Journal of Medical Ethics 45 (1):54-59 (2019)

Abstract
Reducing inequalities in health and the determinants of health is a widely acknowledged health policy goal, and methods for measuring inequalities and inequities in health are well developed. Yet, the evidence base is weak for how to achieve these goals. There is a lack of high-quality randomised controlled trials reporting impact on the distribution of health and non-health benefits and lack of methodological rigour in how to design, power, measure, analyse and interpret distributional impact in RCTs. Our overarching aim in this paper is to contribute to the emerging effort to improve transparency and coherence in the theoretical and conceptual basis for RCTs on effective interventions to reduce health inequity. We endeavour to achieve this aim by pursuing two more specific objectives. First, we propose an overview of three broader health equity frameworks and clarify their implications for the measurement of health inequality in RCTs. Second, we seek to clarify the relationship between theory and translational challenges that researchers would need to attend to, in order to ensure that equity-relevant RCTs are coherently grounded in theory.
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1136/medethics-2017-104610
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 58,863
Through your library

References found in this work BETA

Just Health: Meeting Health Needs Fairly.Norman Daniels - 2007 - Cambridge University Press.
Outline of a Theory of Practice.Pierre Bourdieu - 1981 - Human Studies 4 (3):273-278.
What's Wrong with Health Inequalities?Daniel M. Hausman - 2007 - Journal of Political Philosophy 15 (1):46–66.
Health Equity and Social Justice.Fabienne Peter - 2001 - Journal of Applied Philosophy 18 (2):159–170.

View all 9 references / Add more references

Citations of this work BETA

No citations found.

Add more citations

Similar books and articles

Health Equity and Social Justice.Fabienne Peter - 2001 - Journal of Applied Philosophy 18 (2):159–170.
The Need for Randomised Controlled Trials in Educational Research.Carole J. Torgerson & David J. Torgerson - 2001 - British Journal of Educational Studies 49 (3):316 - 328.
Vertical Equity in Health Care Resource Allocation.Gavin Mooney - 2000 - Health Care Analysis 8 (3):203-215.
Ethics and Experience: An Anthropological Approach to Health Equity.Arthur Kleinman - 2006 - In Sudhir Anand, Fabienne Peter & Amartya Sen (eds.), Public Health, Ethics, and Equity. Oxford University Press.

Analytics

Added to PP index
2018-08-04

Total views
11 ( #807,025 of 2,426,329 )

Recent downloads (6 months)
1 ( #542,164 of 2,426,329 )

How can I increase my downloads?

Downloads

My notes