Improving Health Equity in Living Donor Kidney Transplant: Application of an Implementation Science Framework.
Transplant Proc
; 56(1): 68-74, 2024.
Article
en En
| MEDLINE
| ID: mdl-38184377
ABSTRACT
BACKGROUND:
Interventions to improve racial equity in access to living donor kidney transplants (LDKT) have focused primarily on patients, ignoring the contributions of clinicians, transplant centers, and health system factors. Obtaining access to LDKT is a complex, multi-step process involving patients, their families, clinicians, and health system functions. An implementation science framework can help elucidate multi-level barriers to achieving racial equity in LDKT and guide the implementation of interventions targeted at all levels.METHODS:
We adopted the Pragmatic Robust Implementation and Sustainability Model (PRISM), an implementation science framework for racial equity in LDKT. The purpose was to provide a guide for assessment, inform intervention design, and support planning for the implementation of interventions.RESULTS:
We applied 4 main PRISM domains to racial equity in LDKT Organizational Characteristics, Program Components, External Environment, and Patient Characteristics. We specified elements within each domain that consider perspectives of the health system, transplant center, clinical staff, and patients.CONCLUSION:
The applied PRISM framework provides a foundation for the examination of multi-level influences across the entirety of LDKT care. Researchers, quality improvement staff, and clinicians can use the applied PRISM framework to guide the assessment of inequities, support collaborative intervention development, monitor intervention implementation, and inform resource allocation to improve equity in access to LDKT.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_desigualdade_iniquidade
Asunto principal:
Trasplante de Riñón
/
Equidad en Salud
Tipo de estudio:
Prognostic_studies
Aspecto:
Equity_inequality
/
Implementation_research
Límite:
Humans
Idioma:
En
Revista:
Transplant Proc
Año:
2024
Tipo del documento:
Article