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Desafíos teóricos y prácticos del universalismo proporcional: una revisión(*)

OBJECTIVE. In 2010, the principle of proportionate universalism (PU) has been proposed as a solution to reduce health inequalities. It had a great resonance but does not seem to have been widely applied and no guidelines exist on how to implement it. The two specific objectives of this scoping revie...

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Autores principales: Francis-Oliviero, Florence, Cambon, Linda, Wittwer, Jérôme, Marmot, Michael, Alla, François
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Organización Panamericana de la Salud 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8529998/
https://www.ncbi.nlm.nih.gov/pubmed/34703455
http://dx.doi.org/10.26633/RPSP.2021.102
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author Francis-Oliviero, Florence
Cambon, Linda
Wittwer, Jérôme
Marmot, Michael
Alla, François
author_facet Francis-Oliviero, Florence
Cambon, Linda
Wittwer, Jérôme
Marmot, Michael
Alla, François
author_sort Francis-Oliviero, Florence
collection PubMed
description OBJECTIVE. In 2010, the principle of proportionate universalism (PU) has been proposed as a solution to reduce health inequalities. It had a great resonance but does not seem to have been widely applied and no guidelines exist on how to implement it. The two specific objectives of this scoping review were: (1) to describe the theoretical context in which PU was established, (2) to describe how researchers apply PU and related methodological issues. METHODS. We searched for all articles published until 6th of February 2020, mentioning “Proportionate Universalism” or its synonyms “Targeted universalism” OR “Progressive Universalism” as a topic in all Web of Science databases. RESULTS. This review of 55 articles allowed us a global vision around the question of PU regarding its theoretical foundations and practical implementation. PU principle is rooted in the social theories of universalism and targeting. It proposes to link these two aspects in order to achieve an effective reduction of health inequalities. Regarding practical implementation, PU interventions were rare and led to different interpretations. There are still many methodological and ethical challenges regarding conception and evaluation of PU interventions, including how to apply proportionality, and identification of needs. CONCLUSION. This review mapped available scientific literature on PU and its related concepts. PU principle originates from social theories. As highlighted by authors who implemented PU interventions, application raises many challenges from design to evaluation. Analysis of PU applications provided in this review answered to some of them but remaining methodological challenges could be addressed in further research.
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spelling pubmed-85299982021-10-25 Desafíos teóricos y prácticos del universalismo proporcional: una revisión(*) Francis-Oliviero, Florence Cambon, Linda Wittwer, Jérôme Marmot, Michael Alla, François Rev Panam Salud Publica Revisión OBJECTIVE. In 2010, the principle of proportionate universalism (PU) has been proposed as a solution to reduce health inequalities. It had a great resonance but does not seem to have been widely applied and no guidelines exist on how to implement it. The two specific objectives of this scoping review were: (1) to describe the theoretical context in which PU was established, (2) to describe how researchers apply PU and related methodological issues. METHODS. We searched for all articles published until 6th of February 2020, mentioning “Proportionate Universalism” or its synonyms “Targeted universalism” OR “Progressive Universalism” as a topic in all Web of Science databases. RESULTS. This review of 55 articles allowed us a global vision around the question of PU regarding its theoretical foundations and practical implementation. PU principle is rooted in the social theories of universalism and targeting. It proposes to link these two aspects in order to achieve an effective reduction of health inequalities. Regarding practical implementation, PU interventions were rare and led to different interpretations. There are still many methodological and ethical challenges regarding conception and evaluation of PU interventions, including how to apply proportionality, and identification of needs. CONCLUSION. This review mapped available scientific literature on PU and its related concepts. PU principle originates from social theories. As highlighted by authors who implemented PU interventions, application raises many challenges from design to evaluation. Analysis of PU applications provided in this review answered to some of them but remaining methodological challenges could be addressed in further research. Organización Panamericana de la Salud 2021-10-18 /pmc/articles/PMC8529998/ /pubmed/34703455 http://dx.doi.org/10.26633/RPSP.2021.102 Text en https://creativecommons.org/licenses/by/2.5/Este es un artículo de acceso abierto distribuido bajo los términos de la licencia Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO, que permite su uso, distribución y reproducción en cualquier medio, siempre que el trabajo original se cite de la manera adecuada. No se permiten modificaciones a los artículos ni su uso comercial. Al reproducir un artículo no debe haber ningún indicio de que la OPS o el artículo avalan a una organización o un producto específico. El uso del logo de la OPS no está permitido. Esta leyenda debe conservarse, junto con la URL original del artículo. Crédito del logo y texto open access: PLoS, bajo licencia Creative Commons Attribution-Share Alike 3.0 Unported.
spellingShingle Revisión
Francis-Oliviero, Florence
Cambon, Linda
Wittwer, Jérôme
Marmot, Michael
Alla, François
Desafíos teóricos y prácticos del universalismo proporcional: una revisión(*)
title Desafíos teóricos y prácticos del universalismo proporcional: una revisión(*)
title_full Desafíos teóricos y prácticos del universalismo proporcional: una revisión(*)
title_fullStr Desafíos teóricos y prácticos del universalismo proporcional: una revisión(*)
title_full_unstemmed Desafíos teóricos y prácticos del universalismo proporcional: una revisión(*)
title_short Desafíos teóricos y prácticos del universalismo proporcional: una revisión(*)
title_sort desafíos teóricos y prácticos del universalismo proporcional: una revisión(*)
topic Revisión
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8529998/
https://www.ncbi.nlm.nih.gov/pubmed/34703455
http://dx.doi.org/10.26633/RPSP.2021.102
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