Publicado

2008-12-01

The equity-effectiveness loop as a tool for evaluating population health interventions

El asa de equidad-efectividad como una herramienta para la evaluación de intervenciones poblacionales

Palabras clave:

Clinical research, epidemiology, population group, inequality, socioeconomic factor (en)
Investigación biomédica, epidemiología, grupos de población, desigualdades en la salud, factores socioeconómicos (es)

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Autores/as

  • Vivian Welch Centre for Global Health, Institute of Population Health, University of Ottawa, Canada.
  • Peter Tugwell Centre for Global Health, Institute of Population Health, University of Ottawa, Canada.
  • Erin B. Morris Centre for Global Health, Institute of Population Health, University of Ottawa, Canada.

Population health is concerned with reducing health inequities, defined as being unfair and avoidable differences in health. The equity-effectiveness framework is described and illustrated; this is an evidence-based approach to assessing the effects of programmes and policies on health equity. Such framework also assesses barriers and facilitators for improving health equity using four factors: access, diagnostic accuracy, adherence and compliance. This framework emphasises the importance of transferring knowledge for designing and implementing clinical and public health interventions to improve health in all socioeconomic strata, based on the best available evidence. The World Health Organisation Collaborating Centre on Health Technology Assessment is now using this framework for organising the components of its equity-orientated, evidence-based toolkit.

La salud poblacional es concebida como la reducción de las inequidades en salud, definida como las diferencias evitables e injustas en salud. Nosotros describimos e ilustramos el marco de equidad-efectividad; una aproximación basada en evidencia para evaluar los efectos de programas y políticas sobre la equidad en salud. Este marco además evalúa las barreras y los facilitadores para mejorar la equidad a través de cuatro factores: acceso, exactitud diagnóstica, adherencia y conformidad. Este marco enfatiza la importancia de la transferencia de conocimiento para diseñar e implementar intervenciones en salud públicas y clínicas para mejorar la salud a través de todos los estratos socioeconómicos, basados en la mejor evidencia disponible. El Centro Colaborativo de la Organización Mundial de la Salud sobre Evaluación de Tecnologías Sanitarias está utilizando actualmente este marco para organizar su Paquete de Herramientas basadas en evidencia y orientadas por la equidad.

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Cómo citar

APA

Welch, V., Tugwell, P. & Morris, E. B. (2008). The equity-effectiveness loop as a tool for evaluating population health interventions. Revista de Salud Pública, 10(SUPLEMENTO 1), 83–96. https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/96660

ACM

[1]
Welch, V., Tugwell, P. y Morris, E.B. 2008. The equity-effectiveness loop as a tool for evaluating population health interventions. Revista de Salud Pública. 10, SUPLEMENTO 1 (dic. 2008), 83–96.

ACS

(1)
Welch, V.; Tugwell, P.; Morris, E. B. The equity-effectiveness loop as a tool for evaluating population health interventions. Rev. salud pública 2008, 10, 83-96.

ABNT

WELCH, V.; TUGWELL, P.; MORRIS, E. B. The equity-effectiveness loop as a tool for evaluating population health interventions. Revista de Salud Pública, [S. l.], v. 10, n. SUPLEMENTO 1, p. 83–96, 2008. Disponível em: https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/96660. Acesso em: 28 dic. 2025.

Chicago

Welch, Vivian, Peter Tugwell, y Erin B. Morris. 2008. «The equity-effectiveness loop as a tool for evaluating population health interventions». Revista De Salud Pública 10 (SUPLEMENTO 1):83-96. https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/96660.

Harvard

Welch, V., Tugwell, P. y Morris, E. B. (2008) «The equity-effectiveness loop as a tool for evaluating population health interventions», Revista de Salud Pública, 10(SUPLEMENTO 1), pp. 83–96. Disponible en: https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/96660 (Accedido: 28 diciembre 2025).

IEEE

[1]
V. Welch, P. Tugwell, y E. B. Morris, «The equity-effectiveness loop as a tool for evaluating population health interventions», Rev. salud pública, vol. 10, n.º SUPLEMENTO 1, pp. 83–96, dic. 2008.

MLA

Welch, V., P. Tugwell, y E. B. Morris. «The equity-effectiveness loop as a tool for evaluating population health interventions». Revista de Salud Pública, vol. 10, n.º SUPLEMENTO 1, diciembre de 2008, pp. 83-96, https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/96660.

Turabian

Welch, Vivian, Peter Tugwell, y Erin B. Morris. «The equity-effectiveness loop as a tool for evaluating population health interventions». Revista de Salud Pública 10, no. SUPLEMENTO 1 (diciembre 1, 2008): 83–96. Accedido diciembre 28, 2025. https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/96660.

Vancouver

1.
Welch V, Tugwell P, Morris EB. The equity-effectiveness loop as a tool for evaluating population health interventions. Rev. salud pública [Internet]. 1 de diciembre de 2008 [citado 28 de diciembre de 2025];10(SUPLEMENTO 1):83-96. Disponible en: https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/96660

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