Health Equity

Health Equity

Co-chairs:

Healthy People 2020 defines health equity as "the attainment of the highest level of health for all people. Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of health and health care disparities.”

The Health Equity Core provides leadership and guidance that will help the NIH Pragmatic Trials Collaboratory, its trials and investigators, and ultimately the research community at-large, be more equitable in research. Their work includes supporting PCTs to address social and structural drivers of inequities, implement patient and community engagement strategies, promote the inclusion and mentorship of historically underrepresented scientists, and develop culturally and contextually aligned research and translation strategies that overcome bias and resonate with patients and communities.

Core goals:

  1. Develop guidance for pragmatic trials on how to integrate a health equity lens in PCTs, including considerations for enrollment, strategies for selecting outcomes, and tailored research methods that better suit the study population.
  2. Document barriers to the integration of a health equity lens in pragmatic research.
  3. Develop strategies and tools to facilitate a health equity lens in pragmatic trials.
F_NIH_HealthEquityCore_graphic_13dec2022

Interview

During the NIH Pragmatic Trials Collaboratory 2022 Steering Committee meeting, Drs. Rosa Gonzalez-Guarda, Rachel Gold, and Karen A. Kehl discussed the importance of including diverse participants in pragmatic clinical trials.

Areas of Focus

  • Address health inequities through research design.

  • Offer guidance on how to ensure research questions are relevant to the people being served.

  • Generate new knowledge on PCTs that contribute to health equity.

  • Develop strategies to engage groups who are commonly excluded from trials conducted in health care systems.

  • Help researchers learn how to partner with communities and lower-resourced clinical sites to ensure underrepresented and disproportionately affected populations are included in PCTs.

  • Widely share new knowledge and resources for promoting diversity, equity, and inclusion in PCT leadership.

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