ArticleHealth & social care in the community2022
Conceptualisation of health inequalities by local healthcare systems: A document analysis.
Article in Health & social care in the community, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled 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.
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
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Non-pharmaceutical primary care interventions to improve mental health in deprived populations: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Pooled it
- Commonly cited approaches to reducing health inequalities: a call for more clarity around their definition and underlying assumptions.Journal of epidemiology and community health · 2026Review
- Using data to improve the health of coastal communities: The Coda Network.International journal of population data science · 2026Article
- Article
- Addressing health disparities and equitable representation in cancer research through the initiative, 'The Patient and Public Involvement Cancer Research Group for Diverse Backgrounds'.Ecancermedicalscience · 2025Article
- Teaching medical trainees to see societal infrastructure as a clinical issue.Frontiers in medicine · 2025Article
- Cross-sector collaboration to reduce health inequalities: a qualitative study of local collaboration between health care, social services, and other sectors under health system reforms in England.BMC public health · 2024Article
- Article
- How can health systems approach reducing health inequalities? An in-depth qualitative case study in the UK.BMC public health · 2024Article
- Article
- Health inequality: Time to get smart about our language.Public health in practice (Oxford, England) · 2023Article
- A Crisis in the Health System and Quality of Healthcare in Economically Developed Countries.International journal of environmental research and public health · 2022Article
- Conceptualisation of health inequalities by local healthcare systems: A document analysis.Health & social care in the community · 2022Article
- Editorial: National health services: Efficiency, welfare and economy.Frontiers in public health · 2022Article
- Transforming health systems to reduce health inequalities.Future healthcare journal · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
In 2019, local healthcare systems in England were asked to develop formal plans to reduce health inequalities. Here, we explore plans to understand how local healthcare systems conceptualise health inequalities and why. A broad Internet search and targeted search of NHS websites were conducted to identify all publicly accessible healthcare planning documents (National Health Service (NHS) Long-Term Plan (LTP) response documents) produced by local health partnerships in England. A thematic document analysis of the accessible plans was undertaken in NVivo by coding text relating to health inequalities. Of the 44 documents developed, 13 were publicly accessible. These 13 local plans were submitted to NHS England for review between September 2019 and January 2020 and averaged 167 pages (range: 41-273 pages). Only one document contained a chapter dedicated to health inequalities. After analysis, five themes were identified: (1) variation and (2) vagueness explained how health inequalities were conceptualised and (3) use of value judgements, (4) lack of prior conceptualisation and approach and (5) a lack of commitment to action in the documents to reduce health inequalities explained what led to the overall vagueness and variation. Local healthcare systems were found to conceptualise health inequalities in a vague and varying manner, and their conceptualisations did not reflect established health inequalities frameworks. A clear conceptual national framework for addressing health inequalities is needed to support local healthcare systems, so they can address health inequalities meaningfully and sustainably.
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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.