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How do you measure the impact of social accountability initiatives on health outcomes and health equity?

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Social accountability is the principle that health professionals and institutions have a responsibility to address the priority health needs of the communities they serve, especially those who are marginalized or underserved. Social accountability initiatives are actions that aim to improve the relevance, quality, and equity of health services and education, based on the participation and feedback of stakeholders. But how do you measure the impact of these initiatives on health outcomes and health equity? Here are some key steps and challenges to consider.

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1 Define your goals and indicators

The first step is to define what you want to achieve with your social accountability initiative and how you will measure it. You need to identify specific, measurable, achievable, relevant, and time-bound (SMART) goals that align with the needs and expectations of your target population. You also need to select appropriate indicators that reflect the changes you want to see in health outcomes and health equity, such as access, quality, satisfaction, utilization, morbidity, mortality, or social determinants of health. You should also consider how to disaggregate your data by relevant factors, such as gender, age, ethnicity, income, or location, to capture the diversity and disparities among your beneficiaries.

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Harry Neuwirth, MD

Urologist, Marin Specialty Care
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Your AI is aggregating nonsense and publishing gobbledegook. Social accountability is counter to the practice of medicine. Equity is just communist nonsense

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2 Choose your methods and tools

The next step is to choose the methods and tools that will help you collect, analyze, and report your data. You should use a mixed-methods approach that combines quantitative and qualitative data to capture both the numbers and the stories behind them. You should also use participatory methods that involve the stakeholders in the design, implementation, and evaluation of your initiative, such as surveys, interviews, focus groups, observations, or case studies. You should also select or develop tools that are valid, reliable, feasible, and culturally appropriate for your context, such as questionnaires, checklists, scales, or frameworks.

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Dr. Brian Boxer Wachler, MD

????Keratoconus pioneer of Holcomb C3-R, first epi-on crosslinking, Intacs, CK. Authored a top social media book??- INFLUENCED - recommended by New York Times and cited in Harvard Business Review. ??TikTok 3.4 M
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Designing the metrics will help you assess outcomes. You don't know what you don't measure. Additionally enlisting the assistance of those in the underserved area and/or group can prove valuable to your success. Example: a health initiative in an underserved area made barber shops a focal point for promoting health education since they are a social hub. As an example outside of healthcare: Discover built a call center in south Chicago to improve employment in that underserved community by employing nearly 85% of workers from within a 5 mile radius. A Discover employee from the area was hired to help manage the call center which has been very successful. Enlisting stakeholders can significantly help you.

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3 Plan your data collection and analysis

The third step is to plan how and when you will collect and analyze your data. You need to define your sampling strategy, data sources, data collection instruments, data collectors, data management system, and ethical procedures. You also need to determine your baseline, midline, and endline measurements, as well as any interim or follow-up assessments. You should also plan how you will analyze your data, using descriptive, inferential, or thematic techniques, depending on your research questions and data types. You should also consider how you will triangulate your data from different sources and methods to ensure validity and reliability.

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4 Communicate and disseminate your findings

The final step is to communicate and disseminate your findings to your stakeholders and the wider audience. You need to prepare clear, concise, and compelling reports that highlight your main results, conclusions, and recommendations. You should also use different formats and channels to reach different audiences, such as briefs, presentations, posters, newsletters, or social media. You should also engage your stakeholders in the interpretation and discussion of your findings, as well as in the planning and implementation of any actions or improvements based on your evidence.

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5 Address the challenges and limitations

Measuring the impact of social accountability initiatives on health outcomes and health equity can be challenging, as it requires defining and operationalizing complex and multidimensional concepts, such as social accountability, health outcomes, and health equity. Additionally, you must align your goals and indicators with national and global frameworks and standards, such as the Sustainable Development Goals (SDGs) or the World Health Organization (WHO) guidelines. Furthermore, you must balance the rigor and feasibility of your methods and tools, considering the availability of resources, time, and capacity. Moreover, you must ensure the quality and credibility of your data when dealing with sensitive or subjective issues. Additionally, you must manage the expectations and interests of your stakeholders who may have different perspectives or agendas. Finally, you must demonstrate the attribution or contribution of your initiative to the observed changes in health outcomes and health equity while accounting for other factors such as policies, programs, or external events.

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6 Learn and improve

Measuring the impact of social accountability initiatives on health outcomes and health equity is essential, as it can help you monitor and evaluate progress, demonstrate accountability and transparency, identify strengths and weaknesses, learn from successes and failures, improve practices and policies, and advocate for your cause to influence change. Consequently, measurement should not be seen as a one-time or final activity, but rather as an ongoing and iterative process that necessitates continuous learning and improvement.

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7 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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Doug Luckett, FACHE

Hospital & Healthcare Executive - Chief Executive Officer, Chief Operating/Operations Officer, CEO, COO
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If real health equity (access, impact and resourcing) is something a health system wants to pursue, then it needs to learn from the poor record of the effort thus far. 20 years and $179 billion later with not even lukewarm results. Meanwhile, how about our focus and attention to physical and tangible BH outcomes? Best place for priority resourcing? Just thinking out loud with colleagues a bit. https://www.beckershospitalreview.com/health-equity/20-years-179b-spent-on-health-equity-why-isnt-the-needle-moving.html

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How do you measure the impact of social accountability initiatives on health outcomes and health equity?

1

2

3

4

5

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7

1 Define your goals and indicators

2 Choose your methods and tools

3 Plan your data collection and analysis

4 Communicate and disseminate your findings

5 Address the challenges and limitations

6 Learn and improve

7 Here’s what else to consider

Healthcare Management

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How do you measure the impact of social accountability initiatives on health outcomes and health equity?

1

2

3

4

5

6

7

1 Define your goals and indicators

2 Choose your methods and tools

3 Plan your data collection and analysis

4 Communicate and disseminate your findings

5 Address the challenges and limitations

6 Learn and improve

7 Here’s what else to consider

Healthcare Management

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