区参与原则和社区参与式研究方法，可以促进公平的医疗保健系统，并改善儿童的健康状况。
