ArticleBMC health services research2018
Sentinels of inequity: examining policy requirements for equity-oriented primary healthcare.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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.
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.
Who cites it
24 citing papers in PubMed.
- EQUIP emergency: can interventions to reduce racism, discrimination and stigma in EDs improve outcomes?BMC health services research · 2022Trial
- How to cultivate equity-oriented health care at an organizational level: lessons from a process evaluation of EQUIP emergency.BMC health services research · 2026Observational
- Contribution of health system governance in delivering primary health care services for universal health coverage: A scoping review.PloS one · 2025Article
- Operationalizing the Quintuple Aim of Health System Improvement Through Equity-Oriented Health Care.Health services insights · 2025Article
- Disparities in access to primary care are growing wider in Canada.Healthcare management forum · 2023Article
- Saying and doing are different things: a scoping review on how health equity is conceptualized when considering healthcare system performance.International journal for equity in health · 2023Article
- Navigating multiple pandemics: A critical analysis of the impact of COVID-19 policy responses on gender-based violence services.Critical social policy · 2023Article
- Health and healthcare equity within the Canadian cancer care sector: a rapid scoping review.International journal for equity in health · 2023Article
- Review of current 2SLGBTQIA+ inequities in the Canadian health care system.Frontiers in public health · 2023Review
- Do changes in primary care service use over time differ by neighbourhood income? Population-based longitudinal study in British Columbia, Canada.International journal for equity in health · 2022Article
- Through An Equity Lens: Illuminating The Relationships Among Social Inequities, Stigma And Discrimination, And Patient Experiences of Emergency Health Care.International journal of health services : planning, administration, evaluation · 2022Article
- Travail deGlobal health promotion · 2022Article
- Equity-Oriented Healthcare: What It Is and Why We Need It in Oncology.Current oncology (Toronto, Ont.) · 2022Article
- Article
- Toward equitable access to oncology care for Indigenous Peoples in Canada: Implications for nursing.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022Article
- Review
- Contextualising clinical reasoning within the clinical swallow evaluation: A scoping review and expert consultation.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2021Article
- Health Center Testing for SARS-CoV-2 During the COVID-19 Pandemic - United States, June 5-October 2, 2020.MMWR. Morbidity and mortality weekly report · 2020Article
- Repurposing NGO data for better research outcomes: a scoping review of the use and secondary analysis of NGO data in health policy and systems research.Health research policy and systems · 2020Article
- Understanding competing discourses as a basis for promoting equity in primary health care.BMC health services research · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundNon-government, not-for-profit community health centres (CHCs) play a crucial role within healthcare systems in fostering equity, acting both as direct providers of services and as sentinels of health and social inequity. In a study of an intervention to promote equity-oriented health care, we enlisted four diverse primary healthcare clinics with mandates to serve highly marginalized populations. All of these CHCs operate as not-for-profit, non-government organizations (NGOs), and have a marginal relationship financially and socially to other parts of the system. The purpose of this paper is to provide an analysis of the factors that shape how CHCs are able to carry out an equity mandate and, from this, to identify what is required at the level of policy to enhance capacity to provide equity-oriented health care.
methodsWe systematically examined the clinics' policy and funding contexts, and identified influences on the clinics' capacities to promote equity-oriented health care.
resultsWe identified three key mechanisms of influence, each playing out against the backdrop of a contested and marginal position of CHCs within the health care system: a) accountability and performance frameworks; b) patterns of funding and allocation of resources, and c) pathways for emergent priorities. We examine these mechanisms, considering how each influenced the pursuit of equity, and propose policy directions to optimize the primary health care sectors' capacity to support equity-oriented health care.
conclusionsAlthough this analysis is based on a study within a high-income country, we argue that because the dynamics between community health centres and broader healthcare systems are similar across national boundaries, the implications have applicability to low and middle-income countries.
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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.