[The concept of equity when developing clinical practice guidelines].
This systematic literature review sought to identify methodologies and technical strategies emphasising healthcare services and outcomes when incorporating the concept of equity into Clinical Practice Guidelines (CPG). 940 references were identified, of which 20 fulfilling the inclusion criteria were selected. While no reports were found describing or evaluating an explicit methodology for incorporating considerations of equity into CPG, some studies revealed related strategies or processes, summarised as follows: 1. Target population involvement during all phases of designing, implementing and evaluating CPG; 2. "Cultural capacity" seen as being necessary in CPGs' "cultural translation" for interventions to have less disparity regarding their application and results; 3. Considering psycho-social factors which could affect implementing CPG, and; 4. Considering system inequities so that any health intervention would also confront risks and obstacles to health care due to socioeconomic status. It was concluded that CPGs could be a potential route for promoting more equitable healthcare effects by standardising health interventions if, by incorporating some of the processes described above, they actively seek to avoid unjust differences in access to and/or the quality of the interventions that they prescribe.
Universidad Industrial de Santander, Bucaramanga, Colombia. nacostar@uis.edu.co
Naydú
N
Acosta
Jennifer
J
Pollard
Paola
P
Mosquera
Ludovic
L
Reveiz
D003469:Culture; D006297:Health Services Accessibility / Q000941:ethics*; D006801:Humans; D017410:Practice Guidelines as Topic / Q000592:standards*; D011584:Psychology; D012935:Social Justice; D012959:Socioeconomic Factors