DISCUSSION

Winston Wong of Kaiser Permanente asked Carolyn Clancy about the National Healthcare Disparities Report. Given that many speakers throughout the workshop emphasized the importance of looking at issues of empowerment, civil rights, economic opportunity, and residential segregation as a means of reducing health disparities, he asked if AHRQ was considering the integration of these issues within the next National Healthcare Disparities Report.

Clancy noted that an IOM committee had provided recommendations for future directions. She also said that AHRQ wants to get better data from the local level because better local data overall can help provide an understanding of the interplay between the social determinants of health and inequalities in health care. John Ruffin concurred, stating that NCMHD is focused on funding research related to the social determinants of health.

A participant asked about the role of the federal agencies in encouraging and recognizing the importance of community-based participatory research. Clancy said that this is at its core an opportunity to strengthen communities. However, she noted that researchers, grant makers, and peer reviewers often do not recognize this. In response, Ruffin stated his “strong opinion” that the community should be a part of every phase of a research project, from the planning to the intervention, evaluation, and dissemination efforts. He said that “the operative term here is ‘inclusion from beginning to end.’”

REFERENCES

AHRQ (Agency for Healthcare Research and Quality). 2003. National Healthcare Disparities Report. Rockville, MD: Agency for Healthcare Research and Quality.

AHRQ. 2007. National Healthcare Disparities Report. Rockville, MD: Agency for Healthcare Research and Quality.

AHRQ. 2009. National Healthcare Disparities Report. Rockville, MD: Agency for Healthcare Research and Quality.

HHS (Department of Health and Human Services). 2009. Comparative Effectiveness Research Funding. www.hhs.gov/recovery/programs/cer (accessed February 1, 2012).

IOM (Institute of Medicine). 2003. Unequal treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: The National Academies Press.



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