Evidence map›Paper›PMID 29961558›Full record

ReviewHealth policy (Amsterdam, Netherlands)2018

Lessons for achieving health equity comparing Aotearoa/New Zealand and the United States.

Marshall H Chin, Paula T King, Rhys G Jones, Bryn Jones, Shanthi N Ameratunga, Naoko Muramatsu, Sarah Derrett

Abstract readReview
In one paragraph

Review in Health policy (Amsterdam, Netherlands), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed.

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  13. Describing the health-related quality of life of Māori adults in Aotearoa me Te Waipounamu (New Zealand).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Marshall H ChinSection of General Internal Medicine, University of Chicago, 5841 S. Maryland Ave., MC2007, Chicago, IL 60637, USA. Electronic address: mchin@medicine.bsd.uchicago.edu.
Paula T KingTe Rōpū Rangahau Hauora A Eru Pōmare (Eru Pōmare Māori Health Research Unit), University of Otago, Wellington, New Zealand. Electronic address: paula.king@otago.ac.nz.
Rhys G JonesTe Kupenga Hauora Māori (Department of Māori Health), School of Population Health, University of Auckland, New Zealand. Electronic address: rg.jones@auckland.ac.nz.
Bryn JonesHastings, New Zealand. Electronic address: maoribryn@gmail.com.
Shanthi N AmeratungaSection of Epidemiology and Biostatistics, School of Population Health, University of Auckland, Private Bag 92019, Auckland 1141, New Zealand. Electronic address: s.ameratunga@auckland.ac.nz.
Naoko MuramatsuDivision of Community Health Sciences, University of Illinois at Chicago School of Public Health, 1603 W. Taylor Street (MC 923), Chicago, IL 60612-4394, USA. Electronic address: naoko@uic.edu.
Sarah DerrettDepartment of Preventive and Social Medicine, University of Otago, PO Box 56, Dunedin 9054, New Zealand. Electronic address: sarah.derrett@otago.ac.nz.

Funding

Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI ELBERT S. HUANG · 2011 to 2026
$10.0M
NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

Aotearoa/New Zealand (Aotearoa/NZ) and the United States (U.S.) suffer inequities in health outcomes by race/ethnicity and socioeconomic status. This paper compares both countries' approaches to health equity to inform policy efforts. We developed a conceptual model that highlights how government and private policies influence health equity by impacting the healthcare system (access to care, structure and quality of care, payment of care), and integration of healthcare system with social services. These policies are shaped by each country's culture, history, and values. Aotearoa/NZ and U.S. share strong aspirational goals for health equity in their national health strategy documents. Unfortunately, implemented policies are frequently not explicit in how they address health inequities, and often do not align with evidence-based approaches known to improve equity. To authentically commit to achieving health equity, nations should: 1) Explicitly design quality of care and payment policies to achieve equity, holding the healthcare system accountable through public monitoring and evaluation, and supporting with adequate resources; 2) Address all determinants of health for individuals and communities with coordinated approaches, integrated funding streams, and shared accountability metrics across health and social sectors; 3) Share power authentically with racial/ethnic minorities and promote indigenous peoples' self-determination; 4) Have free, frank, and fearless discussions about impacts of structural racism, colonialism, and white privilege, ensuring that policies and programs explicitly address root causes.

Indexed as

Health EquityHealth PolicyHealthcare DisparitiesHealth Plan ImplementationHumansNew ZealandProgram EvaluationSocial ResponsibilityUnited StatesAccess to careEquityInequityOutcomesPaymentQuality of care

Identifiers

PMID29961558
PMCPMC6561487

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.