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.

dc.contributor.author

Goldstein, Karen M

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Patel, Dhara B

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Van Loon, Katherine A

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Shapiro, Abigail

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Rushton, Sharron

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Lewinski, Allison A

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Lanford, Tiera J

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Cantrell, Sarah

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Zullig, Leah L

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Wilson, Sarah M

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Shepherd-Banigan, Megan

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Alton Dailey, Susan

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Sims, Catherine

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Robinson, Cheryl

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Chawla, Neetu

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Bosworth, Hayden B

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Hamilton, Alison

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Naylor, Jennifer

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Gierisch, Jennifer M

dc.date.accessioned

2023-11-05T13:47:19Z

dc.date.available

2023-11-05T13:47:19Z

dc.date.issued

2023-01

dc.date.updated

2023-11-05T13:47:17Z

dc.description.abstract

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.
dc.identifier

10.1089/heq.2023.0089

dc.identifier.issn

2473-1242

dc.identifier.issn

2473-1242

dc.identifier.uri

https://hdl.handle.net/10161/29343

dc.language

eng

dc.publisher

Mary Ann Liebert Inc

dc.relation.ispartof

Health equity

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10.1089/heq.2023.0089

dc.subject

antiracist

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evidence synthesis

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methods

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telehealth

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virtual care

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women's health

dc.title

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.

dc.type

Journal article

duke.contributor.orcid

Goldstein, Karen M|0000-0003-4419-5869

duke.contributor.orcid

Rushton, Sharron|0000-0003-0370-9579

duke.contributor.orcid

Lewinski, Allison A|0000-0002-1356-1857

duke.contributor.orcid

Cantrell, Sarah|0000-0003-2694-7836

duke.contributor.orcid

Zullig, Leah L|0000-0002-6638-409X

duke.contributor.orcid

Wilson, Sarah M|0000-0002-1028-6028

duke.contributor.orcid

Shepherd-Banigan, Megan|0000-0002-4020-8936

duke.contributor.orcid

Sims, Catherine|0000-0002-2890-4445

duke.contributor.orcid

Bosworth, Hayden B|0000-0001-6188-9825

pubs.begin-page

570

pubs.end-page

580

pubs.issue

1

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Duke

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School of Medicine

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School of Nursing

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Staff

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Basic Science Departments

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Clinical Science Departments

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Institutes and Centers

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Medicine

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Psychiatry & Behavioral Sciences

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Medicine, General Internal Medicine

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Duke Cancer Institute

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Duke Clinical Research Institute

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Institutes and Provost's Academic Units

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Psychiatry, Child & Family Mental Health & Community Psychiatry

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Center for the Study of Aging and Human Development

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Initiatives

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Duke Science & Society

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Population Health Sciences

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Duke Innovation & Entrepreneurship

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Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences

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Medical Center Library & Archives

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Duke - Margolis Center For Health Policy

pubs.publication-status

Published

pubs.volume

7

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