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Optimizing the Equitable Deployment of Virtual Care for Women: Protocol for a Qualitative Evidence Synthesis Examining Patient and Provider Perspectives Supplemented with Primary Qualitative Data.

Publication ,  Journal Article
Goldstein, KM; Patel, DB; Van Loon, KA; Shapiro, A; Rushton, S; Lewinski, AA; Lanford, TJ; Cantrell, S; Zullig, LL; Wilson, SM; Alton Dailey, S ...
Published in: Health Equity
2023

INTRODUCTION: Women experience numerous barriers to patient-centered health care (e.g., lack of continuity). Such barriers are amplified for women from marginalized communities. Virtual care may improve equitable access. We are conducting a partner-engaged, qualitative evidence synthesis (QES) of patients' and providers' experiences with virtual health care delivery for women. METHODS: We use a best-fit framework approach informed by the Non-adoption, Abandonment, Scale-up, Spread, and Sustainability framework and Public Health Critical Race Praxis. We will supplement published literature with qualitative interviews with women from underrepresented communities and their health care providers. We will engage patients and other contributors through multiple participatory methods. RESULTS: Our search identified 5525 articles published from 2010 to 2022. Sixty were eligible, of which 42 focused on women and 24 on provider experiences. Data abstraction and analysis are ongoing. DISCUSSION: This work offers four key innovations to advance health equity: (1) conceptual foundation rooted in an antiracist action-oriented praxis; (2) worked example of centering QES on marginalized communities; (3) supplementing QES with primary qualitative information with populations historically marginalized in the health care system; and (4) participatory approaches that foster longitudinal partnered engagement. HEALTH EQUITY IMPLICATIONS: Our approach to exploring virtual health care for women demonstrates an antiracist praxis to inform knowledge generation. In doing so, we aim to generate findings that can guide health care systems in the equitable deployment of comprehensive virtual care for women.

Duke Scholars

Published In

Health Equity

DOI

EISSN

2473-1242

Publication Date

2023

Volume

7

Issue

1

Start / End Page

570 / 580

Location

United States

Related Subject Headings

  • 4206 Public health
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Goldstein, K. M., Patel, D. B., Van Loon, K. A., Shapiro, A., Rushton, S., Lewinski, A. A., … Gierisch, J. M. (2023). Optimizing the Equitable Deployment of Virtual Care for Women: Protocol for a Qualitative Evidence Synthesis Examining Patient and Provider Perspectives Supplemented with Primary Qualitative Data. Health Equity, 7(1), 570–580. https://doi.org/10.1089/heq.2023.0089
Goldstein, Karen M., Dhara B. Patel, Katherine A. Van Loon, Abigail Shapiro, Sharron Rushton, Allison A. Lewinski, Tiera J. Lanford, et al. “Optimizing the Equitable Deployment of Virtual Care for Women: Protocol for a Qualitative Evidence Synthesis Examining Patient and Provider Perspectives Supplemented with Primary Qualitative Data.Health Equity 7, no. 1 (2023): 570–80. https://doi.org/10.1089/heq.2023.0089.
Goldstein KM, Patel DB, Van Loon KA, Shapiro A, Rushton S, Lewinski AA, Lanford TJ, Cantrell S, Zullig LL, Wilson SM, Shepherd-Banigan M, Alton Dailey S, Sims C, Robinson C, Chawla N, Bosworth HB, Hamilton A, Naylor J, Gierisch JM. Optimizing the Equitable Deployment of Virtual Care for Women: Protocol for a Qualitative Evidence Synthesis Examining Patient and Provider Perspectives Supplemented with Primary Qualitative Data. Health Equity. 2023;7(1):570–580.

Published In

Health Equity

DOI

EISSN

2473-1242

Publication Date

2023

Volume

7

Issue

1

Start / End Page

570 / 580

Location

United States

Related Subject Headings

  • 4206 Public health