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- Evidence for what is effective at reducing inequalities in health and health care in general practice is inconclusive. 14 A systematic review of the evidence on health-service interventions that can reduce inequalities in health showed that successful interventions include a systematic, intensive, and multidisciplinary approach, enhanced access, the utilisation of services, tailoring to patient needs, and community involvement. 14 Additional evidence indicates that shared decision making in...
www.thelancet.com/journals/lanpub/article/PIIS2468-2667(23)00093-2/fulltext
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Can general practice reduce health and care inequalities?
Do interventions and routine care reduce or increase inequalities in health care?
Do health interventions increase or decrease health inequalities?
Do interventions address inequalities in general practice?
How can national policy makers reduce health inequalities?
What should researchers do about health inequalities?
In our study, we found that lack of cultural understanding and implicit bias can increase health inequalities in general practice. Evidence as such highlights the need for more studies on the interconnection(s) between structural racism, healthcare worker and patient experiences of discrimination, and care outcomes in general practice.
- 2024/03
This realist review will examine the existing evidence on the types of interventions or aspects of routine care in general practice that are likely to decrease or increase health inequalities (ie, inequality-generating interventions) across cardiovascular disease, cancer, diabetes and chronic obstructive pulmonary disease.
- John Alexander Ford, Anna Gkiouleka, Isla Kuhn, Sarah Sowden, Fiona Head, Rikke Siersbaek, Clare Bam...
- 2021
Despite the significance of the findings, the evidence regarding interventions that can effectively reduce health inequalities in general practice is still limited and disparate. Most of the available evidence reviews focus on research trials with often small samples and variant study quality.
- 2024/03
It is important to identify effective ways so that general practice can play its role in reducing health inequalities. Objectives: We explored what types of interventions and aspects of routine care in general practice decrease or increase inequalities in health and care-related outcomes.
Although general practice can contribute to reducing health inequalities, existing evidence provides little guidance on how this reduction can be achieved. We reviewed interventions influencing health and care inequalities in general practice and developed an action framework for health professional ….
To identify such principles, we synthesised the evidence on interventions and routine care in general practice that decrease or increase inequalities in health and health care and, on the basis of this evidence, we produced an action framework for health-care professionals and decision makers.
