Community engagement to improve access to healthcare: a comparative case study to advance implementation science for transgender health equity.
Background: Recent calls to action have been made for Implementation Science to attend to health inequities at the intersections of race, gender, and social injustice in the United States. Transgender people, particularly Black and Latina transgender women, experience a range of health inequities an...
| Publicado en: | International Journal for Equity in Health Vol. 21; no. 1; pp. 1 - 15 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BioMed Central
7/31/2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159197348&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159197348 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14759276 1CR4 jtl: International Journal for Equity in Health issn: 14759276 maglogo: N pubinfo: dt: 7/31/2022 vid: 21 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 159197348 159197348 159197348 10.1186/s12939-022-01702-8 159197348 ppf: 1 ppct: 14 formats: tig: atl: Community engagement to improve access to healthcare: a comparative case study to advance implementation science for transgender health equity. aug: au: Thompson, Hale M. Clement, Allison M. Ortiz, Reyna Preston, Toni Marie Quantrell, Ava L. Wells Enfield, Michelle King, A. J. Klosinski, Lee Reback, Cathy J. Hamilton, Alison Milburn, Norweeta affil: Rush University Medical Center, 1645 W. Jackson Blvd., Suite 302, 60612, Chicago, IL, USA sug: subj: Implementation Science Health Services Accessibility Transgender Persons Health Inequities Community Role Race Factors Social Justice Comparative Studies Conceptual Framework Cisgender Persons Stakeholder Participation Committees Case Studies Health Services Needs and Demand Evaluation Systemic Racism Prevention and Control African Americans Hispanic Americans Universal Design Community Health Services Human ab: Background: Recent calls to action have been made for Implementation Science to attend to health inequities at the intersections of race, gender, and social injustice in the United States. Transgender people, particularly Black and Latina transgender women, experience a range of health inequities and social injustices. In this study, we compared two processes of transgender community engagement in Los Angeles and in Chicago as an implementation strategy to address inequitable access to care; we adapted and extended the Exploration Planning Implementation and Sustainment (EPIS) framework for transgender health equity. Methods: A comparative case method and the EPIS framework were used to examine parallel implementation strategies of transgender community engagement to expand access to care. To foster conceptual development and adaptation of EPIS for trans health equity, the comparative case method required detailed description, exploration, and analyses of the community-engagement processes that led to different interventions to expand access. In both cities, the unit of analysis was a steering committee made up of local transgender and cisgender stakeholders. Results: Both steering committees initiated their exploration processes with World Café-style, transgender community-engaged events in order to assess community needs and structural barriers to healthcare. The steering committees curated activities that amplified the voices of transgender community members among stakeholders, encouraging more effective and collaborative ways to advance transgender health equity. Based on analysis and findings from the Los Angeles town hall, the steering committee worked with a local medical school, extending the transgender medicine curriculum, and incorporating elements of transgender community-engagement. The Chicago steering committee determined from their findings that the most impactful intervention on structural racism and barriers to healthcare access would be to design and pilot an employment program for Black and Latina transgender women. Conclusion: In Los Angeles and Chicago, transgender community engagement guided implementation processes and led to critical insights regarding specific, local barriers to healthcare. The steering committee itself represented an important vehicle for individual-, organizational-, and community-level relationship and capacity building. This comparative case study highlights key adaptations of EPIS toward the formation of an implementation science framework for transgender health equity. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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