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[PMID]:28455174
[Au] Autor:Prins W; Butcher E; Hall LL; Puckrein G; Rosof B
[Ad] Endereço:National Quality Forum, 1030 15th Street NW, Suite 800, Washington DC 20005, United States. Electronic address: wprins@qualityforum.org.
[Ti] Título:Improving adult immunization equity: Where do the published research literature and existing resources lead?
[So] Source:Vaccine;35(23):3020-3025, 2017 05 25.
[Is] ISSN:1873-2518
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Evidence suggests that disparities in adult immunization (AI) rates are growing. Providers need adequate patient resources and information about successful interventions to help them engage in effective practices to reduce AI disparities. The primary purposes of this paper were to review and summarize the evidence base regarding interventions to reduce AI disparities and to scan for relevant resources that could support providers in their AI efforts to specifically target disparities. First, building on a literature review conducted by the U.S. Centers for Disease Control and Prevention, we searched the peer-reviewed literature to identify articles that either discussed interventions to reduce AI disparities or provided reasons and associations for disparities. We scanned the articles and conducted an internet search to identify tools and resources to support efforts to improve AI rates. We limited both searches to resources that addressed influenza, pneumococcal, hepatitis B, Tdap, and/or herpes zoster vaccinations. We found that most articles characterized AI disparities, but several discussed strategies for reducing AI disparities, including practice-based changes, communication and health literacy approaches, and partnering with community-based organizations. The resources we identified were largely fact sheets and handouts for patients and journal articles for providers. Most resources pertain to influenza vaccination and Spanish was the most prevalent language after English. More evaluation is needed to assess the health literacy levels of the materials. We conclude that additional research is needed to identify effective ways to reduce AI disparities and more resources are needed to support providers in their efforts. We recommend identifying best practices of high performers, further reviewing the appropriateness and usefulness of available resources, and prioritizing which gaps should be addressed.
[Mh] Termos MeSH primário: Equidade em Saúde
Alfabetização em Saúde
Recursos em Saúde
Imunização/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Centers for Disease Control and Prevention (U.S.)/estatística & dados numéricos
Controle de Doenças Transmissíveis/estatística & dados numéricos
Competência Cultural
Seres Humanos
Vacinas contra Influenza/administração & dosagem
Editoração
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Influenza Vaccines)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE


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[PMID]:29206829
[Au] Autor:Urbina-Fuentes M; Jasso-Gutiérrez L; Schiavon-Ermani R; Lozano R; Finkelman J
[Ad] Endereço:Coordinador del Comité Permanente para el Estudio de los Determinantes Sociales de la Salud, Academia Nacional de Medicina, México.
[Ti] Título:[Transition from Millennium Development Goals to Sustainable Development Goals from the perspective of the social determinants of health and health equity].
[Ti] Título:La transición de los Objetivos de Desarrollo del Milenio a los Objetivos de Desarrollo Sostenible desde la perspectiva de los determinantes sociales de la salud y la equidad en salud..
[So] Source:Gac Med Mex;153(6):697-730, 2017 Nov-Dec.
[Is] ISSN:0016-3813
[Cp] País de publicação:Mexico
[La] Idioma:spa
[Ab] Resumo:The United Nations Declaration of 2000 agreed on eight millennium development goals (MDGs) to be met in 2015. The results show that poverty continues through population growth and advances in both rich and poor countries are threatened by economic crises and inequities in geographic areas and population groups within countries. In a globalized world with great social and economic inequalities, from the perspective of the social determinants of health (SDH), the relevance of the new 17 sustainable development goals (SDGs) is greater. Faced with the health challenges in our country to achieve SDGs, the symposium "The transition from MDGs to SDGs from the perspective of SDH and health equity" was presented at the XLIV Congress of the National Academy of Medicine. The presentations dealt with five important aspects of the transition in Mexico: background and context; the current state of the MDGs in childhood; the impact on gender equity and adolescent fertility; the health system and the theme of environmental health and were presented by Dr. Raffaela Schiavon, Jacobo Finkelman, Luis Jasso and Rafael Lozano.
[Mh] Termos MeSH primário: Saúde Global
Equidade em Saúde
Determinantes Sociais da Saúde
[Mh] Termos MeSH secundário: Conservação dos Recursos Naturais
Países em Desenvolvimento
Metas
Seres Humanos
México
Fatores Socioeconômicos
Nações Unidas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.24875/GMM.M17000017


