Theoretical and practical challenges of proportionate universalism: a review
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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ftdoajarticles:oai:doaj.org/article:1afa70cc64a143289a6e35308096bc92 2023-05-15T15:13:51+02:00 Theoretical and practical challenges of proportionate universalism: a review Florence Francis-Oliviero Linda Cambon Jérôme Wittwer Michael Marmot François Alla 2020-10-01T00:00:00Z https://doi.org/10.26633/RPSP.2020.110 https://doaj.org/article/1afa70cc64a143289a6e35308096bc92 EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/52799 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2020.110 https://doaj.org/article/1afa70cc64a143289a6e35308096bc92 Revista Panamericana de Salud Pública, Vol 44, Iss 110, Pp 1-11 (2020) health equity health policy socioeconomic factors Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2020 ftdoajarticles https://doi.org/10.26633/RPSP.2020.110 2022-12-31T15:45:54Z 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. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 44 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
health equity health policy socioeconomic factors Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
health equity health policy socioeconomic factors Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Florence Francis-Oliviero Linda Cambon Jérôme Wittwer Michael Marmot François Alla Theoretical and practical challenges of proportionate universalism: a review |
topic_facet |
health equity health policy socioeconomic factors Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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. |
format |
Article in Journal/Newspaper |
author |
Florence Francis-Oliviero Linda Cambon Jérôme Wittwer Michael Marmot François Alla |
author_facet |
Florence Francis-Oliviero Linda Cambon Jérôme Wittwer Michael Marmot François Alla |
author_sort |
Florence Francis-Oliviero |
title |
Theoretical and practical challenges of proportionate universalism: a review |
title_short |
Theoretical and practical challenges of proportionate universalism: a review |
title_full |
Theoretical and practical challenges of proportionate universalism: a review |
title_fullStr |
Theoretical and practical challenges of proportionate universalism: a review |
title_full_unstemmed |
Theoretical and practical challenges of proportionate universalism: a review |
title_sort |
theoretical and practical challenges of proportionate universalism: a review |
publisher |
Pan American Health Organization |
publishDate |
2020 |
url |
https://doi.org/10.26633/RPSP.2020.110 https://doaj.org/article/1afa70cc64a143289a6e35308096bc92 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 44, Iss 110, Pp 1-11 (2020) |
op_relation |
https://iris.paho.org/handle/10665.2/52799 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2020.110 https://doaj.org/article/1afa70cc64a143289a6e35308096bc92 |
op_doi |
https://doi.org/10.26633/RPSP.2020.110 |
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Revista Panamericana de Salud Pública |
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44 |
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