Evaluating engagement with equity in Canadian provincial and territorial primary care policies : Results of a jurisdictional scan
Copyright © 2024. Published by Elsevier B.V..
Equitable access to primary care is essential to achieving more equitable health outcomes, yet evidence suggests that structurally marginalized populations are less likely to have benefited from varied primary care reforms in Canada. Our objective is to determine how equity is incorporated in public primary care policy and strategy documents across Canada. We conducted string term and snowball searches for provincial/territorial primary care policy documents published between 01 January 2018 and 30 June 2022, extracted the policy objective, and applied a rubric to evaluate each document's engagement with equity. We performed content analysis of the documents which acknowledged inequities and articulated a related policy response. Of the 224 identified documents that discussed primary care policy: 63 (28 %) identified one or more structurally marginalized group(s) experiencing inequities related to primary care, 64 (29 %) identified a structurally marginalized group and articulated a policy response, and 16 (7 %) articulated a detailed policy response to address inequities. Even where policy responses were articulated, in most cases these did not directly address the acknowledged inequities. The absence of measurable goals, meaningful community consultation, and tenuous connections between the policy response and inequities mentioned may help explain persistent inequities in primary care across Canada.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:140 |
|---|---|
| Enthalten in: |
Health policy (Amsterdam, Netherlands) - 140(2024) vom: 16. Jan., Seite 104994 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Spencer, Sarah [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Health equity |
|---|
| Anmerkungen: |
Date Completed 29.01.2024 Date Revised 29.01.2024 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.healthpol.2024.104994 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM367325128 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM367325128 | ||
| 003 | DE-627 | ||
| 005 | 20240129232107.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240120s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.healthpol.2024.104994 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1274.xml |
| 035 | |a (DE-627)NLM367325128 | ||
| 035 | |a (NLM)38242021 | ||
| 035 | |a (PII)S0168-8510(24)00004-6 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Spencer, Sarah |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Evaluating engagement with equity in Canadian provincial and territorial primary care policies |b Results of a jurisdictional scan |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 29.01.2024 | ||
| 500 | |a Date Revised 29.01.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2024. Published by Elsevier B.V. | ||
| 520 | |a Equitable access to primary care is essential to achieving more equitable health outcomes, yet evidence suggests that structurally marginalized populations are less likely to have benefited from varied primary care reforms in Canada. Our objective is to determine how equity is incorporated in public primary care policy and strategy documents across Canada. We conducted string term and snowball searches for provincial/territorial primary care policy documents published between 01 January 2018 and 30 June 2022, extracted the policy objective, and applied a rubric to evaluate each document's engagement with equity. We performed content analysis of the documents which acknowledged inequities and articulated a related policy response. Of the 224 identified documents that discussed primary care policy: 63 (28 %) identified one or more structurally marginalized group(s) experiencing inequities related to primary care, 64 (29 %) identified a structurally marginalized group and articulated a policy response, and 16 (7 %) articulated a detailed policy response to address inequities. Even where policy responses were articulated, in most cases these did not directly address the acknowledged inequities. The absence of measurable goals, meaningful community consultation, and tenuous connections between the policy response and inequities mentioned may help explain persistent inequities in primary care across Canada | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Health equity | |
| 650 | 4 | |a Health policy | |
| 650 | 4 | |a Primary health care | |
| 700 | 1 | |a Hollingbery, Tai |e verfasserin |4 aut | |
| 700 | 1 | |a Bodner, Aidan |e verfasserin |4 aut | |
| 700 | 1 | |a Hedden, Lindsay |e verfasserin |4 aut | |
| 700 | 1 | |a Rudoler, David |e verfasserin |4 aut | |
| 700 | 1 | |a Christian, Erin |e verfasserin |4 aut | |
| 700 | 1 | |a Lavergne, M Ruth |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Health policy (Amsterdam, Netherlands) |d 1984 |g 140(2024) vom: 16. Jan., Seite 104994 |w (DE-627)NLM083840788 |x 1872-6054 |7 nnns |
| 773 | 1 | 8 | |g volume:140 |g year:2024 |g day:16 |g month:01 |g pages:104994 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.healthpol.2024.104994 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 140 |j 2024 |b 16 |c 01 |h 104994 | ||