RAND Corporation, USA.
Eval Health Prof. 2024 Dec;47(4):446-466. doi: 10.1177/01632787241290227.
Health inequities in the US are greater than those in other industrialized countries and have shown little improvement over the past 20 years. Training and technical assistance centers (TTACs) could be a potential mechanism to address inequities, but to date, have lacked an explicit equity-focus. In this paper we describe how to apply equitable implementation strategies when using an evidence-based training and technical assistance process (Getting To Outcomes) and offer the Health Equity Interactive Systems Framework to support the dissemination and implementation of readily applicable equitable implementation strategies. Proposed improvements to implementation strategies' equity focus could provide a scalable way for TTACs to promote implementation strategies that are equity-focused. Findings could also inform continuous quality improvement frameworks used by TTACs to close the research to practice gap and make progress towards reducing health inequities.
美国的健康不平等现象甚于其他工业化国家，而且在过去 20 年中几乎没有改善。培训和技术援助中心（TTAC）可能是解决不平等问题的一种潜在机制，但迄今为止，它们缺乏明确的公平重点。在本文中，我们描述了如何在使用基于证据的培训和技术援助过程（Getting To Outcomes）时应用公平实施策略，并提供健康公平互动系统框架来支持公平实施策略的传播和实施。拟议的改进实施策略的公平重点的方法，可以为 TTAC 提供一种可扩展的方式，以促进关注公平的实施策略。研究结果还可以为 TTAC 用于缩小研究与实践差距并朝着减少健康不平等的目标迈进的持续质量改进框架提供信息。
