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Health equity: A concept analysis
Chrystal L Lewis1, Alice Yan1, Michelle Y Williams2
1Department of Research and Health Equity, Stanford Health Care, Menlo Park, CA.
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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