Abdi Najma, Tso Sabrina W, Roduin Cheyenne, Nylander Elisabeth, Jones Amanda L, Groshong Susan L, Paulsen Julia, Saelens Brian E
Seattle Children's Research Institute, Seattle, WA, USA.
University of Washington Department of Pediatrics, Seattle, WA, USA.
J Clin Transl Sci. 2024 Oct 2;8(1):e141. doi: 10.1017/cts.2024.594. eCollection 2024.
Seattle Children's Research Institute is identifying the amount and type of health equity scholarship being conducted institution wide. However, methods for categorizing how scholarship is equity-focused are lacking. We developed and evaluated the reliability of a health equity scholarship coding schema applied to Seattle Children's affiliated scholarship.
A 2021-2022 Ovid MEDLINE affiliation search yielded 3551 affiliated scholarship records, with 1079 records identified via an existing filter as scholarship addressing social determinants of health. Through reliability testing and examining concordance and discordance across three independent coders of these records, we developed a coding schema to classify health equity scholarship (yes/no). When health equity scholarship proved positive/Yes, the coders assigned a one through five maturity rating of the scholarship towards addressing inequities. Subsequent reliability testing including a new coder was conducted for 992 subsequent affiliated scholarship records (Oct 2022-June 2023), with additional testing of the sensitivity and specificity of the existing filter relative to the new coding schema.
Reliability for identifying health equity scholarship was consistently high (Fleiss kappas ≥ .78) and categorization of health equity scholarship into maturity levels was moderate (Fleiss kappas ≥ .47). The coding schema identified additional health equity scholarship not captured in an existing filter for social determinants of health scholarship. Based on the new schema, 23.3% of Seattle Childrens' affiliated scholarship published October 2002-June 2023 was health equity focused.
This new coding schema can be used to identify and categorize health equity scholarship to help quantitate the health equity focus of portfolios of human-focused research.
西雅图儿童研究所正在确定全机构范围内开展的健康公平奖学金的数量和类型。然而，缺乏对以公平为重点的奖学金进行分类的方法。我们开发并评估了一种应用于西雅图儿童附属奖学金的健康公平奖学金编码方案的可靠性。
2021 - 2022年对Ovid MEDLINE附属机构的搜索产生了3551条附属奖学金记录，通过现有筛选器确定其中1079条记录为涉及健康社会决定因素的奖学金。通过可靠性测试以及检查这三位独立编码员对这些记录的一致性和不一致性，我们开发了一种编码方案来对健康公平奖学金进行分类（是/否）。当健康公平奖学金被证明为肯定/是时，编码员对该奖学金解决不平等问题的成熟度给予一到五级评分。随后对992条后续附属奖学金记录（2022年10月 - 2023年6月）进行了包括新编码员在内的可靠性测试，并对现有筛选器相对于新编码方案的敏感性和特异性进行了额外测试。
识别健康公平奖学金的可靠性一直很高（Fleiss卡帕系数≥0.78），将健康公平奖学金分类为成熟度水平的可靠性为中等（Fleiss卡帕系数≥0.47）。该编码方案识别出了现有健康社会决定因素奖学金筛选器未涵盖的其他健康公平奖学金。根据新方案，2002年10月至2023年6月发表的西雅图儿童附属奖学金中有23.3%是以健康公平为重点的。
这种新的编码方案可用于识别和分类健康公平奖学金，以帮助量化以人为中心的研究项目组合中的健康公平重点。
