Measuring Health Equity in Emergency Care Using Routinely Collected Data: A Systematic Review

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Version: author
License: CC BY 4.0
Serval ID
serval:BIB_53B1391049AA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Measuring Health Equity in Emergency Care Using Routinely Collected Data: A Systematic Review
Journal
Health Equity
Author(s)
Morisod Kevin, Luta Xhyljeta, Marti Joachim, Spycher Jacques, Malebranche Mary, Bodenmann Patrick
ISSN
2473-1242
Publication state
Published
Issued date
01/12/2021
Peer-reviewed
Oui
Volume
5
Number
1
Pages
801-817
Language
english
Abstract
Introduction: Achieving equity in health care remains a challenge for health care systems worldwide and marked inequities in access and quality of care persist. Identifying health care equity indicators is an important first step in integrating the concept of equity into assessments of health care system performance, particularly in emergency care.Methods: We conducted a systematic review of administrative data-derived health care equity indicators and their association with socioeconomic determinants of health (SEDH) in emergency care settings. Following PRISMA-Equity reporting guidelines, Ovid MEDLINE, EMBASE, PubMed, and Web of Science were searched for relevant studies. The outcomes of interest were indicators of health care equity and the associated SEDH they examine.Results: Among 29 studies identified, 14 equity indicators were identified and grouped into four categories that reflect the patient emergency care pathway. Total emergency department (ED) visits and ambulatory care-sensitive condition-related ED visits were the two most frequently used equity indicators. The studies analyzed equity based on seven SEDH: social deprivation, income, education level, social class, insurance coverage, health literacy, and financial and nonfinancial barriers. Despite some conflicting results, all identified SEDH are associated with inequalities in access to and use of emergency care.Conclusion: The use of administrative data-derived indicators in combination with identified SEDH could improve the measurement of health care equity in emergency care settings across health care systems worldwide. Using a combination of indicators is likely to lead to a more comprehensive, well-rounded measurement of health care equity than using any one indicator in isolation. Although studies analyzed focused on emergency care settings, it seems possible to extrapolate these indicators to measure equity in other areas of the health care system. Further studies elucidating root causes of health inequities in and outside the health care system are needed.
Keywords
health equity, emergency care, determinants of health
Web of science
Open Access
Yes
Create date
17/12/2021 18:50
Last modification date
20/07/2022 6:38
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