A health disparities research framework to guide a radiology response to achieve equitable care during crisis

Strategies and indicators to integrate health equity in health service and delivery systems in high-income countries: a scoping review

“…This review was limited to sources from high-income countries with developed economies: 56 from the United States, 41 , 43 – 46 , 52 , 54 , 56 , 59 , 64 – 68 , 71 , 73 , 74 , 78 , 80 , 83 , 84 , 89 , 92 , 95 – 97 , 99 – 101 , 103 , 105 – 107 , 115 , 119 – 121 , 124 , 125 , 128 , 134 – 139 , 142 – 147 , 149 – 151 , 153 20 from Canada, 35 , 37 , 39 , 40 , 42 , 48 – 50 , 63 , 86 , 88 , 90 , 91 , 98 , 104 , 108 , 113 , 141 , 152 , 155 16 from the United Kingdom, 38 , 53 , 55 , 61 , 62 , 69 , 70 , 81 , 85 , 87 , 112 , ...…”

“… 38 , 41 – 46 , 48 , 51 , 54 – 56 , 58 , 60 – 62 , 64 , 66 , 67 , 69 , 70 , 72 , 75 , 76 , 78 – 80 , 83 , 84 , 87 , 89 , 92 , 94 , 96 , 99 , 100 , 103 , 105 , 108 , 110 , 112 , 114 , 115 , 120 , 122 – 125 , 128 , 134 , 137 , 139 , 140 , 142 , 147 , 154 Fifty sources did not define health equity, but did include definitions of related concepts of interest (eg, health inequity/inequality, SDOH). 21 , 37 , 39 , 40 , 47 , 49 , 52 , 53 , 57 , 59 , 63 , 65 , 71 , 73 , 74 , 77 , 81 , 82 ,…”

“… 71 , 73 All the remaining sources (n=59) used unique frameworks to operationalize their health equity work within a specific organizational or system context. 21 , 35 , 38 – 41 , 44 , 47 , 48 , 50 , 52 , 54 – 56 , 62 , 63 , 66 , 74 – 78 , 83 – 85 , 88 , 92 – 94 , 96 , 101 – 107 , 109 – 111 , 116 – 118 , 123 , 127 , 130 , 131 , 136 – 138 , 140 , 141 , 143 – 145 , 149 , 151 – 153 The health equity work described in our included sources took place in multiple settings that ranged from a whole health system to clinical and community health service providers, meaning there was substantial variation in the frameworks that were used. This made it challenging to assess their utility.…”

“…Overall, we found that indicators for measuring health equity in our included sources were not well described or, in some cases, not reported (n=68). 21 , 36 , 37 , 40 , 47 , 50 , 51 , 53 – 55 , 57 , 59 , 60 , 66 , 68 , 69 , 71 , 74 , 76 , 78 , 79 , 81 , 82 , 88 , 90 – 92 , 94 , 95 , 98 , 100 , 102 , 103 , 106 – 108 , 110 , 111 , 113 – 116 , 118 – 121 , 123 – 126 , 129 – 135 , 139 , 143 – 146 , 148 , 149 , 151 , 153 , 154 When indicators were included (n=54), sources revealed a considerable array of indicators that were employed to measure health equity integration. 35 , 38 , 39 , 41 – 46 , 48 , 49 , 52 , 56 , 58 , 61 – ...…”

“…Figure 3 illustrates the populations represented throughout our sources, of which the majority (n=90) identified strategies that targeted patient populations, such as Indigenous populations, older adults, or populations with disease-specific conditions. 37 – 41 , 43 – 45 , 47 – 56 , 59 – 63 , 65 – 72 , 74 – 77 , 79 , 82 – 87 , 90 , 92 – 97 , 99 , 101 – 103 , 107 – 121 , 123 – 127 , 129 – 132 , 134 , 138 , 140 , 143 , 146 – 149 , 151 – 155 The health system workforce was another common target (n=19) and included physicians, nurses, and others, such as rehabilitation and public health staff. 35 , 36 , 42 , 51 , 58 , 61 , 73 , 80 , 81 , 88 , 91 , 100 , 104 , 133 , 136 , 137 , 139 , 141 , 144 Community/organizational partners (n=13) represented standalone services or sectors and were also a common target of the sources that sought to address health equity.…”