Guidance on conducting a situation analysis of health financing for universal health coverage – WHO – 25 August 2014
“The purpose of this paper is to provide guidance to undertake a situation analysis of a country’s health financing system and assess the existing system relative to the goal of universal health coverage (UHC, also called universal coverage). In turn, the purpose of the situation analysis is to inform a health financing reform strategy. Such an analysis will provide detailed insights into where the existing system is performing well or poorly, a diagnosis of the reasons why, and the challenges the country faces in moving towards universal coverage. A good situation analysis thus provides the “starting point” for a national health financing reform strategy.”Read Full Post | Make a Comment ( Comments Off on Guidance on conducting a situation analysis of health financing for universal health coverage – WHO – 25 August 2014 )
The Impact and Effectiveness of Equity Focused Health Impact Assessment in Health Service Planning – Harris-Roxas Health – 22 August 2014
“This free ebook looks at the use of equity focused health impact assessment (EFHIA) on health service plans. It examines:
What are the direct and indirect impacts of EFHIAs conducted on health sector plans?
Does EFHIA improve the consideration of equity in the development and implementation of health sector plans?
How does EFHIA improve the consideration of equity in health planning?”
The CentreForum Atlas of Variation. Identifying unwarranted variation across mental health and wellbeing indicators in England – July 2014
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Institute of Medicine. Supporting a Movement for Health and Health Equity: Workshop Summary. Washington, DC: The National Academies Press, 2014
Supporting a Movement for Health and Health Equity is the summary of a workshop convened in December 2013 by the Institute of Medicine Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities and the Roundtable on Population Health Improvement to explore the lessons that may be gleaned from social movements, both those that are health-related and those that are not primarily focused on health. Participants and presenters focused on elements identified from the history and sociology of social change movements and how such elements can be applied to present-day efforts nationally and across communities to improve the chances for long, healthy lives for all.
The idea of movements and movement building is inextricably linked with the history of public health. Historically, most movements – including, for example, those for safer working conditions, for clean water, and for safe food – have emerged from the sustained efforts of many different groups of individuals, which were often organized in order to protest and advocate for changes in the name of such values as fairness and human rights. The purpose of the workshop was to have a conversation about how to support the fragments of health movements that roundtable members believed they could see occurring in society and in the health field. Recent reports from the National Academies have highlighted evidence that the United States gets poor value on its extraordinary investments in health – in particular, on its investments in health care – as American life expectancy lags behind that of other wealthy nations. As a result, many individuals and organizations, including the Healthy People 2020 initiative, have called for better health and longer lives.”
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Lifetime Distributional Effects of Publicly Financed Health Care in Canada – Canadian Institute for Health Information – 14 May 2013
“Public funding of health care has a redistributive effect on the incomes of Canadians, but this is reduced when a life course perspective is considered, according to a new report from the Canadian Institute for Health Information (CIHI).
Lifetime Distributional Effects of Publicly Financed Health Care in Canada looks at estimated lifetime per capita health care costs in the public sector—including doctors, hospitals and some drugs—as well as the portion of household taxes that would be required to pay for these services.
The analysis found that average lifetime health care costs are $237,500 for Canadians in the lowest-income group and $206,000 for Canadians with the highest incomes. However, the difference is much larger when looking at only a single year (2011).
Similarly, while tax payments to finance health care are higher for more-affluent Canadians, differences between income groups are muted when examining costs over a lifetime, rather than in one specific year. The most-affluent Canadians contribute the equivalent of 8% of their average annual income toward publicly funded health care, and the least-affluent contribute 6% of theirs.
The report provides insight into what affluence and poverty would look like in Canada without the existence of publicly financed health care. For example, health care costs for members of the highest-income group are equivalent to 3% of their average income; however, costs for those in the lowest-income group are equivalent to 24% of their average income.”Read Full Post | Make a Comment ( Comments Off on Lifetime Distributional Effects of Publicly Financed Health Care in Canada – Canadian Institute for Health Information – 14 May 2013 )
White House Summit on Achieving eHealth Equity – Office of the National Coordinator for Health Information Technology (ONC) [US] – April 2013Read Full Post | Make a Comment ( Comments Off on White House Summit on Achieving eHealth Equity – Office of the National Coordinator for Health Information Technology (ONC) [US] – April 2013 )
Health Equity Resource Toolkit for State Practitioners Addressing Obesity Disparities – CDC Div of Nutrition, Physical Activity, and Obesity (DNPAO) – 2012
Health Equity Resource Toolkit for State Practitioners Addressing Obesity Disparities – Centers for Disease Control and Prevention (CDC) Division of Nutrition, Physical Activity, and Obesity (DNPAO) – 2012
“The purpose of the Centers for Disease Control and Prevention (CDC) Division of Nutrition, Physical Activity, and Obesity (DNPAO) Health Equity Resource Toolkit for State Practitioners Addressing Obesity Disparities is to increase the capacity of state health departments and their partners to work with and through communities to implement effective responses to obesity in populations that are facing health disparities. The Toolkit’s primary focus is on how to create policy, systems, and environmental changes that will reduce obesity disparities and achieve health equity. For the purpose of this Toolkit, “policy” refers to procedures or practices that apply to large sectors which can influence complex systems in ways that can improve the health and safety of a population. States are already conducting activities to address obesity across populations. This Toolkit provides guidance on how to supplement and compliment existing efforts. It provides evidence-informed and real-world examples of addressing disparities by illustrating how the concepts presented can be promoted in programs to achieve health equity using three evidence-informed strategies as examples:
1. Increasing access to fruits and vegetables via healthy food retail with a focus on underserved communities.
2. Engaging in physical activity that can be achieved by increased opportunities for walking with a focus on the disabled community, and other subpopulations that face disparities.
