Quality and equity: a shared agenda for universal health coverage

Stevens, Amy; Neilson, Matthew; Rasanathan, Kumanan; Syed, Shamsuzzoha B; Koller, Theadora Swift

doi:10.1136/bmjgh-2023-012561

Cited by 7 publications

(3 citation statements)

References 10 publications

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“…Global political commitment drives equal access to primary healthcare (PHC) services towards universal health coverage and sustainable development. 1 While policies often include the equity principle, there is limited assurance -not everyone has appropriate access to PHC due to various reasons driving the 'quintupled' crises in the healthcare workforce (HCWF), labour market, mental health, education, gender equality, and financial investment. 2 The crises have worsened during the COVID-19 pandemic, including shortages of HCWF, intensified burnout and mental health problems, due to increases in workload and exposure to life-threatening risks, stressful work environments, lack of resources and support, and even in the death toll among HCWF.…”

Section: Introductionmentioning

confidence: 99%

“…Global political commitment drives equal access to primary healthcare (PHC) services towards universal health coverage and sustainable development 1 . While policies often include the equity principle, there is limited assurance—not everyone has appropriate access to PHC due to various reasons driving the ‘quintupled’ crises in the healthcare workforce (HCWF), labour market, mental health, education, gender equality, and financial investment 2 .…”

Section: Introductionmentioning

confidence: 99%

“…Health equity means ensuring everyone has a fair opportunity to achieve optimal health by eliminating avoidable and remediable disparities in health outcomes across populations 9 . Equitable PHC provides equal access to services to all individuals, regardless of their characteristics 1 . HCWF equity refers to fair and equal access and opportunities in initial education, on‐the‐job training, access to employment, safe and supportive working conditions, optimised workloads, equal compensation, benefits and treatment during the professional career, for all health workers, regardless of their age, sex, gender, disability/ability, race, class, ethnicity, religion, political affiliation, sexual orientation, language, indigenous origin, residence/migration status, etc., enabled by power structures 10…”

Section: Introductionmentioning

confidence: 99%

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Healthcare workforce equity for health equity: An overview of its importance for the level of primary health care

Santric Milicevic,

Scotter,

Bruno‐Tome

et al. 2024

Health Planning & Management

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BackgroundHealthcare workforce crises often stem from healthcare workers' inequities. This study provides an overview of the main PHC workforce policy questions related to health equity, offering examples of evidence necessary to support the implementation of policies and strategies that increase equity in the health workforce and access to the PHC workforce and services.MethodsThe equity‐related policies in PHC and workforce were linked with the indicators listed in the Global Health Workforce Network Data and Evidence Hub and guidelines for health workforce management.ResultsThe policy‐relevant questions in PHC cover many workforce issues such as the optimal size, equitable distribution, relevant competencies to ensure equitable healthcare access, and equitable approaches for retention, training, recruitment, benefits and incentive schemes and governance. This will require intersectionality evidence of the optimised staffing to PHC workload, that PHC practitioners' training demonstrates evidence‐based knowledge aligned with locally relevant expertise.ConclusionCritical for equitable PHC access and health equity is the establishment of efficient measurement of PHC workforce equity and its implications for population health. Using indicators that measure health and workforce equity in research, policy, and practices may improve recruitment and retention, and respond more effectively to the PHC workforce crises.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Healthcare workforce equity for health equity: An overview of its importance for the level of primary health care

Santric Milicevic,

Scotter,

Bruno‐Tome

et al. 2024

Health Planning & Management

View full text Add to dashboard Cite

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Cultural competency and ethical behavior for collaboration in limited-resource settings: Guidelines from the Society of University Surgeons Academic Global Surgery Committee and the Association for Academic Global Surgery

Yang,

Bekele,

Krishnaswami

et al. 2024

Surgery

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Relationship between health system quality and racial and ethnic equity in diabetes care

Wong,

Tseng,

Moy

et al. 2024

Health Affairs Scholar

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Failing to consider disparities in quality measures, such as by race and ethnicity, may obscure inequities in care, which could exist in facilities with overall high-quality ratings. We examined the relationship between overall quality and racial and ethnic disparities in diabetes care quality by healthcare facility-level performance on a diabetes-related quality measure within a national dataset of Veterans using Veterans Health Administration (VA) ambulatory care between 10/1/2019-9/31/2020, and were eligible for diabetes quality assessment. We found racial and ethnic disparities in diabetes care quality existed in top-performing VA medical centers (VAMCs) among American Indian or Alaska Native (AIAN; predicted probability = 30%), Black (predicted probability = 29%) and Hispanic VA-users (predicted probability = 30%)versus White VA-users (predicted probability = 26%). While disparities among Black and Hispanic VA-users were similar relative to white VA-users across VAMCs at all performance levels, disparities were exacerbated for AIAN and Native Hawaiian or Other Pacific Islander VA-users in bottom-performing VAMCs. Equity remains an issue even in facilities providing overall high-quality care. Integrating equity as a component of quality measures can incentivize greater focus on equity in quality improvement.

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Quality and equity: a shared agenda for universal health coverage

Cited by 7 publications

References 10 publications

Healthcare workforce equity for health equity: An overview of its importance for the level of primary health care

Healthcare workforce equity for health equity: An overview of its importance for the level of primary health care

Cultural competency and ethical behavior for collaboration in limited-resource settings: Guidelines from the Society of University Surgeons Academic Global Surgery Committee and the Association for Academic Global Surgery

Relationship between health system quality and racial and ethnic equity in diabetes care

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