Health equity: A concept analysis.

Chrystal L Lewis,Alice Yan, Michelle Y Williams,Lynette V Apen,Cecelia L Crawford, Lisa Morse,Anna M Valdez,G Rumay Alexander, Ernest Grant,Claire Valderama-Wallace, Dale Beatty

Nursing outlook(2023)

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Abstract
BACKGROUND:Although health equity is critically important for healthcare delivery, there are inconsistencies in its definitions or lack of definitions. PURPOSE:Develop a comprehensive understanding of health equity to guide nursing practice and healthcare policy. METHOD:Walker and Avant's concept analysis method was used to establish defining attributes, antecedents, consequences, and empirical referents of health equity. FINDINGS:Health equity defining attributes are grounded in ethical principles, the absence of unfair and avoidable differences, and fair and just opportunities to attain a person's full health potential. Health equity antecedents are categorized into environmental; financial or economic; law, politics, and policy; societal and structural; research; and digital and technology. DISCUSSION:Health equity's antecedents are useful to distinguish health disparities from health outcomes resulting from individual preferences. To achieve health equity, organizations need to focus on addressing the antecedents.
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