Reviewgold2020

An overview of reviews on strategies to reduce health inequalities

Nathaly Garzón Orjuela · Daniel Samacá-Samacá · Silvia Catalina Luque Angulo · Carmen Verônica Mendes Abdala · Ludovic Revéiz · Javier Hernando Eslava-Schmalbach

48 citations0/0 files storedInternational Journal for Equity in Health

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Public Health and Social Inequalities Public Health Policies and Education Health disparities and outcomes

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.

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1992The Concepts and Principles of Equity and Health 2005HEALTH DISPARITIES AND HEALTH EQUITY: Concepts and Measurement 2015Inequalities in health: definitions, concepts, and theories 2015Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA: a systematic review 2018A Systematic Review of Interventions to Minimize Transportation Barriers Among People with Chronic Diseases 2015Computerized Cognitive Behavior Therapy for Anxiety and Depression in Rural Areas: A Systematic Review 2006Social inequalities and health inequity in Morocco 2017Using Mobile Phones to Improve Vaccination Uptake in 21 Low- and Middle-Income Countries: Systematic Review

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