Eslava-Schmalbach Javier, Garzón-Orjuela Nathaly, Elias Vanessa, Reveiz Ludovic
Hospital Universitario Nacional de Colombia Grupo de Equidad en Salud, Facultad de Medicina, Universidad Nacional de Colombia Bogotá Colombia Hospital Universitario Nacional de Colombia, Grupo de Equidad en Salud, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia.
Organización Panamericana de la Salud Organización Panamericana de la Salud Washington, D.C. Estados Unidos de América Organización Panamericana de la Salud, Washington, D.C., Estados Unidos de América.
Rev Panam Salud Publica. 2017 Dec 5;41:e126. doi: 10.26633/RPSP.2017.126. eCollection 2017.
Search for conceptual frameworks or models that incorporate aspects of health equity into implementation research and prepare a systematic synthesis of them.
A systematic search was done of MEDLINE-PubMed, Embase, and LILACS (1965-2016), and Scopus (1998-2016) databases, employing, in addition, a snowball strategy and gray literature search. Article type was assessed, along with elements that were included on implementation research, the science of implementation, and health equity.
A total of 701 articles were found, of which 100 were included for review of relevance. Of these, 19 articles related to conceptual frameworks: 12 were general, five were on ethnic or racial disparities, and two related to child health. The most frequent categories were financing, infrastructure, advocacy, quality, internal barriers, and coverage. The least frequent were other sectors, outpatient needs, health status, and equity impact assessment.
In order to reduce health gaps and with them health inequities, it becomes necessary to have a consolidated implementation research framework that includes aspects of health equity. This framework would facilitate improving implementation processes for interventions, services, and health programs.
寻找将健康公平方面纳入实施研究的概念框架或模型，并对其进行系统整合。
对MEDLINE-PubMed、Embase和LILACS（1965 - 2016年）以及Scopus（1998 - 2016年）数据库进行系统检索，此外还采用了滚雪球策略和灰色文献检索。对文章类型以及实施研究、实施科学和健康公平所包含的要素进行了评估。
共找到701篇文章，其中100篇被纳入相关性审查。其中，19篇文章与概念框架相关：12篇为一般性框架，5篇涉及种族或民族差异，2篇与儿童健康相关。最常见的类别是融资、基础设施、宣传、质量、内部障碍和覆盖范围。最不常见的是其他部门、门诊需求、健康状况和公平影响评估。
为了缩小健康差距以及减少健康不平等现象，有必要建立一个整合了健康公平方面的综合实施研究框架。该框架将有助于改进干预措施、服务和健康项目的实施过程。
