
Health Equity
Duke-Margolis aims to ensure that its health policy research and leadership contribute significantly to dismantling health inequities and improving health and health care through the following ways:
Drivers of health: Address the underlying causes of poor health or poor health outcomes through payment flexibilities and other policies. Many areas of the country have limited access to services that address social drivers, including rural areas and areas with concentrated poverty.
Supporting the health care safety net: Safety net organizations, such as community health centers and safety net hospitals, provide health care to people who otherwise would be unable to access health care. Duke-Margolis research has identified payment and care delivery reforms that expand and improve health care provided to medically and socially underserved communities.
Population and community health: In order for health care providers to understand and manage the health of their community and populations of people, they need to identify the different health needs of different populations; measure disparities or differences in health status between populations; engage people to understand their health needs and health care experiences; remove barriers to access; and ensure health care is delivered in a way that meets people’s needs, goals, and context.
Evidence: Therapies and health care care models often work differently for different groups and subgroups of people (e.g., by age groups like pediatric, by region like rural and urban, if people have other concurrent conditions). Therefore, we need good representative evidence to track what therapies are safe and effective for different people under different circumstances. Ideally, evidence should draw broadly from people and communities to understand health care on the front lines. This evidence is important so agencies can make sure that products and care approaches are safe and effective for all people.
Projects Relating to Health Equity
Improving Health and Health Care for All
and Responding to COVID-19
Across the Nation
Duke-Margolis is collaborating with local, state, and national leaders to identify and share best practices for the distribution of COVID-19 vaccines, testing, and therapeutics.
Around the World
Duke-Margolis Core Faculty members and researchers are focused on mitigating disruptions in primary care and other essential services, and increasing access to COVID-19 vaccines and therapeutics in low- and middle-income countries. Read more about the global efforts led by Duke-Margolis, Center for Policy Impact in Global Health, Global Health Innovation Center, and Duke Global Health Institute here.
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Community Engagement in COVID-19 Policy Responses
COVID-19 GAP: The Global Accountability Platform
COVID-19 Health Equity Learning Network
Supporting Equitable COVID-19 Vaccine Distribution, Access, and Uptake
Healthcare Transformation
Duke-Margolis is developing evidence for improving health care delivery and payment strategies. Key topic areas include: alternative payment models to improve health care for all, centering optimization in Medicaid transformation, data systems and measurement to allow for analysis, social drivers of health to be responsive to population health needs, and public health modernization.
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Health Care Transformation to Advance Health Equity
Timely Guidance on Payment and Coverage Reform
Biomedical Innovation
Duke-Margolis is supporting development, use, and access of medical products for patients that need them. Key health topics include: clinical trial participation and representation, population health payment models for medical products, representation in development of AI algorithms, and RWE generation on long-term product safety and efficacy in multiple populations.
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Advancing Clinical Trials at the Point of Care (ACT@POC)
Point-of-Care Clinical Trials: Integrating Research and Care Delivery
Understanding Bias and Fairness in AI-enabled Healthcare Software
Global Health
Duke-Margolis is focused on aligning global health financing, care delivery, and access to services and medical products globally through policy reform. Key health topics include: global pandemic preparedness and response, global health financing for value, and responding to syndemics (e.g., non-communicable diseases, climate change).
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COVID-19 GAP: The Global Accountability Platform
Women-Inspired Strategies for Healthcare
Addressing Health Care for All Through Scholarship
Duke-Margolis is equipping future health leaders with the tools and knowledge to assess and address systemic, root causes of health inequity; apply health principles to research, program and policy design; and develop policies that advance improved health care for all. Key topics include: applying health care improvement principles to research design, policy development, and advocacy to advance evidence-based health policy, and building interpersonal and technical skills to address systemic root causes of health disparities.
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Duke-Margolis Bass Connections Projects
Duke-Margolis Bass Connections COVID-19 Pop-Up Theme