Evidence map›Paper›PMID 33327689›Full record

ArticleInternational journal of health policy and management2022

Creating Political Will for Action on Health Equity: Practical Lessons for Public Health Policy Actors.

Fran Baum, Belinda Townsend, Matt Fisher, Kathryn Browne-Yung, Toby Freeman, Anna Ziersch, Patrick Harris, Sharon Friel

Abstract read
In one paragraph

Article in International journal of health policy and management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Addressing Power in Local-Level Policies and Programs to Reduce Health Inequities - A Systematic Review.International journal of social determinants of health and health services · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Advocacy in Public Health Curricula: Exploring Gaps and Identifying Strategies for Strengthening Teaching Public Health Advocacy.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Estimating the impact of risk factor reduction on dementia prevalence in New Zealand.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  10. Putting All Our Eggs in One Basket While Dancing Around the Elephant in the Room: How Health and Economy Conversations Need to Better Align.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Reorienting health systems towards Primary Health Care in South Asia.The Lancet regional health. Southeast Asia · 2024
    Review
  15. Review
  16. Article
  17. Article
  18. How to Build Healthy Societies: A Thematic Analysis of Relevant Conceptual Frameworks.International journal of health policy and management · 2023
    Article
  19. Article
  20. Review
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

8 authors.

Fran BaumSouthgate Institute for Health, Society & Equity, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.ORCID 0000-0002-2294-1368
Belinda TownsendMenzies Centre for Health Policy, School of Public Health, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0002-2480-2820
Matt FisherSouthgate Institute for Health, Society & Equity, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.ORCID 0000-0003-3756-1146
Kathryn Browne-YungSouthgate Institute for Health, Society & Equity, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.ORCID 0000-0003-2216-2820
Toby FreemanSouthgate Institute for Health, Society & Equity, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.ORCID 0000-0002-2787-8580
Anna ZierschSouthgate Institute for Health, Society & Equity, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.ORCID 0000-0001-6600-2568
Patrick HarrisMenzies Centre for Health Governance, School of Regulation and Global Governance, College of Asia and the Pacific, Australian National University, Canberra, ACT, Australia.ORCID 0000-0002-4649-4013
Sharon FrielMenzies Centre for Health Policy, School of Public Health, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0002-8345-5435

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite growing evidence on the social determinants of health and health equity, political action has not been commensurate. Little is known about how political will operates to enact pro-equity policies or not. This paper examines how political will for pro-health equity policies is created through analysis of public policy in multiple sectors.

methodsEight case studies were undertaken of Australian policies where action was either taken or proposed on health equity or where the policy seemed contrary to such action. Telephone or face-to-face interviews were conducted with 192 state and non-state participants. Analysis of the cases was done through thematic analysis and triangulated with document analysis.

resultsOur case studies covered: trade agreements, primary healthcare (PHC), work conditions, digital access, urban planning, social welfare and Indigenous health. The extent of political will for pro-equity policies depended on the strength of path dependency, electoral concerns, political philosophy, the strength of economic and biomedical framings, whether elite interests were threatened and the success or otherwise of civil society lobbying.

conclusionPublic health policy actors may create political will through: determining how path dependency that exacerbates health inequities can be broken, working with sympathetic political forces committed to fairness; framing policy options in a way that makes them more likely to be adopted, outlining factors to consider in challenging the interests of elites, and considering the extent to which civil society will work in favour of equitable policies. A shift in norms is required to stress equity and the right to health.

Indexed as

Health EquityHealth PolicyAustraliaHumansPoliticsPublic PolicySocial Determinants of HealthAdvocacyAustraliaHealth EquityHealth PolicyPolitical WillSocial Determinants of Health

Identifiers

PMID33327689
PMCPMC9808180

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.