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促进医疗保健研究资助中的多样性、公平性、包容性和公正性:务实回顾与框架

Promoting Diversity, Equity, Inclusion, and Justice in Grantmaking for Health Care Research: A Pragmatic Review and Framework.

作者信息

King Zoe, Brown-Johnson Cati, Forneret Alica, Yang Daniel, Malcolm Elizabeth, Ginete Daren R, Mercado-Lara Eunice, Zulman Donna M

机构信息

Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Palo Alto, California, USA.

School of Population Health, University of New South Wales, Sydney, Australia.

出版信息

Health Equity. 2024 Jun 27;8(1):391-405. doi: 10.1089/heq.2023.0263. eCollection 2024.

DOI:10.1089/heq.2023.0263
PMID:39015220
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11250833/
Abstract

Funders of research have an opportunity to advance health equity and social justice by incorporating principles of diversity, equity, inclusion, and justice (DEIJ) in their approach to grantmaking. We conducted a pragmatic review to identify opportunities for grantmakers in the health care sector to integrate DEIJ in their funding activities. The resulting framework discusses recommendations within three phases as follows: (1) Organizational Context (i.e., initiate DEIJ efforts within the grantmaking organization, invest in community partnerships, and establish DEIJ goals), (2) Grantmaking Process (i.e., DEIJ-specific practices related to grant design, application, proposal review processes, and support for grantees), and (3) Assessment of Process and Outcomes (i.e., measurement, evaluation, and dissemination to maximize impact of DEIJ efforts). Throughout all grantmaking phases, it is critical to partner with and engage individuals and communities that have been historically marginalized in health care and research. In this article, we describe how adoption of framework practices can leverage grantmaking to advance DEIJ for communities, researchers, and projects.

摘要

研究资助者有机会通过在其资助方式中纳入多样性、公平性、包容性和正义性(DEIJ)原则来促进健康公平和社会正义。我们进行了一项务实性综述,以确定医疗保健领域的资助者在其资助活动中整合DEIJ的机会。由此产生的框架在以下三个阶段讨论了相关建议:(1)组织背景(即在资助组织内部启动DEIJ工作、投资社区伙伴关系并确立DEIJ目标),(2)资助过程(即与资助设计、申请、提案评审过程以及对受资助者的支持相关的特定DEIJ实践),以及(3)过程与结果评估(即进行衡量、评价和传播,以最大限度地扩大DEIJ工作的影响)。在所有资助阶段,与医疗保健和研究领域中历史上处于边缘地位的个人和社区合作并让他们参与进来至关重要。在本文中,我们描述了采用框架实践如何利用资助来推动社区、研究人员和项目实现DEIJ。