Critical considerations for the practical utility of health equity tools: a concept mapping study

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dc.contributor.authorPauly, Bernie
dc.contributor.authorMartin, Wanda
dc.contributor.authorPerkin, Kathleen
dc.contributor.authorvan Roode, Thea
dc.contributor.authorKwan, Albert
dc.contributor.authorPatterson, Tobie
dc.contributor.authorTong, Samantha
dc.contributor.authorPrescott, Cheryl
dc.contributor.authorWallace, Bruce
dc.contributor.authorHancock, Trevor
dc.contributor.authorMacDonald, Marjorie
dc.date.accessioned2020-11-12T23:38:18Z
dc.date.available2020-11-12T23:38:18Z
dc.date.copyright2018en_US
dc.date.issued2018
dc.description.abstractBackground Promoting health equity within health systems is a priority and challenge worldwide. Health equity tools have been identified as one strategy for integrating health equity considerations into health systems. Although there has been a proliferation of health equity tools, there has been limited attention to evaluating these tools for their practicality and thus their likelihood for uptake. Methods Within the context of a large program of research, the Equity Lens in Public Health (ELPH), we conducted a concept mapping study to identify key elements and themes related to public health leaders and practitioners’ views about what makes a health equity tool practical and useful. Concept mapping is a participatory mixed-method approach to generating ideas and concepts to address a common concern. Participants brainstormed responses to the prompt “To be useful, a health equity tool should…” After participants sorted responses into groups based on similarity and rated them for importance and feasibility, the statements were analyzed using multidimensional scaling, then grouped using cluster analysis. Pattern matching graphs were constructed to illustrate the relationship between the importance and feasibility of statements, and go-zone maps were created to guide subsequent action. Results The process resulted in 67 unique statements that were grouped into six clusters: 1) Evaluation for Improvement; 2) User Friendliness; 3) Explicit Theoretical Background; 4) Templates and Tools 5) Equity Competencies; and 6) Nothing about Me without Me- Client Engaged. The result was a set of concepts and themes describing participants’ views of the practicality and usefulness of health equity tools. Conclusions These thematic clusters highlight the importance of user friendliness and having user guides, templates and resources to enhance use of equity tools. Furthermore, participants’ indicated that practicality was not enough for a tool to be useful. In addition to practical characteristics of the tool, a useful tool is one that encourages and supports the development of practitioner competencies to engage in equity work including critical reflections on power and institutional culture as well as strategies for the involvement of community members impacted by health inequities in program planning and delivery. The results of this study will be used to inform the development of practical criteria to assess health equity tools for application in public health.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThe ELPH project is funded by the Canadian Institutes of Health Research (CIHR) Operating Grant: Programmatic Grants to Tackle Health and Health Equity, through the CIHR Institutes of Aboriginal Health and Institutes of Population and Public Health (FRN 116688) and the Public Health Agency of Canada. The departments responsible for funding were not involved in the design of the study or collection, analysis, or interpretation of data, or in writing the manuscript. AK is employed with the Public Health Agency of Canada within the Centre for Chronic Disease Prevention and Health Equity and contributed to the collection, analysis and interpretation of the data but was not involved in the funding process.en_US
dc.identifier.citationPauly, B., Martin, W., Perkin, K., van Roode, T., Kwan, A., Wallace, B., … MacDonald, M. (2018). Critical considerations for the practical utility of health equity tools: a concept mapping study. International Journal for Equity in Health, 17(48), 1-13. https://doi.org/10.1186/s12939-018-0764-6.en_US
dc.identifier.urihttps://doi.org/10.1186/s12939-018-0764-6
dc.identifier.urihttp://hdl.handle.net/1828/12340
dc.language.isoenen_US
dc.publisherInternational Journal for Equity in Healthen_US
dc.subjectHealth equity
dc.subjectTools
dc.subjectConcept mapping
dc.subjectPublic health systems
dc.subjectAssessment criteria
dc.subjectCanadian Institute for Substance Use Research (CISUR)
dc.subject.departmentSchool of Nursing
dc.subject.departmentSchool of Social Work
dc.subject.departmentSchool of Public Health and Social Policy
dc.titleCritical considerations for the practical utility of health equity tools: a concept mapping studyen_US
dc.typeArticleen_US

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