Towards theoretically robust evidence on health equity: a systematic approach to contextualising equity-relevant randomised controlled trials

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

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.

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 91,252

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

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
2018-08-04

Downloads
26 (#580,768)

6 months
14 (#157,976)

Historical graph of downloads
How can I increase my downloads?