Correlation of mesolevel characteristics of the healthcare system and socioeconomic inequality in healthcare use: a scoping review protocol
Introduction Although the impact of macrolevel characteristics of health systems on socioeconomic inequity in health has been studied extensively, the impact of access characteristics on a smaller scale of health systems has received less attention. These mesolevel characteristics can influence acce...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2021-02-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/2/e044301.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846165482464346112 |
|---|---|
| author | Matthias Richter Nico Dragano Irene Moor Benjamin Wachtler Leonie Sundmacher Katharina Diehl Jacob Spallek Anna Novelli Wiebke Schüttig |
| author_facet | Matthias Richter Nico Dragano Irene Moor Benjamin Wachtler Leonie Sundmacher Katharina Diehl Jacob Spallek Anna Novelli Wiebke Schüttig |
| author_sort | Matthias Richter |
| collection | DOAJ |
| description | Introduction Although the impact of macrolevel characteristics of health systems on socioeconomic inequity in health has been studied extensively, the impact of access characteristics on a smaller scale of health systems has received less attention. These mesolevel characteristics can influence access to healthcare and might have the potential to moderate or aggravate socioeconomic inequity in healthcare use. This scoping review aims to map the existing evidence of the association of socioeconomic inequity in healthcare use and mesolevel access characteristics of the health system.Methods and analysis In conducting the scoping review, we follow the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols Extension for Scoping Reviews. The search will be carried out in four scientific databases: MEDLINE (via PubMed), Web of Science, Scopus and PsycINFO. Main eligibility criteria are inclusion in the analysis of a measure of socioeconomic position, a measure of individual healthcare use and a mesolevel determinant of access to healthcare services. The selection process consists of two consecutive screening stages (first: title/abstract; second: full text). At both stages, two reviewers independently assess the eligibility of studies. In case of disagreement, a third reviewer will be involved. Cohen’s kappa will be calculated to report inter-rater agreement between reviewers. Results are synthesised narratively, as a high heterogeneity of studies is expected.Ethics and dissemination No primary data are collected for the presented scoping review. Therefore, ethical approval is not necessary. The scoping review will be published in an international peer-reviewed journal, and findings will be presented on national and international conferences. |
| format | Article |
| id | doaj-art-72aa77c317e242a8903a1a9c5e15e9c3 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-72aa77c317e242a8903a1a9c5e15e9c32024-11-17T12:15:13ZengBMJ Publishing GroupBMJ Open2044-60552021-02-0111210.1136/bmjopen-2020-044301Correlation of mesolevel characteristics of the healthcare system and socioeconomic inequality in healthcare use: a scoping review protocolMatthias Richter0Nico Dragano1Irene Moor2Benjamin Wachtler3Leonie Sundmacher4Katharina Diehl5Jacob Spallek6Anna Novelli7Wiebke Schüttig8Chair of Social Determinants of Health, Department of Sport and Health Sciences, Technical University of Munich, Munich, GermanyInstitute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich-Heine University, Medical Faculty, Duesseldorf, GermanyInstitute of Medical Sociology, Medical Faculty, Martin-Luther-University Halle-Wittenberg, Halle (Saale), GermanyDepartment of Epidemiology and Health Monitoring, Robert Koch Institut, Berlin, Germany3 TUM School of Medicine and Health, Chair of Health Economics, Technical University of Munich, Munich, Bavaria, Germany5 Mannheim Institute for Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, University of Heidelberg, Mannheim, GermanyDepartment of Public Health, Brandenburg University of Technology, Senftenberg, GermanyChair of Health Economics, Technical University of Munich, München, GermanyDepartment of Health Economics, Technical University Munich, Munich, GermanyIntroduction Although the impact of macrolevel characteristics of health