Articles

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Scientific Committee
- Antonio Chiarenza, Task Force Chair, AUSL of Reggio Emilia, Italy
- Bernadette Nirmal Kumar and Ragnhild Spilker, The Norwegian Centre for Migration and Minority Health, NAKMI, Norway
- David Ingleby,
- University of Amsterdam, The Netherlands
- Eeva Hakkinen, Mikkeli Central Hospital, Finland
- Laura McHugh, Galway University Hospital, Ireland
- James Glover, Community Health, Dublin, Ireland
- Marie Serdynska, Montreal Children’s Hospital, McGill University Health Centre, Canada
- Karima Karmali, The Hospital for Sick Children, Toronto, Canada
- Lidia Horvat, Department of Health and Human Services, Melbourne, Australia
- Manuel Fernandez Gonzalez, Uppsala University Hospital, Sweden
- Elizabeth Abraham, Critical Link International, Canada
- Hans Verrept, FPS Health, Food Chain Safety and Environment, Belgium
- Manuel Garcia-Ramirez, CESPYD, University of Seville, Spain
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Standards for equity in health care
During the last four years the TF has worked on a project aimed at developing a comprehensive framework for measuring and monitoring the capacity of health care organisations to improve accessibility and quality of care for migrants and other vulnerable groups.
To this end a set of Standards for Equity in health care were developed and pilot tested in several countries:
The Standards for equity in health care address 5 domains:
- Equity in Policy, aiming to define how organisations should develop policies, governance and performance monitoring systems, which promote equity;
- Equitable Access and Utilisation, aiming to encourage health organisations to address barriers which prevent or limit people accessing and benefiting from health care services;
- Equitable Quality of Care, aiming to ensure that organisations develop services that are responsive to the diverse needs of patients and families along the whole care pathway, ensuring a safe environment and continuity of care;
- Equity in Participation, aims to support organisations in developing equitable participatory processes that respond to the needs and preferences of all users;
- Promoting Equity, aiming to encourage organisations in promoting equity in its wider environment through cooperation, advocacy, capacity building, disseminating research and effective practices.
The Standards for equity provide opportunity for staff and services to question what they do, why they do it, and whether it can be done better.
Three Key Achievements
• Development of the Standards for Equity in health care for migrants and other vulnerable groups
• Pilot testing of the standards in 55 health care organisations in 16 countries
• Participation in several EU funded projects: COST-HOME, NOWHERELAND, COST-ADAPT, MEM-TP, SH-CAPAC
Three Major Challenges
• The Standards for Equity require an online platform that allows health care organisations to easily collect, monitor and use information about their performance
• The Standards for Equity should be available in a range of languages
• Lack of supportive legislation, adaption to local circumstances and resource constraints
Our Vision for the Future
The TF MED will work on linking assessment through the Standards for Equity to continuous improvement in order to ensure effective implementation of interventions addressing inequities in health care. To this end, we will seek to secure additional resources to support the work of health care organisations to improve the equity of their services, and help them to implement action plans arising from self-assessment. We will promote the Standards for Equity among as many stakeholders as possible, including health care providers, regional and national health authorities, and interested groups. Therefore, we will raise awareness of the tool and the wider project. HPH member organisations are invited to participate in the new project by joining the TF MED.
Read the Task Force's Work Plan
Further information
These standards have been developed by a group of experts and professionals belonging to various HPH networks and other institutions, from Canada, Italy, Norway, Scotland, Spain, Sweden, Switzerland and The Netherlands. In order to facilitate the implementation, the structure and content of the equity standards are similar to those adopted for the well known HPH standards. These standards need now to be shared and discussed with the wider group of HPH members in order to assess whether they meet the requirements and comply with to the needs of the people and services’.
Read the Task Force's Progress Report 2015-2016
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TF MED in Tampere (Finland) on August 25th-26th 2016 with Task Force Leader Antonio Chiarenza (Italy), Manuel Gracia Ramirez (Spain), Ragnhild Spilker (Norway), Eeva Hakkinen (Finland), James Glover (Ireland), Hans Verrept (Belgium), Marie Serdynska (Canada), Isabelle Coune (Belgium), Sinikka Bots (Finland) and Marika Podda-Connor (Malta) and members of the Finnish HPH network participating in the meeting.
HPH members interested to join the TF-MED can contact the Chair of the TF:
This email address is being protected from spambots. You need JavaScript enabled to view it.
Antonio Chiarenza
Regional HPH Network of Emilia-Romagna, Direzione Generale AUSL of Reggio Emilia
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