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An overview of reviews on strategies to reduce health inequalities.
Garzón-Orjuela, Nathaly; Samacá-Samacá, Daniel Felipe; Luque Angulo, Silvia Catalina; Mendes Abdala, Carmen Verônica; Reveiz, Ludovic; Eslava-Schmalbach, Javier.
Afiliação
  • 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.
Int J Equity Health ; 19(1): 192, 2020 10 28.
Article em En | MEDLINE | ID: mdl-33115482
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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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Literatura de Revisão como Assunto / Disparidades nos Níveis de Saúde Tipo de estudo: Guideline / Overview Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Limite: Humans Idioma: En Revista: Int J Equity Health Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Literatura de Revisão como Assunto / Disparidades nos Níveis de Saúde Tipo de estudo: Guideline / Overview Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Limite: Humans Idioma: En Revista: Int J Equity Health Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Colômbia País de publicação: Reino Unido