Desigualdades Recursos Atención a la Salud Desigualdades en Salud A three-stage approach to measuring health inequalities and inequities

Título
A three-stage approach to measuring health inequalities and inequities
Resumen
Introduction:Measurement of health inequities is fundamental to all health equity initiatives. It is complex because it requires considerations of ethics, methods, and policy. Drawing upon the recent developments in related specialized fields, in this paper we incorporate alternative definitions of health inequity explicitly and transparently in its measurement. We propose a three-stage approach to measuring health inequities that assembles univariate health inequality, univariate health inequity, and bivariate health inequities in a systematic and comparative manner. Methods:We illustrate the application of the three-stage approach using the Joint Canada/United States Survey of Health, measuring health by the Health Utilities Index (HUI). Univariate health inequality is the distribution of the observed HUI across individuals. Univariate health inequity is the distribution of unfair HUI – components of HUI associated with ethically unacceptable factors – across individuals. To estimate the unfair HUI, we apply two popular definitions of inequity: “equal opportunity for health” (health outcomes due to factors beyond individual control are unfair), and “policy amenability” (health outcomes due to factors amenable to policy interventions are unfair). We quantify univariate health inequality and inequity using the Gini coefficient. We assess bivariate inequities using a regression-based decomposition method. Results:Our analysis reveals that, empirically, different definitions ...
Autoría
Yukiko Asada, Jeremiah Hurley, Ole Frithjof Norheim, Mira Johri
Datos fuente
International Journal for Equity in Health 2014, 13:98 doi:10.1186/s12939-014-0098-y
Tipo
  • Comunicaciones/Informes/Artículos (individual)
Idioma
  • Inglés
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Publicado en ODS
2014-11-19
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