Dagens FSV-oversigt: Intersectoral action for health equity: a rapid systematic review.
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Dagens #fsvoversigt:
Intersectoral action for health equity: a rapid systematic review.
BMC Public Health. 2013;13:1056
Authors: Ndumbe-Eyoh S, Moffatt H
Abstract
BACKGROUND: Action on the social determinants of health is considered a
necessary approach to improving health equity. Most of the social determinants
of health lie outside the sphere of the health sector and thus collaboration
with governmental and non-governmental sectors outside of health are required
to develop policies and programs to improve health equity. Case studies of
intersectoral action are available, however there is limited information about
the impact of intersectoral action on the social determinants of health and
health equity.
METHODS: Search and retrieval of literature published between 2001 and 2011 was
conducted in 6 databases. A staged screening of titles and abstracts, and later
full-text, was conducted by two independent reviewers. Reviewers independently
assessed the quality of the articles deemed relevant for inclusion. Data were
extracted and synthesized in narrative format for all included studies,
conducted by one reviewer and checked by another.
RESULTS: 17 articles of varied methodological quality met the inclusion
criteria. One systematic review investigating partnership interventions found
mixed and limited impacts on health outcomes. Primary studies evaluating the
impact of upstream and midstream interventions showed mixed effects. Downstream
interventions were generally moderately effective in increasing the
availability and use of services by marginalized communities.
CONCLUSIONS: The literature evaluating the impact of intersectoral action on
health equity is limited. The included studies identified reveal a moderate to
no effect on the social determinants of health. The evidence on the impact of
intersectoral action on health equity is even more limited. The lack of
evidence should not be interpreted as a lack of effect. Rigorous evaluations of
intersectoral action are needed to strengthen the evidence base of this public
health practice.
PMID: 24209299 [PubMed - indexed for MEDLINE]
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Dette abstract er hentet via PubMed fra National Library of Medicine, USA
(http://www.ncbi.nlm.nih.gov/About/disclaimer.html).
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Se abstractet i PubMed: http://evidens.link/1DQvNHr
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