Desigualdades en salud y herramientas metodológicas basadas en la evidencia

La reducción de desigualdades en salud es un elemento clave de muchas agencias de salud nacionales e internacionales. La necesidad del desarrollo de estrategias pragmáticas ha llevado a la puesta en marcha de iniciativas para el desarrollo de la equidad basándose en la evidencia. En este artículo publicado en Internacional Journal for Equity in Health, se presenta un nuevo programa que utiliza herramientas basadas en la evidencia con utilidad para iniciativas políticas que reduzcan las desigualdades.

Reduction of inequalities in health: assessing evidence-based tools

International Journal for Equity in Health 2006, 5:11

The reduction of health inequalities is a focus of many national and international health organisations. The need for pragmatic evidence-based approaches has led to the development of a number of evidence-based equity initiatives. This paper describes a new program that focuses upon evidence- based tools, which are useful for policy initiatives that reduce inequities.
This paper is based on a presentation that was given at the “Regional Consultation on Policy Tools: Equity in Population Health Reports,” held in Toronto, Canada in June 2002.
Five assessment tools were presented. 1. A database of systematic reviews on the effects of educational, legal, social, and health interventions to reduce unfair inequalities is being established through the Cochrane and Campbell Collaborations. 2 Decision aids and shared decision making can be facilitated in disadvantaged groups by ‘health coaches’ to help people become better decision makers, negotiators, and navigators of the health system; a pilot study in Chile has provided proof of this concept. 3. The CIET Cycle: Combining adapted cluster survey techniques with qualitative methods, CIET’s population based applications support evidence-based decision making at local and national levels. The CIET map generates maps directly from survey or routine institutional data, to be used as evidence-based decisions aids. Complex data can be displayed attractively, providing an important tool for studying and comparing health indicators among and between different populations. 4. The Ottawa Equity Gauge is applying the Global Equity Gauge Alliance framework to an industrialised country setting. 5 The Needs-Based Health Assessment Toolkit, established to assemble information on which clinical and health policy decisions can be based, is being expanded to ensure a focus on distribution and average health indicators.
Evidence-based planning tools have much to offer the goal of equitable health development.

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