Gender disparities in clinical practice: are there any solutions? Scoping review of interventions to overcome or reduce gender bias in clinical practice

• Published in: International journal for equity in health Vol. 19; no. 1; pp. 1 - 166
• Main Authors: Alcalde-Rubio, Lorena, Hernández-Aguado, Ildefonso, Parker, Lucy Anne, Bueno-Vergara, Eduardo, Chilet-Rosell, Elisa
• Format: Journal Article
• Language: English
• Published: London BioMed Central Ltd 22-09-2020; BioMed Central; BMC
• Subjects: Action; Attainment; Bias; Cardiovascular diseases; Catalysts; Clinical medicine; Discrimination; Domestic violence; Fairness; Female roles; Gender differences; Gender equality; Gender equity; Gender inequality; Health; Health care; Health care policy; Health problems; Human bias; Inequality; Legislation; Literature reviews; Low income groups; Mainstreaming; Population health; Researchers; Review; Search methods; Sex discrimination; Sustainable development; Womens health
• ISSN: 1475-9276; 1475-9276
• DOI: 10.1186/s12939-020-01283-4

Gender, understood as “social relationships between males and females in terms of their roles, behaviours, activities, attributes and opportunities, and which are based on different levels of power”, is one of the main social determinants of health. The damage caused to population health by gender inequality across the globe is immense and justifies comprehensive actions addressing gender equity in health at all levels. In the words of Hawkes and Buse, “Now is the time to take the call from Alma Ata in its literal sense—“Health is for All” not only for some. Embedding of gender in global health provides one promising route to attainment of the longstanding, but long-languishing, human right—the right to health”. The root causes of gender inequality encompass all societal spheres and a multisectoral approach is required. In fact, it has been shown that actions across multiple sectors in low and middle-income countries can improve a variety of health and development outcomes. Therefore, there is no doubt that gender mainstreaming should pervade all policies. The UN Economic and Social Council embraced this approach in 1997 as “assessing the implications for women and men of any planned action, including legislation, policies, or programmes … so that women and men benefit equally, and inequality is not perpetuated”. On global level, the impact of gender inequality on health was later included in the UN’s the Millennium Development Goals, and remains significant in the Sustainable Development Goals.