Evaluating the Uptake of Antiracism Training, Policies, and Practices in Departments of Family Medicine

Journal of the American Board of Family Medicine: JABFM

article

Mechelle Sanders¹  Peter F. Cronholm²  Jennifer Edgoose³  Kevin Fiscella¹  Cleveland Piggott⁴  Susan H. McDaniel⁵  Ebony Parker-Featherstone⁶  Colleen T. Fogarty¹ 

[1]Department of Family Medicine, University of Rochester

[2]Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania

[3]Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health

[4]Department of Family Medicine, University of Colorado School of Medicine

[5]Department of Family Medicine, Director of Institute for the Family and Chief of Psychology, Department of Psychiatry, University of Rochester

[6]Department of Family Medicine, University of Michigan

关键词: Chi-Square Test;    Diffusion of Innovation;    Family Medicine;    Health Equity;    Health Policy;    Logistic Models;    Social Justice;    Surveys and Questionnaires;   

DOI  :  10.3122/jabfm.2022.04.210471

学科分类：过敏症与临床免疫学

来源: The American Board of Family Medicine

【 摘 要 】

Background: Recent attention and focus on, antiracism training in health care has potential to accelerate our path to social justice and achieve health equity on a national scale. However, theoretical frameworks and empirical data have yet to emerge that explain the uptake of antiracism trainings and their efficacy.Objective: This goal of this study was to test hypotheses regarding uptake of antiracism training in Family Medicine departments using Diffusion of Innovation Theory.Methods: In 2021, we incorporated 10 survey items in the Council of Academic Family Medicine Educational Research Alliance's national omnibus survey for Department of Family Medicine Chairs (n = 104). We used DOI (Diffusion of Innovation) attributes (ie, relative advantage, compatibility, complexity, trialability, and observability) as a guiding framework to assess perceived innovation of antiracism training. We also evaluated the mode of training (eg, didactic, experiential) and whether any subsequent policy or practice-level antiracist actions occurred. We used c2 tests to examine associations between DOI attributes and antiracist actions; and logistic regression to determine odds of association.Results: Ninety-two percent of respondents indicated antiracism training was happening in their department. Relative advantage, compatibility and observability were positively associated with antiracist actions, P < .05. Perceived relative advantage was associated with implementation of antiracist action (OR 1.94, 1.27-2.99). Complexity and trialability were not statistically significantly associated with action.Conclusion: Our findings provide evidence of DOIs influence on antiracism uptake in Departments of Family Medicine. We believe our findings can facilitate the future implementation of antiracism training activities and actionable antiracist policies and practices.

【 授权许可】

CC BY