Infection preventionists' experiences and perceptions of health equity and the development of health care-associated infections: Focus group findings conducted from the Association for Professionals in Infection Control and Epidemiology (APIC) members.

Abstract

Background: Health equity is a growing concern in health care. Infection prevention and control (IPC) practices can play a pivotal role in addressing inequities related to health care-associated infections (HAIs). The authors aimed to explore the intersection of health equity and IPC practices.

Methods: Seven virtual focus groups were conducted between February and April 2024 with 47 Association for Professionals in Infection Control and Epidemiology members from diverse health care settings. Participants completed a demographic survey and engaged in discussions on health equity's role in IPC, its impact on HAIs, and resource challenges. Content analysis was used to identify key themes.

Results: Key themes included patient-centered care, resource availability, and social determinants of health. IP professionals pointed to disparities stemming from geographic location, uneven resource allocation, and difficulties with data collection, especially in under-resourced settings. Social determinants of health and unconscious bias was a pervasive barrier to equitable care.

Discussion: IPs highlighted the need to distinguish between equity, equality, and patient-centered care in relationship to IPC. Participants noted the necessity for improved data collection, resources, and unconscious bias training to support health equity in IPC. Collaboration with public health and community organizations was emphasized.

Conclusions: IPC professionals are crucial in advancing health equity by addressing disparities in HAIs.