Addressing health equity during design and implementation of health system reform initiatives: a scoping review and framework.

ABSTRACT:

Background

Health equity is a commonly asserted goal of health systems. However, there is a limited understanding on how best to promote equity as a part of health system reform initiatives. We conducted a scoping review to (1) identify and characterise strategies that promote health equity during the design and implementation of health system reform initiatives; and (2) determine opportunities to strengthen health equity informed policy design and implementation processes and outcomes.

Method

We systematically searched peer-reviewed literature from 2013 to 2022 focussing on four search domains: (1) health equity; (2) implementation; (3) health system; and (4) reform, policy, or theories, and only included papers that represented a population health or system-wide intention.

SUBMITTER: Bouckley T 

PROVIDER: S-EPMC11899096 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature