Key Principles Underlying a Research-Practice Alignment in a Federally Qualified Health Center

Minoritized populations such as racial and ethnic minorities and individuals of less privileged socioeconomic status experience a disproportionate burden of poor hypertension (HTN) control in the United States. Multilevel systems interventions have been shown to improve patient-level outcomes in min...

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Bibliographic Details
Published in:Ethnicity & disease Vol. DECIPHeR; no. Spec Issue; pp. 6 - 11
Main Authors: Schoenthaler, Antoinette, Colella, Doreen, De La Calle, Franze, Bueno, Gisella, Nay, Jacalyn, Garcia, Masiel, Shahin, George, Gago, Cristina, Dapkins, Isaac
Format: Journal Article
Language:English
Published: United States Ethnicity & Disease, Inc 01-12-2023
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Summary:Minoritized populations such as racial and ethnic minorities and individuals of less privileged socioeconomic status experience a disproportionate burden of poor hypertension (HTN) control in the United States. Multilevel systems interventions have been shown to improve patient-level outcomes in minoritized populations; however, there remains a large translational gap in implementing these approaches into federally qualified health centers (FQHC), which serve those at highest risk of HTN-related morbidity and mortality. The paucity of purposeful collaborations between academic researchers and practice staff throughout the research process remains a significant roadblock to the timely translation of evidence to practice. This commentary describes the key principles and best practices that underlie the development and sustainment of an equitable research-practice alignment, which is supporting the implementation of multilevel systems intervention for improved HTN care in a large FQHC in Brooklyn, New York. The key principles, which are derived from the central tenants of relationship development and maintenance in community-engaged participatory research, patient-centered outcomes research, and organizational alignment theory include (1) cocreation of a shared mental model, (2) bridging multilevel communication, (3) ensuring mutual accountability, and (4) creating a culture of continuous improvement. Together, the principles guide how the research and practice teams work together to achieve a shared goal of improving the health and well-being of minoritized patients through the provision of high quality, community-oriented HTN care. Best practices to sustain our alignment require an ongoing and deliberate investment in honest and transparent communication by all members.
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ISSN:1049-510X
1945-0826
1945-0826
DOI:10.18865/ed.DECIPHeR.6