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U.S. Department of Health and Human Services

Office of Minority Health

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Key Take-Away Messages - PIMS

  1. Leadership, coordination, and strategic and active partnerships are needed to improve racial/ethnic minority health and address racial/ethnic health disparities.

  2. The Strategic Framework developed by OMH can help guide, organize, and coordinate our efforts for better results.

  3. There must be a science-based rationale for action(s).

  4. "Systems-level" factors play a critical role in promoting or inhibiting success.

  5. Identify expected outcomes and relevant measures for assessing progress as part of the planning process (not after the fact).

  6. Evaluate efforts in a systematic fashion to generate new knowledge and facilitate continuous improvement.

  7. A "systems approach" is critical to achieving racial/ethnic minority health improvement and racial/ethnic health disparities reductions.

  8. A number of weaknesses and gaps in science and knowledge have been identified. These include, but are not limited to:

    • Nature and extent of minority health/health disparities in small and hard-to-reach populations (e.g., Asian Americans, Native Hawaiians and Other Pacific Islanders, American Indians/Alaska Natives) due to lack of data;

    • Knowledge and understanding of systems-related factors and how they promote or inhibit minority health/health disparities problems;

    • Relative importance and interrelationships of factors known to inhibit or promote health;

    • Strategies and practices that work, esp. in producing desired outcomes and impacts at the environmental/community and systems levels;

    • Development and testing of outcome measures/indicators, especially at the environmental/community and systems levels;

    • Evaluation of strategies and practices relative to more 'distal' outcomes (e.g., behavioral change, improved use of clinical preventive services) versus "proximal' outcomes (e.g., short-term increases in awareness/knowledge, changes in attitudes/perceptions) are needed; and

    • User- or practitioner-centered research that brings development and dissemination of research results and integration of such results into practice at the same time.

  9. Nature and extent of funding can provide incentives for the kinds of research and evaluation needed.

  10. The Strategic Framework can serve as the basis for – and drive – more results-oriented action by OMH, its partners, and other stakeholders
5/13/2013 10:38:11 AM