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[PMID]:29236539
[Au] Autor:Wilkinson GW; Sager A; Selig S; Antonelli R; Morton S; Hirsch G; Lee CR; Ortiz A; Fox D; Lupi MV; Acuff C; Wachman M
[Ad] Endereço:Geoffrey W. Wilkinson is with the Boston University School of Social Work, Boston, MA. Alan Sager is with the Boston University School of Public Health. Sara Selig is with Brigham & Women's Hospital/Harvard Medical School, Boston. Richard Antonelli is with Boston Children's Hospital/Harvard Medi
[Ti] Título:No Equity, No Triple Aim: Strategic Proposals to Advance Health Equity in a Volatile Policy Environment.
[So] Source:Am J Public Health;107(S3):S223-S228, 2017 Dec.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Health professionals, including social workers, community health workers, public health workers, and licensed health care providers, share common interests and responsibilities in promoting health equity and improving social determinants of health-the conditions in which people live, work, play, and learn. We summarize the underlying causes of health inequity and comparatively poor health outcomes in the United States. We describe barriers to realizing the hope embedded in the 2010 Patient Protection and Affordable Care Act, that moving away from fee-for-service payments will naturally drive care upstream as providers respond to greater financial risk by undertaking greater prevention efforts for the health of their patients. We assert that health equity should serve as the guiding framework for achieving the Triple Aim of health care reform and outline practical opportunities for improving care and promoting stronger efforts to address social determinants of health. These proposals include developing a dashboard of measures to assist providers committed to health equity and community-based prevention and to promote institutional accountability for addressing socioeconomic factors that influence health.
[Mh] Termos MeSH primário: Política Ambiental
Reforma dos Serviços de Saúde/organização & administração
Equidade em Saúde/organização & administração
Qualidade da Assistência à Saúde
[Mh] Termos MeSH secundário: Agentes Comunitários de Saúde
Feminino
Política de Saúde
Seres Humanos
Masculino
Patient Protection and Affordable Care Act
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.304000


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[PMID]:28970369
[Au] Autor:Chisolm DJ
[Ad] Endereço:The Research Institute at Nationwide Children's Hospital, Columbus, Ohio and Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, Ohio deena.chisolm@nationwidechildrens.org.
[Ti] Título:Justice-Involved Youth: The Newest Target for Health Equity Approaches?
[So] Source:Pediatrics;140(5), 2017 11.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Equidade em Saúde
Justiça Social
[Mh] Termos MeSH secundário: Adolescente
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171004
[St] Status:MEDLINE


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[PMID]:28847986
[Au] Autor:Lorch SA
[Ad] Endereço:Division of Neonatology, Department of Pediatrics and Center for Pediatric and Perinatal Health Disparities Research and Policy Lab, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; and Leonard Davis Institute and Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania lorch@email.chop.edu.
[Ti] Título:Health Equity and Quality of Care Assessment: A Continuing Challenge.
[So] Source:Pediatrics;140(3), 2017 09.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Equidade em Saúde
Qualidade da Assistência à Saúde
[Mh] Termos MeSH secundário: Acesso aos Serviços de Saúde
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170830
[St] Status:MEDLINE


