The Role of Collective Efficacy in Reducing Health Disparities: A Systematic Review

Fam Community Health. 2019 Jan/Mar;42(1):8-19. doi: 10.1097/FCH.0000000000000206.


Many improvements in health equity are spearheaded by community collaborations working to change policy and social norms. But how can collective efficacy (CE), defined as the willingness and ability of a group to work toward a common good, be increased? Eight articles reporting on interventions aiming to reduce health disparities by improving CE were found for this systematic literature review. All studies showed improvements in CE and most found reduction in disparities, but operationalization of CE varied. Findings support a model of how CE can address health disparities, which can guide standardization of CE interventions and measures.

Publication types

  • Systematic Review

MeSH terms

  • Healthcare Disparities / trends*
  • Humans
  • Needs Assessment / trends*
  • Social Justice