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How can a system improve population health and reduce health inequalities?
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Aug 10, 2024 · Key elements of this system’s working include fostering strategic coherence, cross-agency working, and community-asset based approaches. Areas requiring action included data sharing challenges across organisations and analytical capacity to assist endeavours to reduce health and care inequalities.
- An overview of reviews on strategies to reduce health ...
The most frequent group of outcomes was the reported outcome...
- An overview of reviews on strategies to reduce health ...
In this article, we argue that health inequalities need re-framing to encompass the breadth of disadvantage and difference between healthcare and health outcome inequalities. Second, there needs to be a focus on long-term organisational change to ensure equity is considered in all decisions.
- Evidence Map
- Delivery Arrangements Intervention
- Financial Arrangements Intervention
- Governance Arrangements Intervention
- Implementation Strategies
From the characterization of the included studies, an evidence map was developed, which graphically distributes these studies according to a matrix with 38 interventions and 39 findings that can be observed in Fig. 2 and at the following link: https://public.tableau.com/profile/bireme#!/vizhome/desigualdades-en-salud-en/evidence-map. In this eviden...
Of the total of LRs that included the delivery arrangements domain, eight displayed a high quality [18,19,20,21,22,23,24,25]. The two most frequent categories in this domain were “coordination of care and management of care processes”, and “who provides care and how the health care workforce is managed”. In addition, the most common subcategories w...
The six LRs that included the financial arrangements domain were of an average quality [26, 43, 50, 53,54,55]. The category of “mechanisms for the payment of health services” was the most common within this domain (Table 2), which focused on providing financial support to disadvantaged groups to guarantee health care – for example, transportation a...
Governance arrangements domain was identified in seven of the included studies, one of high quality and three of medium quality [53, 56, 57]. Interventions aimed at public policy in health or organizations were identified, where the construction of social networks and organizational interventions carried out in work environments improve health con...
Sixty two LRs were included in the implementation strategies domain, of which six were of high quality [18, 22,23,24, 58, 59]. The category of interventions targeting specific practices and conditions was the most frequent (Table 2). Among these, effective strategies were identified in oral health care in the immigrant population and the reduction...
- Nathaly Garzón-Orjuela, Daniel Felipe Samacá-Samacá, Silvia Catalina Luque Angulo, Carmen Verônica M...
- 2020
There is strong evidence that investments in prevention at the population level, via public health expenditures, are very effective in promoting health and wellness and reducing costs of medical care (McCullough et al., 2012).
- 2017
The framework identifies key areas of action for the reduction of health and care inequalities in general practice across the structural, cultural, disciplinary, and interpersonal domains and suggests five principles that should inform relevant action.
Aug 10, 2024 · However, a strong coherent strategic integrated population health management plan with a system's approach to reducing health inequalities was evident as was collective action and involving people, with links to a "strong third sector".
Jan 30, 2019 · Minority populations often face multiple levels of mutually reinforcing structural disadvantage that contribute to poor health. 3,4 Although many promising health interventions have targeted individual-, interpersonal-, and, to some extent, community-level factors, the evidence on how enduring these interventions are in supporting sustained impr...
