An overview of reviews on strategies to reduce health inequalities
Abstract Background Governments are incentivized to develop and implement health action programs focused on equity to ensure progress with effective strategies or interventions. Objective Identify and synthesize strategies or interventions that facilitate the reduction of health inequalities. Method...
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| Format: | Article |
| Language: | English |
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BMC
2020-10-01
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| Series: | International Journal for Equity in Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12939-020-01299-w |
| _version_ | 1819295395191193600 |
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| author | Nathaly Garzón-Orjuela Daniel Felipe Samacá-Samacá Silvia Catalina Luque Angulo Carmen Verônica Mendes Abdala Ludovic Reveiz Javier Eslava-Schmalbach |
| author_facet | Nathaly Garzón-Orjuela Daniel Felipe Samacá-Samacá Silvia Catalina Luque Angulo Carmen Verônica Mendes Abdala Ludovic Reveiz Javier Eslava-Schmalbach |
| author_sort | Nathaly Garzón-Orjuela |
| collection | DOAJ |
| description | Abstract Background Governments are incentivized to develop and implement health action programs focused on equity to ensure progress with effective strategies or interventions. Objective Identify and synthesize strategies or interventions that facilitate the reduction of health inequalities. Methods A systematic search strategy was carried out up until August 2019 in MEDLINE (Ovid), Embase (Elsevier), Cochrane Database of Systematic Reviews, LILACS, Scopus, Scielo and Epistemonikos. In addition, a snowball strategy was used. Literature reviews (LRs) of experimental and quasi-experimental studies were included. The identified interventions and outcomes were categorized based on the recommendation by the Cochrane group in “Effective Practice and Organization of Care”. The quality of the included LRs was evaluated using the AMSTAR 2 tool. Results Four thousand ninety-five articles were identified, of which 97 were included in the synthesis of evidence. Most of the studies included focused on the general population, vulnerable populations and minority populations. The subjects of general health and healthy lifestyles were the most commonly addressed. According to the classification of the type of intervention, the domain covered most was the delivery arrangements, followed by the domain of implementation strategies. The most frequent group of outcomes was the reported outcome in (clinical) patients, followed by social outcomes. Conclusion The strategies that facilitate the reduction of health inequalities must be intersectoral and multidisciplinary in nature, including all sectors of the health system. It is essential to continue generating interventions focused on strengthening health systems in order to achieve adequate universal health coverage, with a process of comprehensive and quality care. |
| first_indexed | 2024-12-24T04:41:32Z |
| format | Article |
| id | doaj.art-ed6ebf085ad04a3fa482636898179660 |
| institution | Directory Open Access Journal |
| issn | 1475-9276 |
| language | English |
| last_indexed | 2024-12-24T04:41:32Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal for Equity in Health |
| spelling | doaj.art-ed6ebf085ad04a3fa4826368981796602022-12-21T17:14:48ZengBMCInternational Journal for Equity in Health1475-92762020-10-0119111110.1186/s12939-020-01299-wAn overview of reviews on strategies to reduce health inequalitiesNathaly Garzón-Orjuela0Daniel Felipe Samacá-Samacá1Silvia Catalina Luque Angulo2Carmen Verônica Mendes Abdala3Ludovic Reveiz4Javier Eslava-Schmalbach5Grupo de Equidad en Salud, Facultad de Medicina, Universidad Nacional de ColombiaGrupo de Equidad en Salud, Facultad de Medicina, Universidad Nacional de ColombiaGrupo de Equidad en Salud, Facultad de Medicina, Universidad Nacional de ColombiaCentro Latinoamericano y del Caribe de Información en Ciencias de la Salud, BIREME/OPS/OMSEvidence and Intelligence for Action in Health Department, Pan American Health OrganizationGrupo de Equidad en Salud, Facultad de Medicina, Universidad Nacional de ColombiaAbstract Background Governments are incentivized to develop and implement health action programs focused on equity to ensure progress with effective strategies or interventions. Objective Identify and synthesize strategies or interventions that facilitate the reduction of health inequalities. Methods A systematic search strategy was carried out up until August 2019 in MEDLINE (Ovid), Embase (Elsevier), Cochrane Database of Systematic Reviews, LILACS, Scopus, Scielo and Epistemonikos. In addition, a snowball strategy was used. Literature reviews (LRs) of experimental and quasi-experimental studies were included. The identified interventions and outcomes were categorized based on the recommendation by the Cochrane group in “Effective Practice and Organization of Care”. The quality of the included LRs was evaluated using the AMSTAR 2 tool. Results Four thousand ninety-five articles were identified, of which 97 were included in the synthesis of evidence. Most of the studies included focused on the general population, vulnerable populations and minority populations. The subjects of general health and healthy lifestyles were the most commonly addressed. According to the classification of the type of intervention, the domain covered most was the delivery arrangements, followed by the domain of implementation strategies. The most frequent group of outcomes was the reported outcome in (clinical) patients, followed by social outcomes. Conclusion The strategies that facilitate the reduction of health inequalities must be intersectoral and multidisciplinary in nature, including all sectors of the health system. It is essential to continue generating interventions focused on strengthening health systems in order to achieve adequate universal health coverage, with a process of comprehensive and quality care.http://link.springer.com/article/10.1186/s12939-020-01299-wHealth equityStrategiesHealth status disparitiesSystematic review |
| spellingShingle | Nathaly Garzón-Orjuela Daniel Felipe Samacá-Samacá Silvia Catalina Luque Angulo Carmen Verônica Mendes Abdala Ludovic Reveiz Javier Eslava-Schmalbach An overview of reviews on strategies to reduce health inequalities International Journal for Equity in Health Health equity Strategies Health status disparities Systematic review |
| title | An overview of reviews on strategies to reduce health inequalities |
| title_full | An overview of reviews on strategies to reduce health inequalities |
| title_fullStr | An overview of reviews on strategies to reduce health inequalities |
| title_full_unstemmed | An overview of reviews on strategies to reduce health inequalities |
| title_short | An overview of reviews on strategies to reduce health inequalities |
| title_sort | overview of reviews on strategies to reduce health inequalities |
| topic | Health equity Strategies Health status disparities Systematic review |
| url | http://link.springer.com/article/10.1186/s12939-020-01299-w |
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