Publications by authors named "Luis-Gabriel Cuervo"

Objectives: To (i) ascertain stakeholders' perceptions of the contextual factors and resources necessary to successfully implement the AMORE platform, a tool that provides accessibility assessments for health care services, considering factors such travel time and traffic conditions, and (ii) identify potential barriers to and facilitators for enhancing spatial accessibility to health care services within the Colombian urban context.

Methods: In this qualitative study, semi-structured interviews were conducted with a purposive sample of seven key stakeholders. The sample was drawn from individuals involved in development of policies in Colombia, service providers, and users, among others, who had expertise in the field.

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Unlabelled: In this study, we evaluated and forecasted the cumulative opportunities for residents to access radiotherapy services in Cali, Colombia, while accounting for traffic congestion, using a new people-centred methodology with an equity focus. Furthermore, we identified 1-2 optimal locations where new services would maximise accessibility. We utilised open data and publicly available big data.

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Background: Many cities with traffic congestion lack accessibility assessments accounting for traffic congestion and equity considerations but have disaggregated georeferenced municipal-level open data on health services, populations, and travel times big data. We convened a multistakeholder intersectoral collaborative group that developed a digital, web-based platform integrating open and big data to derive dynamic spatial-temporal accessibility measurements (DSTAM) for haemodialysis services. We worked with stakeholders and data scientists and considered people's places of residence, service locations, and travel time to the service with the shortest travel time.

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Article Synopsis
  • Observational studies are essential for understanding health inequities, but it's unclear how well they report equity-related factors in their design and analysis.
  • The authors reviewed 16,828 articles from 2020 to 2022, selecting 320 studies to analyze their focus on populations facing inequities and data collection methods.
  • Findings showed that while many studies acknowledged health equity, only a small percentage effectively reported key design aspects related to equity, indicating a significant gap in the methodology of health equity research.
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Article Synopsis
  • The study examines researcher motivations for conducting equity-related health research during the COVID-19 pandemic.
  • A sample of 320 studies was reviewed, revealing key motivations such as addressing health disparities, improving access through social determinants, and filling knowledge gaps.
  • By understanding these motivations, the findings aim to inform the development of tailored guidance to support researchers focused on health equity.
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This protocol proposes an approach to assessing the place of residence as a spatial determinant of health in cities where traffic congestion might impact health services accessibility. The study provides dynamic travel times presenting data in ways that help shape decisions and spur action by diverse stakeholders and sectors.  Equity assessments in geographical accessibility to health services typically rely on static metrics, such as distance or average travel times.

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Objectives: To evaluate the support from the available guidance on reporting of health equity in research for our candidate items and to identify additional items for the Strengthening Reporting of Observational studies in Epidemiology-Equity extension.

Study Design And Setting: We conducted a scoping review by searching Embase, MEDLINE, CINAHL, Cochrane Methodology Register, LILACS, and Caribbean Center on Health Sciences Information up to January 2022. We also searched reference lists and gray literature for additional resources.

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Background: Addressing persistent and pervasive health inequities is a global moral imperative, which has been highlighted and magnified by the societal and health impacts of the COVID-19 pandemic. Observational studies can aid our understanding of the impact of health and structural oppression based on the intersection of gender, race, ethnicity, age and other factors, as they frequently collect this data. However, the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guideline, does not provide guidance related to reporting of health equity.

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Article Synopsis
  • The study investigates how traffic congestion affects access to emergency health services in Cali, Colombia, focusing on the relationship between accessibility and sociodemographic factors that influence health equity.
  • Using a digital platform, researchers analyzed travel times to tertiary care facilities during peak traffic hours, revealing significant disparities in accessibility among different ethnic and socio-economic groups.
  • The results highlight that traffic congestion dramatically reduces emergency care access, especially for low-income populations and those living on the outskirts of the city, suggesting a need for improved land use and health service planning.
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Article Synopsis
  • - Social innovations in health aim to improve healthcare delivery by involving the community and multiple stakeholders, but there's a need for more research to evaluate and sustain these initiatives.
  • - A research checklist called the Social Innovation For Health Research (SIFHR) was developed through community engagement and a structured process, including a global call for ideas and a series of surveys to refine it.
  • - The SIFHR Checklist will enhance transparency in reporting social innovation health studies, though internet access limitations during its development may have restricted participation from certain groups.
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Universal health coverage is a public health priority in the Americas. Social innovation in health offers novel solutions to unmet needs, by enabling health care delivery to be more inclusive, affordable, and effective. In 2017, an international collaborative consortium launched an open call for solutions that sought to identify social innovations in health in Central America and the Caribbean.

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Background: The randomized controlled trial (RCT) is considered the gold standard study design to inform decisions about the effectiveness of interventions. However, a common limitation is inadequate reporting of the applicability of the intervention and trial results for people who are "socially disadvantaged" and this can affect policy-makers' decisions. We previously developed a framework for identifying health-equity-relevant trials, along with a reporting guideline for transparent reporting.

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The improvement of health in the twenty-first century is inextricably linked to research for health. In response to growing international appeal to address regional health needs, the Pan American Health Organization (PAHO) and its Member States approved the Policy on Research for Health (CD49/10) in 2009. This document represents the flagship regional policy on research for health and outlines how health systems and services in the region can be strengthened through research.

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The region still needs to build its research capacity to inform effective public health policy and practices, say

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argue that development of research capacity in Latin America and the Caribbean requires investment in both individuals and regional institutions

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