Iterative advisory group feedback drove four framework iterations, including adding disruption and multi-level oppression¶

Claim · All claims
Evidence · 1 study · design r2 · q2
Currency · newest study 2026 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? Across successive advisory group meetings, feedback reshaped the framework: version 2 clarified actions using a gears metaphor, version 3 added the notion of disruption and emphasized white supremacy, and version 4 depicted oppression at internalized, interpersonal, and institutional levels. → Mehelay S 2026

Evidence¶

Mehelay S 2026¶

Mehelay S, Comeau B, Chandra S, Fancott C, Gordon D, Loftgard K, Louzado C, Nixon SA, Shahid S, Tilson K, Wilson C, Shaw J. (2026). Shifting power: co-developing a framework for equity in healthcare. BMC Health Services Research. https://doi.org/10.1186/s12913-026-14964-7

q2 · i? · design · r2

Qualitative co-design results: the third framework iteration, revised after advisory group feedback on the gears metaphor, introduced disruption as a central feature. The advisory group approved the direction but asked for clearer recognition of the comprehensive impacts of systems of oppression.

"A crucial addition to this iteration was the notion of disruption; the idea that actions of healthcare organizations must disrupt systems of oppression to meaningfully advance EDI became a central feature of the framework."

Discussion¶

Related Claims¶

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