Contained in:
Book Chapter

Frameworks and inequalities in healthcare: some applications

  • Pietro Renzi
  • Alberto Franci

Background Social determinants of health (SDOH) have increasingly entered health policy conversations as a growing body of researches, reveal the direct relationship between social determinants and health outcome. In fact, the recent literature is moving from the traditional model that focus on how health affects economic status, to a new view that economic status affects health. Objectives To investigate the principal conceptual frameworks for action on social determinants of health. Another aim is to contribute on the ongoing discourse on feasible measures which could be used to alert regions to inequalities in the distribution of health. Methodology, Italian data are used as a demonstration. Quadrant charts illustrate associations between how much regions spend on health and how effectively health system functions. The relevant inequality measures are used to rank health inequalities. Main results Frameworks have been presented to help communities, health professionals and others begin to better understand and address a variety of factors that affects health. Quadrant analysis technique shows the extent to which spending more on health, translates into better health outcomes, higher quality of care and improve access to care across the Italian regions, whilst also recognition the importance of major risk factors. Conclusions The social inequalities in health and what this means for how we understand and reduce them, as not to date been compressively examined empirically. There is an urgent need to expand our knowledge with comparable data on health determinants and more refined health outcomes. Furthermore, there is a need for feasible inequality measures in the health information systems. The measures used in this study, provide a step to inform and guide the uptake of equity-sensitive policies.

  • Keywords:
  • Health inequalities,
  • Frameworks of SDOH,
  • Quadrant analysis,
  • Inequality measures,
+ Show More

Pietro Renzi

University of San Marino, Italy - ORCID: 0000-0001-6200-7265

Alberto Franci

University of Urbino Carlo Bo, Italy - ORCID: 0000-0002-8157-9792

  1. Bambra, C., Riordan, R., Ford, J., Matthews, F., (2020), The COVID-19 pandemic and health inequalities, J Epidemiol Community Health,74, pp. 964-968.
  2. Biggeri, A., Grisotto, L., (2009), Fonti di distorsione nelle misure delle disuguaglianze di salute, in Disuguaglianze sociali di salute. Problemi di definizione e di misura., eds. Costa, G., Cislaghi, C., Caranci, N., Salute e Società, Franco Angeli Editore, Milano, (I), pp. 78-89.
  3. Bruno, S., Sgritta, G. B., Trivellato, U., Zuliani, A., (1978), Stratificazione economico-sociale e distorsioni distributive nei servizi pubblici, in Atti della XXIX° riunione scientifica della Società Italiana di Statistica, Bologna 20-22/03/1978, CLEUP, Padova, (I), I/1 pp. 251-295
  4. Canadian council on social determinants of health (2015), A Review of Frameworks on the Determinants of Health, http://ccsdh.ca/images/uploads/Frameworks_Report_English.pdf.
  5. Fabbris, L., (1990), Analisi esplorativa dei dati multidimensionali, CLEUP, Padova, (I).
  6. Feinstein, L., Sabates, R., Anderson, T. M., Sorhaindo, A., Hammond, C., (2006), What are the effects of education on health? in Proceedings of the Copenhagen Symposium Measuring the Effects of Education on Health and Civic Engagement, eds. Desjardins, R., Schuller T., OECD/CERI, Copenhagen (DK), pp. 171-354.
  7. Fuller, M. F., Lury, D. A., (1977), Statistics Workbook for Social Science Students, Philip Allan Publishers Ltd, London, (UK).
  8. Kakwani, N., Wagstaff, A., van Doorslaer, E., (1997), Socioeconomic inequalities in health: measurement, computation, and statistical inference. J. Econom., 77(1), pp. 87-103.
  9. Marmot, M., Allen, J., Boyce, T., Goldblatt, G., Morrison, J., (2020), Health equity in England: The Marmot review 10 years on, The Health Foundation, London, (UK).
  10. National Academies of Sciences, Engineering, and Medicine, (2017), Communities in Action: Pathways to Health Equity. The National Academies Press, Washington DC (USA)
  11. O'Donnell, O., van Doorslaer, E., Wagstaff, A., Lindelow, M., (2008), Analyzing Health Equity Using Household Survey Data: A Guide to Techniques and Their Implementation, World Bank, Washington, DC (USA).
  12. OECD, (2019), Health at a Glance 2019: OECD Indicators, OECD Publishing, Paris, (F).
  13. Remington, P. L., Catlin, B. B., Gennuso, K. P., (2015), The County Health Rankings: rationale and methods, Population Health Metrics, 13
  14. Townsend, P., Davidson, N., (1982), Inequalities in Health: The Black Report, Penguin, London (UK) Vian, F., (1982), Analisi statistica degli squilibri territoriali in Le statistiche dello sviluppo. Atti del Convegno (Salerno, 15-16-17 ottobre 1980), Edizioni Scientifiche Italiane, Napoli, (I), pp. 463-477 Zajacova, A., Lawrence, E. M., (2018), The Relationship Between Education and Health: Reducing Disparities Through a Contextual Approach, Annual Review of Public Health, 39(1), pp. 273-289.
PDF
  • Publication Year: 2021
  • Pages: 115-120
  • Content License: CC BY 4.0
  • © 2021 Author(s)

XML
  • Publication Year: 2021
  • Content License: CC BY 4.0
  • © 2021 Author(s)

Chapter Information

Chapter Title

Frameworks and inequalities in healthcare: some applications

Authors

Pietro Renzi, Alberto Franci

Language

English

DOI

10.36253/978-88-5518-304-8.23

Peer Reviewed

Publication Year

2021

Copyright Information

© 2021 Author(s)

Content License

CC BY 4.0

Metadata License

CC0 1.0

Bibliographic Information

Book Title

ASA 2021 Statistics and Information Systems for Policy Evaluation

Book Subtitle

Book of short papers of the opening conference

Editors

Bruno Bertaccini, Luigi Fabbris, Alessandra Petrucci

Peer Reviewed

Publication Year

2021

Copyright Information

© 2021 Author(s)

Content License

CC BY 4.0

Metadata License

CC0 1.0

Publisher Name

Firenze University Press

DOI

10.36253/978-88-5518-304-8

eISBN (pdf)

978-88-5518-304-8

eISBN (xml)

978-88-5518-305-5

Series Title

Proceedings e report

Series ISSN

2704-601X

Series E-ISSN

2704-5846

228

Fulltext
downloads

230

Views

Export Citation

1,361

Open Access Books

in the Catalogue

2,368

Book Chapters

3,870,371

Fulltext
downloads

4,536

Authors

from 943 Research Institutions

of 66 Nations

67

scientific boards

from 357 Research Institutions

of 43 Nations

1,249

Referees

from 381 Research Institutions

of 38 Nations