systems on socioeconomic inequity in health has been studied extensively, the impact of access characteristics on a smaller scale of health systems has received less attention. These mesolevel characteristics can influence access to healthcare and might have the potential to moderate or aggravate socioeconomic inequity in healthcare use. This scoping review aims to map the existing evidence of the association of socioeconomic inequity in healthcare use and mesolevel access characteristics of the health system.Methods and analysis In conducting the scoping review, we follow the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols Extension for Scoping Reviews. The search will be carried out in four scientific databases: MEDLINE (via PubMed), Web of Science, Scopus and PsycINFO. Main eligibility criteria are inclusion in the analysis of a measure of socioeconomic position, a measure of individual healthcare use and a mesolevel determinant of access to healthcare services. The selection process consists of two consecutive screening stages (first: title/abstract; second: full text). At both stages, two reviewers independently assess the eligibility of studies. In case of disagreement, a third reviewer will be involved. Cohen’s kappa will be calculated to report inter-rater agreement between reviewers. Results are synthesised narratively, as a high heterogeneity of studies is expected.Ethics and dissemination No primary data are collected for the presented scoping review. Therefore, ethical approval is not necessary. The scoping review will be published in an international peer-reviewed journal, and findings will be presented on national and international conferences.https://bmjopen.bmj.com/content/11/2/e044301.full |
| spellingShingle | Matthias Richter Nico Dragano Irene Moor Benjamin Wachtler Leonie Sundmacher Katharina Diehl Jacob Spallek Anna Novelli Wiebke Schüttig Correlation of mesolevel characteristics of the healthcare system and socioeconomic inequality in healthcare use: a scoping review protocol BMJ Open |
| title | Correlation of mesolevel characteristics of the healthcare system and socioeconomic inequality in healthcare use: a scoping review protocol |
| title_full | Correlation of mesolevel characteristics of the healthcare system and socioeconomic inequality in healthcare use: a scoping review protocol |
| title_fullStr | Correlation of mesolevel characteristics of the healthcare system and socioeconomic inequality in healthcare use: a scoping review protocol |
| title_full_unstemmed | Correlation of mesolevel characteristics of the healthcare system and socioeconomic inequality in healthcare use: a scoping review protocol |
| title_short | Correlation of mesolevel characteristics of the healthcare system and socioeconomic inequality in healthcare use: a scoping review protocol |
| title_sort | correlation of mesolevel characteristics of the healthcare system and socioeconomic inequality in healthcare use a scoping review protocol |
| url | https://bmjopen.bmj.com/content/11/2/e044301.full |
| work_keys_str_mv | AT matthiasrichter correlationofmesolevelcharacteristicsofthehealthcaresystemandsocioeconomicinequalityinhealthcareuseascopingreviewprotocol AT nicodragano correlationofmesolevelcharacteristicsofthehealthcaresystemandsocioeconomicinequalityinhealthcareuseascopingreviewprotocol AT irenemoor correlationofmesolevelcharacteristicsofthehealthcaresystemandsocioeconomicinequalityinhealthcareuseascopingreviewprotocol AT benjaminwachtler correlationofmesolevelcharacteristicsofthehealthcaresystemandsocioeconomicinequalityinhealthcareuseascopingreviewprotocol AT leoniesundmacher correlationofmesolevelcharacteristicsofthehealthcaresystemandsocioeconomicinequalityinhealthcareuseascopingreviewprotocol AT katharinadiehl correlationofmesolevelcharacteristicsofthehealthcaresystemandsocioeconomicinequalityinhealthcareuseascopingreviewprotocol AT jacobspallek correlationofmesolevelcharacteristicsofthehealthcaresystemandsocioeconomicinequalityinhealthcareuseascopingreviewprotocol AT annanovelli correlationofmesolevelcharacteristicsofthehealthcaresystemandsocioeconomicinequalityinhealthcareuseascopingreviewprotocol AT wiebkeschuttig correlationofmesolevelcharacteristicsofthehealthcaresystemandsocioeconomicinequalityinhealthcareuseascopingreviewprotocol |