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Mending the gap: Measurement needs to address policy implementation through a health equity lens
McLoughlin, Gabriella M. Kumanyika, Shirik Su, Yanfang Brownson, Ross C. Fisher, Jennifer O. Emmons, Karen M.
McLoughlin, Gabriella M.
Kumanyika, Shirik
Su, Yanfang
Brownson, Ross C.
Fisher, Jennifer O.
Emmons, Karen M.
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Journal article
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2024-02-25
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Social and Behavioral Sciences
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https://doi.org/10.1093/tbm/ibae004
Abstract
Policies represent a key opportunity to improve the health outcomes of populations, and if implemented well, can reduce disparities affecting marginalized populations. Many policies are only evaluated on whether they elicit their intended health outcome. However, a lack of understanding regarding if and how they are implemented may hinder the intended impact overall and on addressing health disparities. Implementation science offers an array of frameworks and methodological approaches for assessing policy delivery, yet few examples exist that meaningfully include health equity as a core focus. This commentary describes the importance of equity-informed implementation measurement by providing case examples and implications for assessment. In addition, we highlight examples of emerging work in policy implementation grounded in health equity with suggested steps for moving the field forward. The ultimate goal is to move toward open-access measurement approaches that can be adapted to study implementation of a variety of policies at different stages of implementation, driven by input from marginalized populations and implementation practitioners, to move the needle on addressing health disparities.
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Gabriella M McLoughlin, Shiriki Kumanyika, Yanfang Su, Ross C Brownson, Jennifer O Fisher, Karen M Emmons, Mending the gap: Measurement needs to address policy implementation through a health equity lens, Translational Behavioral Medicine, Volume 14, Issue 4, April 2024, Pages 207–214, https://doi.org/10.1093/tbm/ibae004
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Oxford University Press (OUP)
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Translational Behavioral Medicine, Vol. 14, Iss. 4
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Attribution CC BY