Equity in the health sector can be measured
using the concepts of health status, distribution of resources, expenditures, utilization, and access
(Culyer and Wagstaff, 1993, Musgrove, 1986). Defining equity as equality of health status has intuitive and normative appeal.
How is healthcare access measured?
Access to healthcare is decided by the spatial accessibility of healthcare services, which is a primary deciding factor of healthcare utilization [5]. As to measure and evaluate healthcare accessibility, three factors are essential:
healthcare capacity, population demand, and geographic impedance
[6,7,8].
What is equity of access to healthcare?
Health equity means
giving patients the care they need when they need it
. Or as the Institute of Medicine (IOM) report put it, health equity means “providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status.”
What are equity measures?
Equity should be measured for each component along an intervention:
development, implementation, quality, and outcome
. Equity policy scholarship has attempted to qualify what and how disparities arise along different points of exchange between an intervention and the population being served.
What is a health equity impact assessment?
Health Equity Impact Assessment is
a practical and effective planning tool that analyzes the potential impact of service, program or policy changes on health disparities and/or health disadvantaged populations
.
What is a health equity model?
The framework defines “health equity” as
having the personal agency and fair access to resources and opportunities needed to achieve the best possible physical, emotional, and social well-being
. Many traditional public health interventions aim to modify an individual’s personal agency to improve outcomes.
What is considered access to healthcare?
Access to health care means having “
the timely use of personal health services to achieve the best health outcomes
” (IOM, 1993).
What factors affect access to healthcare?
Ideally, need is the major determinant of health-care utilization, but other factors clearly have an impact. They include
poverty and its correlates, geographic area of residence, race and ethnicity, sex, age, language spoken, and disability status
.
How much of the world has access to healthcare?
And it would seem that even as the world prepares to establish universal health coverage as one of the targets in the health goal of the Sustainable Development Goals (target 3.8), that 400 million of now more than 7.2 billion people in the world lack access to essential health services would means that about
94%
of …
What is the difference between equality and equity in health?
In short,
health equality means everyone receives the same standard, while health equity means everyone receives individualized care to bring them to the same level of health
.
Why is equity important in healthcare?
Equity and efficiency can go hand in hand in healthcare delivery.
Offering equitable health care leads to more efficient healthcare systems overall, as a healthier population requires less medical care
. That means fewer doctor’s visits, less healthcare spending per patient, and better health outcomes.
Why is equal access to Healthcare important?
Access to health services affects a person’s health and well-being. Regular and reliable access to health services can:
Prevent disease and disability
. Detect and treat illnesses or other health conditions.
What are the 5 components of the framework for health care organizations to achieve health equity?
Guides for the five framework components:
Strategies, examples of specific improvements tested, lessons learned, challenges and mitigation strategies, and tools and resources
. Make Equity a Strategic Priority. Build Infrastructure to Support Health Equity. Address the Multiple Determinants of Health.
Which of the four criteria are used to measure equity?
This panel uses four criteria to measure equity:
procedural fairness, access, quality, and outcomes
. The concept of social equity has been applied in many contexts, from health to education, regional planning, public administration, and environmentalism.
How do you create health equity?
- Make health equity a leader-driven priority. …
- Develop structures and processes that support equity. …
- Take specific actions that address the social determinants of health. …
- Confront institutional racism within the organization. …
- Partner with community organizations.
What is health equity Rwjf?
In a report designed to increase consensus around meaning of health equity, the Robert Wood Johnson Foundation (RWJF) provides the following definition: “Health equity means that
everyone has a fair and just opportunity to be as healthy as possible
.
Social determinants of health are
the conditions in which people are born, grow, live, work and age
. They include factors like socioeconomic status, education, neighborhood and physical environment, employment, and social support networks, as well as access to health care (Figure 1).
What is the purpose of conducting an heia?
Why use HEIA? The HEIA tool that has been developed by MOH has four key objectives :
Help identify unintended potential health equity impacts of decision-making (positive and negative) on specific population groups
. Support equity-based improvements in policy, planning, program or service design.
What are the 3 P’s of health equity?
Our health equity principles are categorized by the three 3 Ps:
People, Place, and Partnerships
.
How is health equity achieved?
Health equity is achieved when every person has the opportunity to “attain his or her full health potential” and no one is “disadvantaged from achieving this potential because of social position or other socially determined circumstances.” Health disparities or inequities, are types of unfair health differences closely …
How do nurses promote health equity?
Next, it describes opportunities for nurses to improve health equity through four approaches:
addressing social needs in clinical settings, addressing social needs and SDOH in the community, working across disciplines and sectors to meet multiple needs, and advocating for policy change
.
What are the 4 barriers to accessing health services?
The study shows that
lack of transport, availability of services, inadequate drugs or equipment, and costs
, are the four major barriers for access.
Why is access to healthcare an issue?
Limited availability of health care resources
is another barrier that may reduce access to health services
3
and increase the risk of poor health outcomes. For example, physician shortages may mean that patients experience longer wait times and delayed care.
How can healthcare access be improved?
- See your own patients. Good care comes from access to the same person or team who knows a patient’s history. …
- Make it easy to schedule an appointment. …
- Offer to see patients the day they call. …
- Manage patient demand. …
- Use e-mail with patients.
How can healthcare be more accessible?- Team up with Independent Transportation Network, ITN. …
- Use Mobile Clinics to Go to the Patient. …
- Work with Congregational Networks to Coordinate Rides. …
- Partner with or Co-host Pop-up Clinics. …
- Team up with Retail Clinics. …
- Work with Student Run Clinics.
What are the 5 as health care access and the factors affecting accessibility?
We conceptualise five dimensions of accessibility:
1) Approachability; 2) Acceptability; 3) Availability and accommodation; 4) Affordability; 5) Appropriateness
. In this framework, five corresponding abilities of populations interact with the dimensions of accessibility to generate access.
