Evidence map›Paper›PMID 31151452›Full record

ArticleInternational journal for equity in health2019

Conceptual framework of equity-focused implementation research for health programs (EquIR).

J Eslava-Schmalbach, N Garzón-Orjuela, V Elias, L Reveiz, N Tran, E V Langlois

Abstract read
In one paragraph

Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 4 pooled it
–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

87 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  17. Equity by design principles for digital health interventions.International journal for equity in health · 2025
    Article
  18. How to Leverage Implementation Science to Achieve Equity in Nephrology Care Delivery.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025
    Article
  19. Article
  20. Co-Producing and Evaluating a Culturally Inclusive Dementia Education Initiative: A Multimethod Study Protocol.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article

27 more citing papers are in PubMed but not listed here.

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

6 authors.

J Eslava-SchmalbachHospital Universitario Nacional de Colombia, Bogotá, Colombia.
N Garzón-OrjuelaHospital Universitario Nacional de Colombia, Bogotá, Colombia. ngarzono@unal.edu.co.ORCID 0000-0001-6181-8154
V EliasEvidence and Intelligence for Action in Health Department Pan American Health Organization, Washington, USA.
L ReveizEvidence and Intelligence for Action in Health Department Pan American Health Organization, Washington, USA.
N TranWorld Health Organization, Geneva, Switzerland.
E V LangloisAlliance for Health Policy and Systems Research, World Health Organization, Geneva, Switzerland.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundImplementation research is increasingly used to identify common implementation problems and key barriers and facilitators influencing efficient access to health interventions.

objectiveTo develop and propose an equity-based framework for Implementation Research (EquIR) of health programs, policies and systems.

methodsA systematic search of models and conceptual frameworks involving equity in the implementation of health programs, policies and systems was conducted in Medline (PubMed), Embase, LILACS, Scopus and grey literature. Key characteristics of models and conceptual frameworks were summarized. We identified key aspects of equity in the context of seven Latin American countries-focused health programs We gathered information related to the awareness of inequalities in health policy, systems and programs, the potential negative impact of increasing inequalities in disadvantaged populations, and the strategies used to reduce them.

resultsA conceptual framework of EquIR was developed. It includes elements of equity-focused implementation research, but it also links the population health status before and after the implementation, including relevant aspects of health equity before, during and after the implementation. Additionally, health sectors were included, linked with social determinants of health through the "health in all policies" proposal affecting universal health and the potential impact of the public health and public policies.

conclusionEquIR is a conceptual framework that is proposed for use by decision makers and researchers during the implementation of programs, policies or health interventions, with a focus on equity, which aims to reduce or prevent the increase of existing inequalities during implementation.

Indexed as

Healthcare DisparitiesHealth EquityHealth PolicyHealth PromotionHealth ServicesResearchConcept FormationDelivery of Health CareHumansLatin AmericaPovertySocial Determinants of HealthSocioeconomic FactorsUniversal Health InsuranceVulnerable PopulationsHealth equityHealth programsImplementation research

Identifiers

PMID31151452
PMCPMC6544990

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.