An overview of reviews on strategies to reduce health inequalities.

Autor: Garzón-Orjuela N; Grupo de Equidad en Salud, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia. ngarzono@unal.edu.co., Samacá-Samacá DF; Grupo de Equidad en Salud, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia., Luque Angulo SC; Grupo de Equidad en Salud, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia., Mendes Abdala CV; Centro Latinoamericano y del Caribe de Información en Ciencias de la Salud, BIREME/OPS/OMS, São Paulo, Brazil., Reveiz L; Evidence and Intelligence for Action in Health Department, Pan American Health Organization, Washington DC, USA., Eslava-Schmalbach J; Grupo de Equidad en Salud, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia.; Hospital Universitario Nacional de Colombia, Bogotá, Colombia.
Jazyk: angličtina
Zdroj: International journal for equity in health [Int J Equity Health] 2020 Oct 28; Vol. 19 (1), pp. 192. Date of Electronic Publication: 2020 Oct 28.
DOI: 10.1186/s12939-020-01299-w
Abstrakt: 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.
Databáze: MEDLINE
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