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Over half of the WHO guidelines published from 2014 to 2019 explicitly considered health equity issues: a cross-sectional survey

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العنوان: Over half of the WHO guidelines published from 2014 to 2019 explicitly considered health equity issues: a cross-sectional survey
المؤلفون: Thomas Piggott, Vivian Welch, Christine Mathew, Phillip Tsang, Jennifer Petkovic, Omar Dewidar, Tejan Baldeh, Peter Tugwell, Holger J. Schünemann, Alba Antequera, Elie A. Akl, Pablo Alonso-Coello, Montserrat León-García, Kevin Pottie
المصدر: JOURNAL OF CLINICAL EPIDEMIOLOGY
r-IIB SANT PAU: Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname
سنة النشر: 2020
مصطلحات موضوعية: Guideline development, Epidemiology, Cross-sectional study, Subgroup analysis, Guidelines as Topic, Guidelines, World Health Organization, Vulnerable Populations, World health, 03 medical and health sciences, WHO, 0302 clinical medicine, Environmental health, Humans, 030212 general & internal medicine, Healthcare Disparities, Health equity, Research evidence, Equity (economics), Health Equity, Disadvantaged, GRADE, Cross-Sectional Studies, Evidence to decision, Who guidelines, Psychology, 030217 neurology & neurosurgery
الوصف: Objective: To evaluate how and to what extent health equity considerations are assessed in World Health Organization (WHO) guidelines. Study Design and Setting: We evaluated WHO guidelines published between January 2014 and May 2019. Health equity consider-ations were assessed in relation to differences in baseline risk, importance of outcomes for socially disadvantaged populations, inclusion of health inequity as an outcome, equity-related subgroup analysis, and indirectness in each recommendation. Results: We identified 111 WHO guidelines, and 54% (60 of 111) of these used the Evidence to Decision (EtD) framework. For the 60 guidelines using an EtD framework, the likely impact on health equity was supported by research evidence in 28% of the recommendations (94 of 332). Research evidence was mostly provided as differences in baseline risk (23%, 78/332). Research evidence less frequently addressed the importance of outcomes for socially disadvantaged populations (11%, 36/332), considered indirectness of the evidence for socially disadvantaged populations (2%, 5/332), considered health inequities as an outcome (2%, 5/332) and considered differences in the magnitude of effect in relative terms between disadvantaged and more advantaged populations (1%, 3/332). Conclusion: The provision of research evidence to support equity judgements in WHO guidelines is still suboptimal, suggesting the need for better guidance and more training. (c) 2020 Elsevier Inc. All rights reserved.
تدمد: 1878-5921
0895-4356
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a7ad736e6a7592087c3b6d8a25183d84
https://pubmed.ncbi.nlm.nih.gov/32717312
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....a7ad736e6a7592087c3b6d8a25183d84
قاعدة البيانات: OpenAIRE
الوصف
تدمد:18785921
08954356