Nursing and Allied Health Research and Knowledge Translation, BC Cancer, Suite 500, 686 West Broadway, Vancouver, BC, V5Z 1G1, Canada.
School of Nursing, University of British Columbia, Vancouver, Canada.
Int J Equity Health. 2023 Jan 28;22(1):20. doi: 10.1186/s12939-023-01829-2.
Despite a publicly-funded healthcare system, alarming cancer-related health and healthcare inequities persist in Canada. However, it remains unclear how equity is being understood and taken up within the Canadian cancer context. Our objective was to identify how health and healthcare equity are being discussed as goals or aims within the cancer care sector in Canada.
A rapid scoping review was conducted; five biomedical databases, 30 multidisciplinary websites, and Google were searched. We included English-language documents published between 2008 and 2021 that discussed health or healthcare equity in the Canadian cancer context.
Of 3860 identified documents, 83 were included for full-text analysis. The prevalence of published and grey equity-oriented literature has increased over time (2008-2014 [n = 20]; 2015-2021 [n = 62]). Only 25% of documents (n = 21) included a definition of health equity. Concepts such as inequity, inequality and disparity were frequently used interchangeably, resulting in conceptual muddling. Only 43% of documents (n = 36) included an explicit health equity goal. Although a suite of actions were described across the cancer control continuum to address equity goals, most were framed as recommendations rather than direct interventions.
Health and healthcare equity is a growing priority in the cancer care sector; however, conceptual clarity is needed to guide the development of robust equity goals, and the development of sustainable, measurable actions that redress inequities across the cancer control continuum. If we are to advance health and healthcare equity in the cancer care sector, a coordinated and integrated approach will be required to enact transformative and meaningful change.
尽管加拿大拥有公共资助的医疗保健系统，但仍存在令人震惊的与癌症相关的健康和医疗保健不平等现象。然而，目前尚不清楚在加拿大癌症背景下，公平性是如何被理解和接受的。我们的目的是确定在加拿大癌症护理领域，健康和医疗保健公平性是如何被视为目标或宗旨来讨论的。
进行了快速范围审查；在五个生物医学数据库、30 个多学科网站和 Google 上进行了搜索。我们纳入了 2008 年至 2021 年间发表的讨论加拿大癌症背景下健康或医疗保健公平性的英文文献。
在 3860 篇确定的文献中，有 83 篇进行了全文分析。随着时间的推移，已发表的和灰色的以公平为导向的文献的数量有所增加（2008-2014 年[n=20]；2015-2021 年[n=62]）。只有 25%的文献（n=21）包含了健康公平的定义。诸如不公平、不平等和差距等概念经常被互换使用，导致概念上的混乱。只有 43%的文献（n=36）包含明确的健康公平目标。尽管在癌症控制连续体上描述了一系列行动来解决公平目标，但大多数都是作为建议提出的，而不是直接干预。
健康和医疗保健公平性是癌症护理领域日益关注的重点；然而，需要明确概念，以指导制定强有力的公平目标，并制定可持续、可衡量的行动，以解决癌症控制连续体中的不平等现象。如果我们要在癌症护理领域推进健康和医疗保健公平性，就需要采取协调和综合的方法来实现变革性和有意义的变革。