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[PMID]:28806362
[Au] Autor:Chinman M; Woodward EN; Curran GM; Hausmann LRM
[Ad] Endereço:*Veterans Affairs Pittsburgh Healthcare System, VA Center for Health Equity Research and Promotion (CHERP), Pittsburgh, PA †Central Arkansas Veterans Healthcare System, South Central Mental Illness Research Education and Clinical Center (MIRECC) ‡Department of Psychiatry, University of Arkansas for Medical Sciences §Center for Implementation Research, University of Arkansas for Medical Sciences, Little Rock, AR ∥Department of Medicine, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.
[Ti] Título:Harnessing Implementation Science to Increase the Impact of Health Equity Research.
[So] Source:Med Care;55 Suppl 9 Suppl 2:S16-S23, 2017 Sep.
[Is] ISSN:1537-1948
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Health disparities are differences in health or health care between groups based on social, economic, and/or environmental disadvantage. Disparity research often follows 3 steps: detecting (phase 1), understanding (phase 2), and reducing (phase 3), disparities. Although disparities have narrowed over time, many remain. OBJECTIVES: We argue that implementation science could enhance disparities research by broadening the scope of phase 2 studies and offering rigorous methods to test disparity-reducing implementation strategies in phase 3 studies. METHODS: We briefly review the focus of phase 2 and phase 3 disparities research. We then provide a decision tree and case examples to illustrate how implementation science frameworks and research designs could further enhance disparity research. RESULTS: Most health disparities research emphasizes patient and provider factors as predominant mechanisms underlying disparities. Applying implementation science frameworks like the Consolidated Framework for Implementation Research could help disparities research widen its scope in phase 2 studies and, in turn, develop broader disparities-reducing implementation strategies in phase 3 studies. Many phase 3 studies of disparity-reducing implementation strategies are similar to case studies, whose designs are not able to fully test causality. Implementation science research designs offer rigorous methods that could accelerate the pace at which equity is achieved in real-world practice. CONCLUSIONS: Disparities can be considered a "special case" of implementation challenges-when evidence-based clinical interventions are delivered to, and received by, vulnerable populations at lower rates. Bringing together health disparities research and implementation science could advance equity more than either could achieve on their own.
[Mh] Termos MeSH primário: Equidade em Saúde
Implementação de Plano de Saúde/organização & administração
Pesquisa sobre Serviços de Saúde/organização & administração
[Mh] Termos MeSH secundário: Disparidades em Assistência à Saúde
Seres Humanos
Melhoria de Qualidade
Populações Vulneráveis
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171015
[Lr] Data última revisão:
171015
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170815
[St] Status:MEDLINE
[do] DOI:10.1097/MLR.0000000000000769


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[PMID]:28802675
[Au] Autor:Pottie K; Welch V; Morton R; Akl EA; Eslava-Schmalbach JH; Katikireddi V; Singh J; Moja L; Lang E; Magrini N; Thabane L; Stanev R; Matovinovic E; Snellman A; Briel M; Shea B; Tugwell P; Schunemann H; Guyatt G; Alonso-Coello P
[Ad] Endereço:Departments of Family Medicine and Epidemiology and Community Medicine, Bruyere Research Institute University of Ottawa, Ottawa, Ontario, Canada; Epidemiology and Community Medicine, Bruyere Research Institute University of Ottawa, Ottawa, Ontario, Canada. Electronic address: kpottie@uottawa.ca.
[Ti] Título:GRADE equity guidelines 4: considering health equity in GRADE guideline development: evidence to decision process.
[So] Source:J Clin Epidemiol;90:84-91, 2017 Oct.
[Is] ISSN:1878-5921
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The aim of this paper is to provide detailed guidance on how to incorporate health equity within the GRADE (Grading Recommendations Assessment and Development Evidence) evidence to decision process. STUDY DESIGN AND SETTING: We developed this guidance based on the GRADE evidence to decision framework, iteratively reviewing and modifying draft documents, in person discussion of project group members and input from other GRADE members. RESULTS: Considering the impact on health equity may be required, both in general guidelines and guidelines that focus on disadvantaged populations. We suggest two approaches to incorporate equity considerations: (1) assessing the potential impact of interventions on equity and (2) incorporating equity considerations when judging or weighing each of the evidence to decision criteria. We provide guidance and include illustrative examples. CONCLUSION: Guideline panels should consider the impact of recommendations on health equity with attention to remote and underserviced settings and disadvantaged populations. Guideline panels may wish to incorporate equity judgments across the evidence to decision framework. This is the fourth and final paper in a series about considering equity in the GRADE guideline development process. This series is coming from the GRADE equity subgroup.
[Mh] Termos MeSH primário: Tomada de Decisões
Equidade em Saúde
Guias de Prática Clínica como Assunto/normas
Populações Vulneráveis
[Mh] Termos MeSH secundário: Prática Clínica Baseada em Evidências
Seres Humanos
Projetos de Pesquisa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170814
[St] Status:MEDLINE


