Adapting a health equity tool to meet professional needs

Models for organizational innovation give an idea of the dimensions that need to be considered to strengthen the integration of equity into organizations and to support the changes in practice that result from using the tool. They provide a reminder that a health equity tool cannot be the cornerstone of an organizational strategy to fight against SIH; rather, it must be incorporated as part of a systemic strategy of professional and organizational development.
— Read on academic.oup.com/heapro/advance-article-abstract/doi/10.1093/heapro/day047/5068642

A useful contribution, if perhaps self-evident. I don’t think many people arguing for the use of health equity decision support tools imagine their use alone will make the changes required to address inequities. Clearly related organisational and workforce development, resourcing, and leadership are all required as well.

.@ReportingHealth on the importance of media coverage direct individual health care costs in the U.S. https://t.co/pHsWnOxYZa We need more of this in Australia, as out-of-pocket costs rise and creep into new aspects of care

https://t.co/pHsWnOxYZa

Good summary by @Mental_Elf of a recent meta-analysis on mindfulness-, acceptance- and compassion-based cognitive behavioural therapy for psychosis https://t.co/UBdHNhAehY As usual, the problem is studies’ focus on psychosis symptom reduction, rather than distress or function

https://t.co/UBdHNhAehY

Environment and health impact assessment – developing an online knowledge sharing platform and network

target group of such an online platform would be the health impact assessment (HIA) as well as the environmental assessment communities of environmental impact assessments (EIA) and strategic environmental assessments (SEA)
— Read on www.euro.who.int/en/health-topics/environment-and-health/health-impact-assessment/publications/2018/environment-and-health-impact-assessment-developing-an-online-knowledge-sharing-platform-and-network-2017

Integration of Quality Performance Measures for Health Literacy, Cultural Competence, and Language Access Services

Some interesting points in this US National Academies report:

Health literacy, cultural competence, and language access services are distinct but inextricably linked concepts for delivering equitable care to all members of the increasingly diverse population of the United States. These concepts are linked, but they developed via different paths, and each has its own unique focus with regard to enabling every individual to obtain the ability to process and understand basic health information and services needed to make appropriate health care decisions.

Source: A Proposed Framework for Integration of Quality Performance Measures for Health Literacy, Cultural Competence, and Language Access Services: Proceedings of a Workshop | The National Academies Press

Determinants of the magnitude of socioeconomic inequalities in mortality: A study of 17 European countries

Our results suggest that between-country variations in inequalities in current mortality can partly be understood from variations in inequalities in smoking, excessive alcohol consumption, and poverty. Also, countries with higher national income, higher quality of government, higher social transfers, higher health care expenditure and more self-expression values have smaller inequalities in mortality.
— Recent paper by Mackenbach and colleagues www.sciencedirect.com/science/article/pii/S1353829216304543

A guide to monitoring and evaluating policy influence

A guide to monitoring and evaluating policy influence

A useful and, more importantly, comprehensible guide to aligning types evaluation activities with the anticipated mechanisms of policy influence:

  • evidence and advice
  • public campaigns and advocacy
  • lobbying and negotiation.

There’s also some recognition of the messiness of attribution in the context of policy change, and that even policy actors themselves rarely fully appreciate the forces that determine and shape policy implementation.

This schema is worth revisiting in the context of the typology of HIA, i.e. mandated, decision support, advocacy, and community empowerment, because it may provide an alternate lens for understanding why HIAs gain traction or not.