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Improvement studies for equitable and evidence-based innovation: an overview of the ‘IM-SEEN’ model
BACKGROUND: Health inequalities are ubiquitous, and as countries seek to expand service coverage, they are at risk of exacerbating existing inequalities unless they adopt equity-focused approaches to service delivery. MAIN TEXT: Our team has developed an equity-focused continuous improvement model t...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10276912/ https://www.ncbi.nlm.nih.gov/pubmed/37330480 http://dx.doi.org/10.1186/s12939-023-01915-5 |
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author | Allen, Luke N. Nkomazana, Oathokwa Mishra, Sailesh Kumar Gichangi, Michael Macleod, David Ramke, Jacqueline Bolster, Nigel Marques, Ana Patricia Rono, Hilary Burton, Matthew Kim, Min Ratshaa, Bakgaki Karanja, Sarah Ho-Foster, Ari Bastawrous, Andrew |
author_facet | Allen, Luke N. Nkomazana, Oathokwa Mishra, Sailesh Kumar Gichangi, Michael Macleod, David Ramke, Jacqueline Bolster, Nigel Marques, Ana Patricia Rono, Hilary Burton, Matthew Kim, Min Ratshaa, Bakgaki Karanja, Sarah Ho-Foster, Ari Bastawrous, Andrew |
author_sort | Allen, Luke N. |
collection | PubMed |
description | BACKGROUND: Health inequalities are ubiquitous, and as countries seek to expand service coverage, they are at risk of exacerbating existing inequalities unless they adopt equity-focused approaches to service delivery. MAIN TEXT: Our team has developed an equity-focused continuous improvement model that reconciles prioritisation of disadvantaged groups with the expansion of service coverage. Our new approach is based on the foundations of routinely collecting sociodemographic data; identifying left-behind groups; engaging with these service users to elicit barriers and potential solutions; and then rigorously testing these solutions with pragmatic, embedded trials. This paper presents the rationale for the model, a holistic overview of how the different elements fit together, and potential applications. Future work will present findings as the model is operationalised in eye-health programmes in Botswana, India, Kenya, and Nepal. CONCLUSION: There is a real paucity of approaches for operationalising equity. By bringing a series of steps together that force programme managers to focus on groups that are being left behind, we present a model that can be used in any service delivery setting to build equity into routine practice. |
format | Online Article Text |
id | pubmed-10276912 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-102769122023-06-19 Improvement studies for equitable and evidence-based innovation: an overview of the ‘IM-SEEN’ model Allen, Luke N. Nkomazana, Oathokwa Mishra, Sailesh Kumar Gichangi, Michael Macleod, David Ramke, Jacqueline Bolster, Nigel Marques, Ana Patricia Rono, Hilary Burton, Matthew Kim, Min Ratshaa, Bakgaki Karanja, Sarah Ho-Foster, Ari Bastawrous, Andrew Int J Equity Health Comment BACKGROUND: Health inequalities are ubiquitous, and as countries seek to expand service coverage, they are at risk of exacerbating existing inequalities unless they adopt equity-focused approaches to service delivery. MAIN TEXT: Our team has developed an equity-focused continuous improvement model that reconciles prioritisation of disadvantaged groups with the expansion of service coverage. Our new approach is based on the foundations of routinely collecting sociodemographic data; identifying left-behind groups; engaging with these service users to elicit barriers and potential solutions; and then rigorously testing these solutions with pragmatic, embedded trials. This paper presents the rationale for the model, a holistic overview of how the different elements fit together, and potential applications. Future work will present findings as the model is operationalised in eye-health programmes in Botswana, India, Kenya, and Nepal. CONCLUSION: There is a real paucity of approaches for operationalising equity. By bringing a series of steps together that force programme managers to focus on groups that are being left behind, we present a model that can be used in any service delivery setting to build equity into routine practice. BioMed Central 2023-06-17 /pmc/articles/PMC10276912/ /pubmed/37330480 http://dx.doi.org/10.1186/s12939-023-01915-5 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Comment Allen, Luke N. Nkomazana, Oathokwa Mishra, Sailesh Kumar Gichangi, Michael Macleod, David Ramke, Jacqueline Bolster, Nigel Marques, Ana Patricia Rono, Hilary Burton, Matthew Kim, Min Ratshaa, Bakgaki Karanja, Sarah Ho-Foster, Ari Bastawrous, Andrew Improvement studies for equitable and evidence-based innovation: an overview of the ‘IM-SEEN’ model |
title | Improvement studies for equitable and evidence-based innovation: an overview of the ‘IM-SEEN’ model |
title_full | Improvement studies for equitable and evidence-based innovation: an overview of the ‘IM-SEEN’ model |
title_fullStr | Improvement studies for equitable and evidence-based innovation: an overview of the ‘IM-SEEN’ model |
title_full_unstemmed | Improvement studies for equitable and evidence-based innovation: an overview of the ‘IM-SEEN’ model |
title_short | Improvement studies for equitable and evidence-based innovation: an overview of the ‘IM-SEEN’ model |
title_sort | improvement studies for equitable and evidence-based innovation: an overview of the ‘im-seen’ model |
topic | Comment |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10276912/ https://www.ncbi.nlm.nih.gov/pubmed/37330480 http://dx.doi.org/10.1186/s12939-023-01915-5 |
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