umu.sePublikasjoner
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Considering health equity when moving from evidence-based guideline recommendations to implementation: a case study from an upper-middle income country on the GRADE approach
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
Vise andre og tillknytning
2017 (engelsk)Inngår i: Health Policy and Planning, ISSN 0268-1080, E-ISSN 1460-2237, Vol. 32, nr 10, s. 1484-1490Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The availability of evidence-based guidelines does not ensure their implementation and use in clinical practice or policy making. Inequities in health have been defined as those inequalities within or between populations that are avoidable, unnecessary and also unjust and unfair. Evidence-based clinical practice and public health guidelines ('guidelines') can be used to target health inequities experienced by disadvantaged populations, although guidelines may unintentionally increase health inequities. For this reason, there is a need for evidence-based clinical practice and public health guidelines to intentionally target health inequities experienced by disadvantaged populations. Current guideline development processes do not include steps for planned implementation of equity-focused guidelines. This article describes nine steps that provide guidance for consideration of equity during guideline implementation. A critical appraisal of the literature followed by a process to build expert consensus was undertaken to define how to include consideration of equity issues during the specific GRADE guideline development process. Using a case study from Colombia we describe nine steps that were used to implement equity-focused GRADE recommendations: (1) identification of disadvantaged groups, (2) quantification of current health inequities, (3) development of equity-sensitive recommendations, (4) identification of key actors for implementation of equity-focused recommendations, (5) identification of barriers and facilitators to the implementation of equity-focused recommendations, (6) development of an equity strategy to be included in the implementation plan, (7) assessment of resources and incentives, (8) development of a communication strategy to support an equity focus and (9) development of monitoring and evaluation strategies. This case study can be used as model for implementing clinical practice guidelines, taking into account equity issues during guideline development and implementation.

sted, utgiver, år, opplag, sider
Oxford University Press, 2017. Vol. 32, nr 10, s. 1484-1490
Emneord [en]
health inequalities, clinical, practice guidelines, implementation, equity
HSV kategori
Identifikatorer
URN: urn:nbn:se:umu:diva-144425DOI: 10.1093/heapol/czx126ISI: 000419565800017PubMedID: 29029068OAI: oai:DiVA.org:umu-144425DiVA, id: diva2:1180377
Tilgjengelig fra: 2018-02-05 Laget: 2018-02-05 Sist oppdatert: 2018-06-09bibliografisk kontrollert

Open Access i DiVA

fulltext(456 kB)65 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 456 kBChecksum SHA-512
01421eedbc83e45a060e36474773e874a465c724edebef357731a140184be31b673934cb7b3c2d456a0c723ce33a205dc119e4fd5bc68ceccc6198baff989292
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekstPubMed

Personposter BETA

Eslava-Schmalbach, JavierMosquera, PaolaFlorez, Ivan D.

Søk i DiVA

Av forfatter/redaktør
Eslava-Schmalbach, JavierMosquera, PaolaFlorez, Ivan D.
Av organisasjonen
I samme tidsskrift
Health Policy and Planning

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 65 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 151 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf