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Recommendations for ethnic equity in health: A Delphi study from Denmark
Signe Smith Jervelund1,2, Kirsten Vinther-Jensen2,3, Knud Ryom3
1Department of Public Health, Section for Health Services Research, University of Copenhagen, Denmark.
Scandinavian Journal of Public Health
|September 13, 2021
Summary
Ethnic health inequities persist in Denmark, particularly during pregnancy. Recommendations focus on adapting Danish institutions and employee skills to better serve a diverse population and reduce disparities.
Area of Science:
- Public Health
- Health Equity Research
- Sociology of Health
Background:
- Significant ethnic health inequities persist in Denmark despite increased focus over 15 years.
- Inequities originate during pregnancy and are worsened by life-course health risk exposures.
- Addressing ethnic health disparities requires structural and organizational interventions.
Purpose of the Study:
- To formulate recommendations for reducing ethnic health inequities.
- To identify structural and organizational strategies for improving health outcomes.
- To provide actionable insights for public health policy in Denmark.
Main Methods:
- Delphi-inspired consensus process involving nine Danish decision-makers.
- Three rounds of consensus building conducted in spring 2020.
- Development of eight overarching recommendations with suggested actions.
Main Results:
- Recommendations target structural and organizational improvements.
- Key areas include tailored health policies, co-created local initiatives, and life-course health promotion.
- Emphasis on professional competencies, healthcare access, linguistic support, and research.
Conclusions:
- Adapting Danish welfare institutions is crucial for reducing ethnic health inequities.
- Strategies, approaches, and employee skills must evolve for a heterogeneous population.
- Systemic changes are necessary to achieve health equity for ethnic minorities.
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