Background: In nearly all areas of academic medicine, disparities still exist for women and underrepresented minorities (URMs).
Objectives: Develop a strategic plan for advancing diversity, equity, and inclusion (DEI); implement and evaluate the plan, specifically focusing on compensation, recruitment, and policies.
Design, Setting, Participants: Programmatic evaluation conducted in the division of hospital medicine (DHM) at a major academic medical center involving DHM faculty and staff.
Measurements: (1) Development and implementation of strategic plan, including policies, processes, and practices related to key components of DEI program; (2) assessment of specific DEI outcomes, including plan implementation, pre-post salary data disparities based on academic rank, and pre-post disparities for protected time for similar roles.
Results: Using information gathered from a focus group with DHM faculty, an iterative strategic plan for DEI was developed and deployed, with key components of focus being institutional structures, our people, our environments, and our core mission areas. A director of DEI was established to help oversee these efforts. Using a two-phase approach, salary disparities by rank were eliminated. Internally funded protected time was standardized for leadership roles. A data dashboard has been developed to track high-level successes and areas for future focus.
Conclusion: Using a systematic evidence-based approach with key stakeholder involvement, a division-wide DEI strategy was developed and implemented. While this work is ongoing, short-term wins are possible, in particular around salary equity and development of policies and structures to promote DEI.
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http://dx.doi.org/10.12788/jhm.3574 | DOI Listing |
PLoS One
January 2025
Department of Gynaecology, Leiden University Medical Centre, Leiden, The Netherlands.
Objective: Treatment of cervical cancer patients in Uganda is hampered by late diagnosis due to the unavailability of timely screening and limited availability of advanced cancer care. This study evaluated the clinical presentation and management of cervical cancer patients presenting at the Uganda Cancer Institute (UCI) in Kampala, the tertiary oncology facility in Uganda with access to radiotherapy and reflected on daily clinical practice to identify priority areas for improving cervical cancer care in Uganda.
Patients And Methods: We retrospectively analyzed medical records of all cervical cancer patients presenting to UCI between January 2017 and March 2018 for sociodemographic characteristics and clinical variables with descriptive statistics.
Alzheimers Dement
December 2024
Alzheimer's Disease International, London, United Kingdom.
Background: In 2017, all 194 Member States of the World Health Organization (WHO) unanimously adopted the Global Action Plan on the public health response to dementia 2017-2025, the primary aim being for countries to implement National Dementia Plans (NDP). However, as outlined in Alzheimer's Disease International's (ADI) recent From Plan to Impact report, WHO Member States have been far too slow to act - falling far short of the 146 countries target. In response, ADI launched the #WhatsYourPlan campaign, in collaboration with ADI Members, with the single-minded aim of galvanising governments to act on their 2017 commitment.
View Article and Find Full Text PDFAlzheimers Dement
December 2024
Mississippi State Department of Health, Jackson, MS, USA.
Background: With Alzheimer's Disease and Related Dementias (ADRD) posing significant public health challenges globally, effective strategies that encompass policy, practice, and community engagement are essential. The Mississippi State Department of Health (MSDH) has implemented an integrated approach to ADRD, focusing on three critical themes: Coalitions and Collaborations, ADRD Strategic Plans, and Healthy Brain Initiative (HBI) Road Map Implementation. This case study provides valuable insights into a comprehensive public health approach towards ADRD.
View Article and Find Full Text PDFAlzheimers Dement
December 2024
University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Background: To increase participation of underrepresented groups (URG) into clinical research studies such as the AHEAD study, a study assessing lecanemab in participants with preclinical Alzheimer's disease (AD), it is necessary to understand and address barriers in an effort to mitigate them. Toward this goal, methods assessing community needs and plans to meet those needs are imperative. Our ultimate goal is to aid URG in understanding the clinical research process and to empower them to participate in AD research so that approved therapies are applicable to them.
View Article and Find Full Text PDFAlzheimers Dement
December 2024
Johns Hopkins University School of Nursing, Baltimore, MD, USA.
Background: Community engagement is a key strategy to promoting health equity. While community advisory boards (CABs) are used as a popular tool for community engagement, the process of forming CABs and maintaining them is mostly missing in the literature. The purpose of this study is to showcase a set of processes our collaborative team went through to form and implement a CAB in the context of dementia literacy and linkage to dementia care research.
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