Health equity is the point at which all individuals have an equal opportunity to experience optimal health and thriving. The current state of health care is far from this ideal as numerous populations experience health disparities: differences in health or health outcomes that negatively impact groups who experience systemic disadvantage. All research has the potential to widen, maintain, or close health disparities. This article focuses on key opportunities for hospitalists of all levels of research experience to conduct research that promotes health equity from project planning to disseminating results. During the planning phase, learning health equity research concepts, developing study designs in partnership with communities, and recognizing the limitations of secondary analyses are key strategies that promote health equity. Developing strategies for recruiting populations underrepresented in research helps ensure that disparities in health outcomes are identified. Rather than conducting descriptive research to identify disparities, research which aims to improve health outcomes for groups that have been marginalized is urgently needed. Study analyses should consider intersectionality and patient-centered outcomes. Finally, dissemination to both academic and community audiences, with careful attention to words and figures, can catalyze future directions, mitigate bias, and help ensure that marginalized communities benefit equitably from research findings.
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October 2024
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September 13 2024
Creation to Dissemination: A Roadmap for Health Equity Research Available to Purchase
Michelle J. White, MD, MPH;
aDivision of Hospital Medicine, Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina
Address correspondence to Michelle J. White, MD, MPH, DUMC 102376, 2301 Erwin Rd, Durham, NC 27705. E-mail: [email protected]
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Kristina Nazareth-Pidgeon, MD;
Kristina Nazareth-Pidgeon, MD
aDivision of Hospital Medicine, Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina
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Mikelle Key-Solle, MD;
Mikelle Key-Solle, MD
aDivision of Hospital Medicine, Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina
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Abby Nerlinger, MD, MPH;
Abby Nerlinger, MD, MPH
bDepartment of Pediatrics, Nemours Children’s Hospital, Delaware/Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania
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Victoria Parente, MD, MPH
Victoria Parente, MD, MPH
aDivision of Hospital Medicine, Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina
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Address correspondence to Michelle J. White, MD, MPH, DUMC 102376, 2301 Erwin Rd, Durham, NC 27705. E-mail: [email protected]
FUNDING: Work supported by an Institutional Development Award from the National Institute of General Medical Sciences of the National Institutes of Health under grant U54-GM104941 (PI: Hicks) (Nerlinger).
CONFLICT OF INTEREST DISCLOSURES: The authors have indicated they have no potential conflicts of interest to disclose.
Hosp Pediatr (2024) 14 (10): e461–e466.
Article history
Received:
February 01 2024
Revision Received:
March 18 2024
Accepted:
April 11 2024
Citation
Michelle J. White, Kristina Nazareth-Pidgeon, Mikelle Key-Solle, Abby Nerlinger, Victoria Parente; Creation to Dissemination: A Roadmap for Health Equity Research. Hosp Pediatr October 2024; 14 (10): e461–e466. https://doi.org/10.1542/hpeds.2024-007759
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