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[PMID]:28705320
[Au] Autor:Shaw LJ; Pepine CJ; Xie J; Mehta PK; Morris AA; Dickert NW; Ferdinand KC; Gulati M; Reynolds H; Hayes SN; Itchhaporia D; Mieres JH; Ofili E; Wenger NK; Bairey Merz CN
[Ad] Endereço:Emory University School of Medicine, Atlanta, Georgia. Electronic address: lshaw3@emory.edu.
[Ti] Título:Quality and Equitable Health Care Gaps for Women: Attributions to Sex Differences in Cardiovascular Medicine.
[So] Source:J Am Coll Cardiol;70(3):373-388, 2017 Jul 18.
[Is] ISSN:1558-3597
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The present review synthesizes evidence and discusses issues related to health care quality and equity for women, including minority population subgroups. The principle of "sameness" or women and men receiving equitable, high-quality care is a near-term target, but optimal population health cannot be achieved without consideration of the unique, gendered structural determinants of health and the development of unique care pathways optimized for women. The aim of this review is to promote enhanced awareness, develop critical thinking in sex and gender science, and identify strategic pathways to improve the cardiovascular health of women. Delineation of the components of high-quality health care, including a women-specific research agenda, remains a vital part of strategic planning to improve the lives of women at risk for or living with cardiovascular disease.
[Mh] Termos MeSH primário: Cardiologia/normas
Doenças Cardiovasculares/terapia
Equidade em Saúde
Disparidades em Assistência à Saúde
Qualidade da Assistência à Saúde/normas
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Fatores Sexuais
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170715
[St] Status:MEDLINE


