Implementation Science in Pediatric Rheumatology: A Path to Health Equity - 17/11/21

Doi : 10.1016/j.rdc.2021.08.006

Emily A. Smitherman, MD, MSc ^a,^⁎ , Ingrid Goh, PhD ^b,^c, Rajdeep Pooni, MD ^d, Sheetal S. Vora, MD, MSc ^e, Cagri Yildirim-Toruner, MD ^f, Emily von Scheven, MD, MAS ^g
^a Division of Pediatric Rheumatology, Department of Pediatrics, University of Alabama at Birmingham, 1601 4th Avenue South, Park Place North Suite G10, Birmingham, AL 35233, USA
^b Division of Rheumatology, The Hospital for Sick Children, 686 Bay Street, Toronto, Ontario M5G 0A4, Canada
^c Child Health Evaluative Sciences, SickKids Research Institute, Toronto, Ontario, Canada
^d Division of Allergy, Immunology, and Rheumatology, Stanford University School of Medicine, Stanford Children’s Health, 700 Welch Road, Suite 301, Palo Alto, CA 94304, USA
^e Department of Pediatrics, Atrium Health Levine Children’s Hospital, 1000 Blythe Boulevard, 4th Floor, Charlotte, NC 28203, USA
^f Department of Pediatrics, Baylor College of Medicine, 6701 Fannin Street, 11th Floor, Houston, TX 77030, USA
^g Division of Pediatric Rheumatology, University of California San Francisco, 550 16th Street, 5th Floor, #5453, San Francisco, CA, USA

^∗Corresponding author.

Résumé

Implementation science is the study of processes that promote reliable uptake of evidence-based practices into clinical care. The integration of implementation science and health disparities research approaches has been proposed as a method to reduce health inequity through detection, understanding, and implementation of health equity-focused interventions. In this review, we provide an argument for the study of implementation science in pediatric rheumatology in light of previously observed health disparities, present a framework for the study of health equity and implementation science in pediatric rheumatology, and propose next steps to accelerate action.

Le texte complet de cet article est disponible en PDF.

Keywords : Pediatric rheumatology, Implementation science, Health equity, Evidence-based practice, Framework