Year: 2015
Type: article
Abstract: Disparities in health between social groups have been documented all over Europe. We summarize the methods and results of the Addressing Inequalities in Regions (AIR) project, which identified illustrative interventions and policies developed in European regions to reduce inequalities at the primary health care level. The first phase was a systematic review of the published literature. The second phase was a survey of European regions, collecting information on policies aiming at reducing health inequalities through primary health care and identifying regional, innovative and evaluated interventions. The third phase assessed interventions through methods defined by a formal consensus, and selected illustrative practices considered good practices for several of nine evaluation criteria. The review included 98 evaluations of interventions and 10 reviews; 80% of interventions were from North-America. Three main pathways to reduce health inequalities were identified: providing health promotion, improving financial access to care and modifying care provision. The first survey identified 90 interventions. Most national strategies included health inequalities issues. Education was the most frequently identified targeted determinant. Most interventions were health promotion general or targeted at specific health determinants, conditions or groups. The second survey assessed 46 interventions. Many involved the population in planning, implementation and evaluation. We also identified the multidisciplinary of interventions, and some who had an impact on empowerment of the targeted population. The AIR project documented that policies and actions can be implemented at the regional level through primary care providers. Policies and interventions are seldom evaluated.
Source: Health Promotion International
Authors: Louis-Rachid Salmi, Sara Barsanti, Yann Bourgueil, Antonio Daponte, Ewelina Piznal, Solange Ménival, Solange Ménival, Ewelina Piznal, Louis-Rachid Salmi, Henri Leleu, Florence Jusot, Yann Bourgueil, Marie-Odile Saton, Ewelina Piznal, Ziggy Kovacs, Andrea Novakovic, Antonio Daponte Codina, Julia Bolivar, Inmaculada Mateo, Isabela Ruiz Pérez, Vasileios Georgiou, Véronique Janzyk, Nick Salfield, Zahara Ismail, Margherita Giannoni, Eleonora D'Urzo, Laura Ferialla, Sara Barsanti, Stephane Heijmans, Tomasso Pucci, Paulo Di Loreto, Paris Cleanthous, Louis-Rachid Salmi, Evelyne Mouillet, Sara Barsanti, Nicola Iacovina, Sabina Nuti, Emilie de Saint Pol, Ewelina Piznal, Nick Salfield, Zsuzana Szabo, Ziggy Kovacs, Andrea Novakovic, Matija Cale Mratovic, Ankica Dzona Boban, Antonio Daponte, Julia Bolivar, Inmaculada Mateo, Isabela Ruiz Pérez, Floris Barnhoorn, Luc Berghmans, Julie Harlet, Yann Bourgueil, Krzysztof Bederski, Gabriele Theren, Neville Caleja, Mariana Almeida, Stephane Heijmans, Soledad Marquez, Ana Carriazo, Ingrid Gonzalez-Seco, Louis-Rachid Salmi, Arnd Hofmeister, Paris Cleanthous, Antonio Daponte, Julia Bolivar, Inmaculada Mateo, Isabel Ruiz Pérez, Mariola Bernal Solano, Soledad Marquez, Ingrid González-Seco, Emilie de Saint Pol, Ewelina Piznal, Ann Godwin, Matija Cale Mratovic, Efstratia Mourtou, Luc Berghmans, Yann Bourgueil, Gabriele Theren, Thomas Hering, Stephane Heijmans, Sara Barsanti, Louis-Rachid Salmi, S Ménival, E Piznal, E Mouillet, L Berghmans, J Harlet, P Bizel, G Pensis, Z Szabo, Z Kovacs, Y Bourgueil, F Jusot, H Leleu, S Barsanti, N Iacovina, A Daponte, J Bolivar, M Bernal Solano, I Mateo, I Ruis Pérez, N Salfield, A Godwin, G Rajaratnam, J Jobarteh, P Cleanthous, S Heijmans, Andrea Novakovic, Matija Cale Mratovic, Ankica Dzona-Boban, Z Ismail, M Giannoni, E D'Urzo, L Ferialla, P Cassucci, B Ammannati, D Tanini, R Bottai, A Berti, V Georgiou, Eva Hultgren, F Barnhoorn, E de Saint Pol, M Mc Shane, I Gonzalez-Seco, D Guérin, M Wardle, J Sandor, G Theren, A Hofmeister, A Carriazo, S Marquez, Christina Loizou, K Bederski, N Caleja, M Almeida
Institutions: Université de Bordeaux, Inserm, Centre Hospitalier Universitaire de Bordeaux, Scuola Superiore Sant'Anna, IRDES Institut de Recherche et Documentation en Économie de la Santé, Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública, Andalusian School of Public Health, Conseil Régional d'Aquitaine
Language: English
Subfield: Health
Field: Social Sciences
Domain: Social Sciences
Open Access status: bronze
OpenAlex ID: W2175457175