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Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:28678911
[Au] Autor:Melo DDS; Martins RD; Jesus RPFS; Samico IC; Santo ACGDE
[Ad] Endereço:Programa de Pós-Graduação em Saúde Humana e Meio Ambiente. Centro Acadêmico de Vitória. Universidade Federal de Pernambuco. Vitória de Santo Antão, PE, Brasil.
[Ti] Título:Assessment of the responsiveness of a public health service from the perspective of older adults.
[So] Source:Rev Saude Publica;51:62, 2017 Jun 26.
[Is] ISSN:1518-8787
[Cp] País de publicação:Brazil
[La] Idioma:eng; por
[Ab] Resumo:OBJECTIVE: To assess the quality of health care of older adults using as a parameter the assessment of the responsiveness of the service. METHODS: This is a descriptive cross-sectional study conducted in a reference unit of the Brazilian Unified Health System at the outpatient level. The sample was probabilistic and had 385 older adults; data collection occurred in 2014. The domains assessed were: choice, autonomy, confidentiality, dignity, communication, physical facilities, and fast service. To this end, we used Pearson correlation test and Fisher's exact test. RESULTS: The domains of dignity, confidentiality, and communication reached the highest level of adequate responsiveness. On the other hand, freedom of choice and fast service received the worst assessments. Participation in decision-making regarding treatment was significantly lower among the older adults who had no education. In addition, the older adults that self-reported as black receive a lower quality of care regarding clear explanation and respected privacy in the appointment, when compared to users of any other race. CONCLUSIONS: Although most domains studied have receive a positive assessment, we have found a need for an equal care by the health professionals, regardless of race, education level, or any other adjective characteristic of older adults, users of public health services. OBJETIVO: Avaliar a qualidade da atenção à saúde da população idosa usando como parâmetro a avaliação da responsividade do serviço. MÉTODOS: Trata-se de um estudo descritivo, de corte transversal, realizado em uma unidade de referência do Sistema Único de Saúde em nível ambulatorial. A amostra foi probabilística composta por 385 idosos e a coleta de dados ocorreu em 2014. Foram avaliados os domínios: escolha, autonomia, confidencialidade, dignidade, comunicação, instalações físicas e atendimento rápido. Para tanto, foram utilizados o teste de correlação de Pearson e o teste de Fisher. RESULTADOS: Os domínios dignidade, confidencialidade e comunicação atingiram o maior nível de responsividade adequada. Por outro lado, a liberdade de escolha e o atendimento rápido receberam as piores avaliações. A participação na tomada de decisões a respeito do tratamento foi significativamente menor entre os idosos que não frequentaram a escola. Além disso, os idosos que se autodeclararam negros receberam um atendimento de menor qualidade no que diz respeito à explicação clara e a privacidade respeitada mediante consulta, quando comparados aos usuários de outra raça. CONCLUSÕES: Apesar de a maioria dos domínios estudados receberem uma avaliação positiva, evidenciou-se a necessidade de um atendimento igualitário por parte dos profissionais de saúde, independentemente de raça, nível de escolaridade ou qualquer outra característica adjetiva referente aos usuários idosos atendidos nos serviços de saúde públicos.
[Mh] Termos MeSH primário: Acesso aos Serviços de Saúde/estatística & dados numéricos
Serviços de Saúde para Idosos/estatística & dados numéricos
Qualidade da Assistência à Saúde/estatística & dados numéricos
[Mh] Termos MeSH secundário: Idoso
Brasil
Estudos Transversais
Feminino
Equidade em Saúde
Inquéritos Epidemiológicos
Seres Humanos
Masculino
Meia-Idade
Programas Nacionais de Saúde
Fatores Socioeconômicos
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170706
[St] Status:MEDLINE


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[PMID]:28661807
[Au] Autor:Cladoosby BS
[Ad] Endereço:Brian (Speepots) Cladoosby is the president of the National Congress of American Indians and chairman of the Swinomish Indian Tribal Community, La Conner, WA.
[Ti] Título:Indian Country Leads National Movement to Knock Down Barriers to Oral Health Equity.
[So] Source:Am J Public Health;107(S1):S81-S84, 2017 May.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Tribal and other underserved communities are struggling under the weight of devastating oral health disparities. Tribes as sovereign nations are searching for innovative solutions to address their unique barriers to oral health care. Dental therapists are primary oral health providers who work as part of the dental team to provide a limited scope of services to patients. They were first brought to tribal communities by the Alaska Native Tribal Health Consortium. Despite strong opposition from the American Dental Association aimed at protecting its monopoly on oral health care, dental therapists are sweeping the nation. Evidence shows that they are effective and provide high-quality care, particularly in underserved communities. A community's ability to develop public health policy solutions tailored to its needs and priorities is essential in eliminating health disparities and achieving health equity. The Swinomish Indian Tribal Community is leading the way to more effective and efficient dental teams and working hard to lay the groundwork for the elimination of oral health disparities.
[Mh] Termos MeSH primário: Assistência à Saúde/organização & administração
Equidade em Saúde
Serviços de Saúde do Indígena/organização & administração
Índios Norte-Americanos/legislação & jurisprudência
Saúde Bucal
[Mh] Termos MeSH secundário: Alaska
Assistência à Saúde/recursos humanos
Assistência à Saúde/normas
Auxiliares de Odontologia/economia
Auxiliares de Odontologia/educação
Auxiliares de Odontologia/utilização
Acesso aos Serviços de Saúde
Serviços de Saúde do Indígena/legislação & jurisprudência
Serviços de Saúde do Indígena/recursos humanos
Serviços de Saúde do Indígena/normas
Seres Humanos
Estados Unidos
Populações Vulneráveis
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303663



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