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Table 2 Equity literature review

From: Assessing equity and quality indicators for older people – Adaptation and validation of the Assessing Care of Vulnerable Elders (ACOVE) checklist for the Portuguese care context

Equity dimensions

Study

Related to

Determinants or indicators of health (in)equity

Primary health care

Older people

Socioeconomic positions

[46]

x

 

Gender

Socioeconomic position

Education

Health care needs

Self-rated health

Physical limitation or illness after injury

Chronic diseases

Mental Health

[47]

 

x

Age

Access to primary health care centers

[48]

x

 

Official residency

[49]

x

x

Physical accessibility

[50]

 

x

Racial and ethnic differences

[51]

x

 

Marginalized groups (e.g., homeless, LGBT)

[52]

x

 

[53]

x

 

[54]

 

x

Spatial distance

Financial barriers

[55]

x

 

Health cost

[56]

x

 

Disability pension (reimbursement system)

[57]

 

x

Health insurance coverage

[58]

 

x

Inappropriate drug treatment

Socio-economic barriers

[59]

 

x

Pension support

Low social caste

Social barriers

[60]

 

x

Age, sex, country of birth, place of residence

[61]

 

x

Ageism

[62]

[63]

 

x

Social isolation and loneliness

Culturally-safe care,

Inequity-responsive care,

Trauma/violence-informed care,

Contextually-tailored care

[64]

x

 

Provide ongoing training for all staff

Staff work to their full scope of practice

Health equity in Vision and Mission Statements

Strategies to support staff to deal with the care

Emotional impact of work

Staff demonstrate culturally safe care

Patients’ level of trust in staff

Interprofessional collaboration

Coordinate with community services

Collaborate with other health departments

Create processes to identify and follow-up patients

Tailor services

Examine how staff members’ verbal and non-verbal interactions impact patients

Develop mechanisms to integrate input from all staff members

Assess levels of improvements in patients’ quality of life

Increased knowledge and skills

Track patient-population unmet health care needs

Assess patients’ levels of confidence in managing their health