Evidence map›Paper›PMID 41316333›Full record

ArticleInternational journal for equity in health2025

From rhetoric to reality: organisational practices of health equity in Switzerland.

Jodie Freeman, Rosa Emilia Henn, Annika Frahsa

Abstract read
In one paragraph

Article in International journal for equity in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Jodie FreemanInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland. jodie.m.freeman@unibe.ch.
Rosa Emilia HennInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Annika FrahsaInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland. Annika.frahsa@unibe.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite growing international consensus on the importance of addressing health inequities, the concept of health equity continues to evolve in its definition, relevance, and application across global contexts. While its prominence in international discourse and strategic frameworks has grown, the ways in which health equity is interpreted, prioritised, and operationalised within health-related organisations remain uneven and insufficiently examined. We conducted a qualitative exploratory study, using in-depth semi-structured interviews with representatives (n = 16) from public health authorities, non-governmental organisations, and academic institutions in Switzerland to explore divergent understandings, current initiatives, perceived challenges, and success measures related to health equity. We conducted Thematic Analysis (TA), supported by NVivo software. We identified four overarching themes: conceptual understandings of health equity, framing health equity in organisational discourse and strategy, challenges in operationalising health equity, and strategies to better implement health equity. The main findings reinforce that advancing health equity is not merely a technical challenge but a deeply political and relational one. Shared language should be accompanied by structural alignment; measurement should be enabled by meaningful data; and vision should be grounded in long-term, collaborative practice. Institutions that succeed in health equity do so not because of isolated actions, but because of a consistent, system-wide commitment. Operationalising health equity requires continuous professional reflexivity and strong local networks to address structural barriers and evolving disparities with flexible, ongoing action. In the absence of political continuity, robust metrics, and actionable data, health equity risks tend to be deprioritised. Embedding equity into routine practice and making its impact visible is critical to sustained progress.

Indexed as

Health EquityHumansInterviews as TopicQualitative ResearchSwitzerland

Identifiers

PMID41316333
PMCPMC12661817

What OpenQuestion holds

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LicenceCC BY
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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.