ArticlePloS one2014
Development of health equity indicators in primary health care organizations using a modified Delphi.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- EQUIP emergency: can interventions to reduce racism, discrimination and stigma in EDs improve outcomes?BMC health services research · 2022Trial
- How equity in cancer services has been defined and measured, and why it matters: a scoping review of Universal Health Coverage systems.Global health action · 2026Article
- Facilitators and barriers to chronic non-communicable disease management under family doctor contracting services in China.Frontiers in medicine · 2025Article
- Using a health equity lens to measure patient experiences of care in diverse health care settings.PloS one · 2024Article
- Successes, weaknesses, and recommendations to strengthen primary health care: a scoping review.Archives of public health = Archives belges de sante publique · 2023Article
- Developing a National Set of Health Equity Indicators Using a Consensus Building Process.International journal of health policy and management · 2022Article
- Assessing equity and quality indicators for older people - Adaptation and validation of the Assessing Care of Vulnerable Elders (ACOVE) checklist for the Portuguese care context.BMC geriatrics · 2022Review
- Ranking Universities of Medical Sciences as Public Health Services Provider Institutions in Iran: A Result-Chain Analysis.Archives of Iranian medicine · 2022Article
- Travail deGlobal health promotion · 2022Article
- Reducing Sexual and Reproductive Health Inequities Between Natives and Migrants: A Delphi Consensus for Sustainable Cross-Cultural Healthcare Pathways.Frontiers in public health · 2021Article
- Priority measures for publicly reporting primary care performance: Results of public engagement through deliberative dialogues in 3 Canadian provinces.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Article
- Best practice guidelines regarding diagnosis and management of patients with type II collagen disorders.Genetics in medicine : official journal of the American College of Medical Genetics · 2019Article
- Family medicine residents' knowledge of, attitudes toward, and clinical practices related to environmental health: Multi-program survey.Canadian family physician Medecin de famille canadien · 2019Article
- Underutilized and undertheorized: the use of hospitalization for ambulatory care sensitive conditions for assessing the extent to which primary healthcare services are meeting needs in British Columbia First Nation communities.BMC health services research · 2019Article
- Performance Measurement in Mental Health and Addictions Systems: A Scoping Review.Journal of studies on alcohol and drugs. Supplement · 2019Article
- Sentinels of inequity: examining policy requirements for equity-oriented primary healthcare.BMC health services research · 2018Article
- Enhancing health care equity with Indigenous populations: evidence-based strategies from an ethnographic study.BMC health services research · 2016Observational
- The Intersection of Policy and Health Equity in Primary Health Care: A Policy Scan of 3 Canadian Provinces.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveThe purpose of this study was to develop a core set of indicators that could be used for measuring and monitoring the performance of primary health care organizations' capacity and strategies for enhancing equity-oriented care.
methodsIndicators were constructed based on a review of the literature and a thematic analysis of interview data with patients and staff (n = 114) using procedures for qualitatively derived data. We used a modified Delphi process where the indicators were circulated to staff at the Health Centers who served as participants (n = 63) over two rounds. Indicators were considered part of a priority set of health equity indicators if they received an overall importance rating of>8.0, on a scale of 1-9, where a higher score meant more importance.
resultsSeventeen indicators make up the priority set. Items were eliminated because they were rated as low importance (<8.0) in both rounds and were either redundant or more than one participant commented that taking action on the indicator was highly unlikely. In order to achieve health care equity, performance at the organizational level is as important as assessing the performance of staff. Two of the highest rated "treatment" or processes of care indicators reflects the need for culturally safe and trauma and violence-informed care. There are four indicators that can be used to measure outcomes which can be directly attributable to equity responsive primary health care. DISCUSSION: These indicators and subsequent development of items can be used to measure equity in the domains of treatment and outcomes. These areas represent targets for higher performance in relation to equity for organizations (e.g., funding allocations to ongoing training in equity-oriented care provision) and providers (e.g., reflexive practice, skill in working with the health effects of trauma).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.