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Improving Health Equity in Living Donor Kidney Transplant: Application of an Implementation Science Framework.

Publication ,  Journal Article
McElroy, LM; Mohottige, D; Cooper, A; Sanoff, S; Davis, LA; Collins, BH; Gordon, EJ; Wang, V; Boulware, LE
Published in: Transplant Proc
2024

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.

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Published In

Transplant Proc

DOI

EISSN

1873-2623

Publication Date

2024

Volume

56

Issue

1

Start / End Page

68 / 74

Location

United States

Related Subject Headings

  • Racial Groups
  • Living Donors
  • Kidney Transplantation
  • Implementation Science
  • Humans
  • Health Equity
  • 3204 Immunology
  • 3202 Clinical sciences
  • 11 Medical and Health Sciences
 

Citation

APA
Chicago
ICMJE
MLA
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McElroy, L. M., Mohottige, D., Cooper, A., Sanoff, S., Davis, L. A., Collins, B. H., … Boulware, L. E. (2024). Improving Health Equity in Living Donor Kidney Transplant: Application of an Implementation Science Framework. Transplant Proc, 56(1), 68–74. https://doi.org/10.1016/j.transproceed.2023.12.003
McElroy, Lisa M., Dinushika Mohottige, Alexandra Cooper, Scott Sanoff, LaShara A. Davis, Bradley H. Collins, Elisa J. Gordon, Virginia Wang, and L Ebony Boulware. “Improving Health Equity in Living Donor Kidney Transplant: Application of an Implementation Science Framework.Transplant Proc 56, no. 1 (2024): 68–74. https://doi.org/10.1016/j.transproceed.2023.12.003.
McElroy LM, Mohottige D, Cooper A, Sanoff S, Davis LA, Collins BH, et al. Improving Health Equity in Living Donor Kidney Transplant: Application of an Implementation Science Framework. Transplant Proc. 2024;56(1):68–74.
McElroy, Lisa M., et al. “Improving Health Equity in Living Donor Kidney Transplant: Application of an Implementation Science Framework.Transplant Proc, vol. 56, no. 1, 2024, pp. 68–74. Pubmed, doi:10.1016/j.transproceed.2023.12.003.
McElroy LM, Mohottige D, Cooper A, Sanoff S, Davis LA, Collins BH, Gordon EJ, Wang V, Boulware LE. Improving Health Equity in Living Donor Kidney Transplant: Application of an Implementation Science Framework. Transplant Proc. 2024;56(1):68–74.
Journal cover image

Published In

Transplant Proc

DOI

EISSN

1873-2623

Publication Date

2024

Volume

56

Issue

1

Start / End Page

68 / 74

Location

United States

Related Subject Headings

  • Racial Groups
  • Living Donors
  • Kidney Transplantation
  • Implementation Science
  • Humans
  • Health Equity
  • 3204 Immunology
  • 3202 Clinical sciences
  • 11 Medical and Health Sciences