Expanding the Reach of an Evidence-Based, System-Level, Racial Equity Intervention: Translating ACCURE to the Maternal Healthcare and Education Systems

被引：3

作者：

Baker, Stephanie L. ^{[1
,2
]}

Black, Kristin Z. ^{[1
,3
]}

Dixon, Crystal E. ^{[1
,4
]}

Yongue, Christina M. ^{[1
,4
]}

Mason, Hailey Nicole ^{[5
]}

McCarter, Patrick ^{[1
,6
]}

Manning, Matthew ^{[1
,6
]}

Hessmiller, Joanne ^{[1
,7
]}

Griesemer, Ida ^{[1
,5
]}

Garikipati, Aditi ^{[1
,8
]}

Eng, Eugenia ^{[1
,5
]}

Bullock, Daniel Kelvin ^{[9
]}

Bosire, Claire ^{[1
,5
]}

Alexander, Kimberly M. ^{[1
,10
]}

Lightfoot, Alexandra F. ^{[1
,5
,11
]}

机构：

[1] Greensboro Hlth Dispar Collaborat, Greensboro, NC 27401 USA

[2] Elon Univ, Publ Hlth Studies Dept, Elon, NC 27244 USA

[3] East Carolina Univ, Dept Hlth Educ & Promot, Greenville, NC 27858 USA

[4] Univ North Carolina Greensboro, Dept Publ Hlth Educ, Greensboro, NC USA

[5] Univ North Carolina Chapel Hill, Dept Hlth Behav, Chapel Hill, NC USA

[6] Cone Hlth, Greensboro, NC USA

[7] North Carolina Agr & Tech State Univ, Dept Social Work & Sociol, Greensboro, NC USA

[8] Duke Univ, Dept Cardiol, Durham, NC USA

[9] Durham Publ Sch, Off Equ Affairs, Durham, NC USA

[10] Alexander Grp, Durham, NC USA

[11] Univ North Carolina Chapel Hill, Ctr Hlth Promot & Dis Prevent, Chapel Hill, NC USA

来源：

FRONTIERS IN PUBLIC HEALTH | 2021年 / 9卷

关键词：

racism and antiracism; systems change in health care; community-based participatory research (CBPR); health disparities; intervention translation; racial equity; evidence base; WORLD DATA; DISPARITIES; CHALLENGES; FRAMEWORK; SCHOOL; GAPS;

D O I：

10.3389/fpubh.2021.664709

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The abundance of literature documenting the impact of racism on health disparities requires additional theoretical, statistical, and conceptual contributions to illustrate how anti-racist interventions can be an important strategy to reduce racial inequities and improve population health. Accountability for Cancer Care through Undoing Racism and Equity (ACCURE) was an NIH-funded intervention that utilized an antiracism lens and community-based participatory research (CBPR) approaches to address Black-White disparities in cancer treatment completion. ACCURE emphasized change at the institutional level of healthcare systems through two primary principles of antiracism organizing: transparency and accountability. ACCURE was successful in eliminating the treatment completion disparity and improved completion rates for breast and lung cancer for all participants in the study. The structural nature of the ACCURE intervention creates an opportunity for applications in other health outcomes, as well as within educational institutions that represent social determinants of health. We are focusing on the maternal healthcare and K-12 education systems in particular because of the dire racial inequities faced by pregnant people and school-aged children. In this article, we hypothesize cross-systems translation of a system-level intervention exploring how key characteristics of ACCURE can be implemented in different institutions. Using core elements of ACCURE (i.e., community partners, milestone tracker, navigator, champion, and racial equity training), we present a framework that extends ACCURE's approach to the maternal healthcare and K-12 school systems. This framework provides practical, evidence-based antiracism strategies that can be applied and evaluated in other systems to address widespread structural inequities.

引用

页数：8