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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?
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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
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
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
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.
Focusing on common qualities of interventions, we found that to reduce health inequalities, general practice needs to be informed by five key principles: involving coordinated services across the system (ie, connected), accounting for differences within patient groups (ie, intersectional), making allowances for different patient needs and ...
Our study explored what types of interventions and aspects of routine care in general practice decrease or increase inequalities in healthcare and outcomes among people with or at risk of CVD, cancer, diabetes and/or chronic obstructive pulmonary disease, and for whom these interventions and aspects of care work best, why, and in what ...