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. 2017 Nov 3;6(1):222.
doi: 10.1186/s13643-017-0616-2.

The macro-economic determinants of health and health inequalities-umbrella review protocol

Yannish Naik  1   2 , Peter Baker  3 , Ian Walker  4 , Taavi Tillmann  5 , Kristin Bash  6 , Darryl Quantz  7 , Frances Hillier-Brown  8 , Clare Bambra  9
Affiliations

The macro-economic determinants of health and health inequalities-umbrella review protocol

Yannish Naik et al. Syst Rev. .

Erratum in

Abstract

Background: The economic determinants of health have been widely recognised as crucial factors affecting health; however, to date, no comprehensive review has been undertaken to summarise these factors and the ways in which they can influence health. We conceptualise the economy as a complex system made up of underlying approaches, regulation from institutions, markets, finance, labour, the public-private balance as well as production and distributional effects, which collectively impact on health through the effect of moderators. This protocol details the methods for an umbrella review to explore the macro-economic factors, strategies, policies and interventions that affect health outcomes and health inequalities.

Methods: We will identify relevant systematic reviews using search terms derived from the Journal of Economic Literature classification. Reviews will be included if they meet the Database of Abstracts and Reviews of Effects criteria for systematic reviews. Reviews of studies with and without controls will be included; both association and intervention studies will be included. Primary outcomes will include but are not limited to morbidity, mortality, prevalence and incidence of conditions and life expectancy. Secondary outcomes will include health inequalities by gender, ethnicity or socio-economic status. Six databases will be searched using tailored versions of our piloted search strategy to locate relevant reviews. Data will be extracted using a standardized pro forma, and the findings will be synthesized into a conceptual framework to address our review aim.

Discussion: Our umbrella review protocol provides a robust method to systematically appraise the evidence in this field, using new conceptual models derived specifically to address the study question. This will yield important information for policymakers, practitioners and researchers at the local, national and international level. It will also help set the future research agenda in this field and guide the development of interventions.

Systematic review registration: This umbrella review protocol has been registered with PROSPERO CRD42017068357 .

Keywords: Distribution; Economics; Finance; Labour; Market; Production; Public-private; Regulation; Socio-economic determinants; Trade.

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The authors declare that they have no competing interests.

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Figures

Fig. 1
Fig. 1
Conceptual model of links between the economy and human health
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References

    1. Weisbrot M, Ray R. The scorecard on development, 1960–2010: closing the gap? Washington DC: UNDESA; 2011.
    1. The King’s Fund . Broader determinants of health. London: The King’s Fund; 2013.
    1. The Senate Subcommittee on Population Health . Population health policy: issues and options. Ottawa: The Senate of Canada; 2008.
    1. Raphael D. Health inequalities in Canada: current discourses and implications for public health action. Crit Public Health. 2000;10(2):193–216. doi: 10.1080/713658246. - DOI
    1. Exworthy M, Blane D, Marmot M. Tackling health inequalities in the United Kingdom: the progress and pitfalls of policy. Health Serv Res. 2003;38(6p2):1905–1922. doi: 10.1111/j.1475-6773.2003.00208.x. - DOI - PMC - PubMed