Equity-focused implementation science theories, models and frameworks – a scoping review
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Time/Date: 9:30am-10:30am, Wednesday 2nd August
Location: Seminar Room 515, level 5, 207 Bouverie Street
Zoom: https://go.unimelb.edu.au/a5hs Webinar ID: 863 3961 6052 Password: 420949
Abstract:
Inequities in implementation contribute to the unequal benefit of health interventions between groups of people who experience differing levels of advantage in society. Theories, models and frameworks (TMFs) provide a theoretical basis for understanding the factors that influence implementation outcomes and guide the process of implementation, but few incorporate a health equity focus. This presentation will give an overview of a scoping review of the literature exploring equity-focused implementation science TMFs, with a particular focus on how these have been, or may be, used to address ethnic health inequities. The review identified 15 TMFs which were categorised according to their aim and described with respect to how equity and system-level factors influencing implementation were incorporated. By collating the information on the growing number of equity-focused TMFs, these results may help prospective users identify and select the most appropriate TMF for equity-focused implementation projects.
Professor Sue Crengle (Kāi Tahi, Kāti Māmoe, Waitaha) is a Professor of Hauora Māori based in the NGāi Tahu Māori Health Research Unit. She obtained her medical degree, Master of Public Health and PhD from the University of Auckland. She is a vocationally registered general practitioner and public health medicine specialist. Sue’s research interests include inequities in health, and health services research. She has a particular interest in lung cancer, cardiovascular diseases, and youth health. Much of my work involves identifying where and how inequities in our health occur, and in testing ways to eliminate these inequities.
Dr Papillon Gustafson is a Postdoctoral Fellow in the Ngāi Tahu Māori Health Research Unit at the University of Otago (Dunedin, New Zealand). Her research focuses on improving health equity in Aotearoa New Zealand using implementation science approaches to build an understanding of the factors influencing equitable implementation and by develop tools to support health services to implement interventions equitably. Dr Gustafson has a background in basic science research (neuroendocrinology) and spent several years working in medical communications for a primary healthcare audience before returning to academic research.
Dr Karen Bartholomew is a Public Health Physician and researcher, and is the Director of Health Equity in Service Innovation and Improvement, Te Whatu Ora. Her research focuses on screening, health inequities and implementation science. Karen leads a HPV self-testing programme, Abdominal Aortic Aneurysm (AAA) research, an Endometrial Cancer programme and is a co-investigator for the Māori-led Lung Cancer Screening programme Te Oranga Pūkahukahu. Karen has a Microbiology degree, is a medical doctor and has a Masters of Public Health. She is a current member of the NZ National Screening Advisory Committee.