Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Public Health Rep. 2024 Jan-Feb;139(1):26-38. doi: 10.1177/00333549231151889. Epub 2023 Mar 9.
Organizational health equity capacity assessments (OCAs) provide a valuable starting point to understand and strengthen an organization's readiness and capacity for health equity. We conducted a scoping review to identify and characterize existing OCAs.
We searched the PubMed, Embase, and Cochrane databases and practitioner websites to identify peer-reviewed and gray literature articles and tools that measure or assess health equity-related capacity in public health organizations. Seventeen OCAs met the inclusion criteria. We organized primary OCA characteristics and implementation evidence and described them thematically according to key categories.
All identified OCAs assessed organizational readiness or capacity for health equity, and many aimed to guide health equity capacity development. The OCAs differed in regard to thematic focus, structure, and intended audience. Implementation evidence was limited.
By providing a synthesis of OCAs, these findings can assist public health organizations in selecting and implementing OCAs to assess, strengthen, and monitor their internal organizational capacity for health equity. This synthesis also fills a knowledge gap for those who may be considering developing similar tools in the future.
组织健康公平能力评估(OCAs)为了解和加强组织实现健康公平的准备情况和能力提供了一个有价值的起点。我们进行了范围界定审查,以确定和描述现有的 OCAs。
我们在 PubMed、Embase 和 Cochrane 数据库以及从业者网站上搜索了同行评议和灰色文献文章以及衡量或评估公共卫生组织中与健康公平相关的能力的工具。有 17 项 OCAs 符合纳入标准。我们对主要的 OCA 特征和实施证据进行了组织,并根据关键类别进行了主题描述。
所有确定的 OCAs 都评估了组织实现健康公平的准备情况或能力,其中许多旨在指导健康公平能力的发展。OCAs 在主题重点、结构和预期受众方面存在差异。实施证据有限。
通过对 OCAs 的综合,这些发现可以帮助公共卫生组织选择和实施 OCAs,以评估、加强和监测其内部实现健康公平的组织能力。这项综合研究还填补了未来可能考虑开发类似工具的人的知识空白。