Health systems and health equity: Advancing the agenda

View File(s)
Thumbnail
Article.pdf
PDF (392.5Kb)
Author Information
  • Details
  • Regina Cunningham (a,b), Rosemary C. Polomano (b,c), Robin M. Wood (c), Jaya Aysola (d) - (a) Administration, Hospital of the University of Pennsylvania, Philadelphia, PA; (b) Department of Biobehavioral Sciences, School of Nursing, University of Pennsylvania, Philadelphia, PA; (c) Department of Nursing, Hospital of the University of Pennsylvania, Philadelphia, PA; (d) Penn Medicine Center for Health Equity Advancement, University of Pennsylvania Health System and Perelman School of Medicine,University of Pennsylvania, Philadelphia, PA

Item Information
Item Link - Use this link for citations and online mentions.
http://hdl.handle.net/10755/23085
Abstract

Despite a compelling body of evidence and decades of policy recommendations, deep inequities in health persist with historically marginalized groups. Operationalizing strategies to achieve equity in health and health care continues to remain elusive to health systems. We propose several focus areas; attention to semantics and concepts, building knowledge of health inequities, redesigning care and transforming cultures, to advance health equity work by health system nurse leaders and clinical nurses. Health equity frameworks, traditionally applied in population and public health, are also discussed to tackle health equity issues and formulate, implement and evaluate solutions to inequities. Examples illustrate ongoing work in our health system in targeted areas and challenges in advancing health equity work. Future efforts by health system nurse leaders should concentrate on technology for point of care health screening and data acquisition, data-driven decisions, and organizational performance measures to narrow health equity gaps.

Description

This article is published as part of a supplement sponsored by Academy Health, with support from the Robert Wood Johnson Foundation.

Repository Posting Date
2023-04-04T20:23:41Z
Notes

The authors of this work did not submit this material directly to the Sigma Repository. This work is indexed and appears in the Sigma Repository pursuant to a Creative Commons Attribution 4.0 International License attached to the work upon its publication in the journal acknowledged in this record. Please refer to the attached license (the icon at the bottom of this entry) for further information and terms. All terms of the license have been followed. There are no changes in this article from the original posting

Type Information
TypeArticle
AcquisitionIndexed from External Source (Per Rights Granted in Creative Commons License)
Review TypeExternal Review: Previously Published Material
FormatText-based Document
Category Information
Evidence LevelExpert Opinion (nationally/internationally recognized)
Research ApproachN/A
KeywordsHealth Equity;
Health Equity Frameworks;
Health Systems;
Bias;
Racism
Original Publication Info
PublisherElsevier
Date2022-11
VersionPublisher’s Version
DOIhttps://doi.org/10.1016/j.outlook.2022.05.010
CitationCunningham, R., Polomano, R.C., Wood, R.M., & Aysola, J. (2022, November/December). Health systems and health equity: Advancing the agenda. Nurs Outlook, 70(6S1), S66-S76. https://doi. org/10.1016/j.outlook.2022.05.010. http://hdl.handle.net/10755/23085.
ISSN0029-6554
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests, notices, and correspondence should be directed accordingly and not to the Sigma Repository. The Sigma Repository serves only as a dissemination source.
License

The following license files are associated with this item:
Except where otherwise noted, this item's license is described as Attribution 4.0 International (CC BY 4.0)
Contact Us | Send Feedback
Powered by KnowledgeArc