3. Decreasing consumption of sugar drinks with an emphasis on access to fresh, potable (clean) water with a particular focus on adolescents and other high consumers.
Though the Toolkit utilizes these three strategies as examples, the planning and evaluation process described in the Toolkit can be applied to other evidence-informed strategies to control and prevent obesity.”Read Full Post | Make a Comment ( Comments Off on Health Equity Resource Toolkit for State Practitioners Addressing Obesity Disparities – CDC Div of Nutrition, Physical Activity, and Obesity (DNPAO) – 2012 )
Aligning forces for quality: improving health and health care in communities across America – Robert Wood Johnson Foundation
” Health care is a national problem, but it is solved locally
Aligning Forces for Quality (AF4Q) is the Robert Wood Johnson Foundation’s (RWJF) signature effort to lift the overall quality of health care in targeted communities, reduce racial and ethnic disparities and provide models for national reform.
AF4Q asks the people who get care, give care and pay for care to work together toward common, fundamental objectives to lead to better care. The Foundation has made an unprecedented commitment to improve health care in 16 geographically, demographically, and economically diverse communities that together cover 12.5 percent of the U.S. population.”
Care Across Settings
Cost & Efficiency
Measurement & Reporting
Improving Language Services
Transforming Care at the Bedside (TCAB)
xiv + 192 pages ISBN 978 92 890 0260 8
“The unequal distribution of people’s exposure to – and potentially of disease resulting from – environmental conditions is strongly related to a range of sociodemographic determinants. Interventions to tackle such environmental health inequalities need to be based on an assessment of their magnitude and on the identification of population groups that are most exposed or most vulnerable to environmental risks. But data are scarce.
To address this gap, and follow up on the commitments made at the Fifth Ministerial Conference on Environment and Health in Parma, Italy in 2010, the WHO Regional Office for Europe has carried out a baseline assessment of the magnitude of environmental health inequality in the European Region based on a core set of 14 inequality indicators.
The main findings indicate that socioeconomic and demographic inequalities in risk exposure are present in all countries, though they vary from country to country. The report reviews inequalities related to housing, injuries, and the environment, identifies gaps in evidence that still need to be filled, and suggests priority action to be taken at both the subregional and the national level, bearing in mind those national variations.”Read Full Post | Make a Comment ( Comments Off on Environmental health inequalities in Europe. Assessment report – WHO – 2012 )
‘Two Years On’ Data – UCL Institute of Health Equity – 15 February 2012
“New figures out today (Wednesday 15th February) to mark the second anniversary of the release of the Marmot Review Fair Society, Healthy Lives show that while life expectancy improved for most of the 150 local authority areas in England that will take over responsibility for public health in April 2013, inequalities within these areas also increased.
The UCL Institute of Health Equity (previously known as the Marmot Review Team) commissioned the London Health Observatory to provide data showing key indicators for monitoring health inequalities and the social determinants of health for the 150 ‘upper tier’ local authorities in England.
The indicators at local authority level are: life expectancy at birth; children reaching a good level of development at age five; young people not in employment, education or training (NEET); and, percentage of people in households receiving means tested benefits. In addition there is an index showing the level of social inequalities within each local authority area for some of the indicators, including life expectancy at birth – the higher the value of the index the greater the inequality.Read Full Post | Make a Comment ( Comments Off on ‘Two Years On’ Data – UCL Institute of Health Equity – 15 February 2012 )
Future Directions for the National Healthcare Quality and Disparities Reports
Released: April 14, 2010
Type: Consensus Report
Activity: Future Directions for the National Healthcare Quality and Disparities Reports
Board: Board on Health Care Services
“As the United States devotes extensive resources to health care, evaluating how successfully the U.S. system delivers high-quality, high-value care in an equitable manner is essential. At the request of Congress, the Agency for Healthcare Research and Quality (AHRQ) annually produces the National Healthcare Quality Report (NHQR) and the National Healthcare Disparities Report (NHDR). The reports have revealed areas in which health care performance has improved over time, but they also have identified major shortcomings. After five years of producing the NHQR and NHDR, AHRQ asked the IOM for guidance on how to improve the next generation of reports.
The IOM concludes that the NHQR and NHDR can be improved in ways that would make them more influential in promoting change in the health care system. In addition to being sources of data on past trends, the national healthcare reports can provide more detailed insights into current performance, establish the value of closing gaps in quality and equity, and project the time required to bridge those gaps at the current pace of improvement. The IOM determined that AHRQ should:
Align the NHQR and NHDR with nationally recognized priority areas.
Select measures that reflect health care attributes or processes that are deemed to have the greatest impact on population health.
Affirm that achieving equity is an essential part of quality improvement.
Increase the reach and usefulness of AHRQ’s family of report-related products.
Analyze and present data in ways that will inform policy and promote best-in-class achievement for all actors.
Identify measure and data needs to set a research and data collection agenda.”
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A Bit Rich: Calculating the real value to society of different professions – New Economics Foundation – 14 December 2009
“This report takes a new approach to looking at the value of work. We go beyond how much different professions are paid to look at what they contribute to society. We use some of the principles and valuation techniques of Social Return on Investment analysis to quantify the social, environmental and economic value that these roles produce – or in some cases undermine.
Pay matters. How much you earn can determine your lifestyle, where you can afford to live, and your aspirations and status. But to what extent does what we get paid confer ‘worth’? Beyond a narrow notion of productivity, what impact does our work have on the rest of society, and do the financial rewards we receive correspond to this? Do those that get more contribute more to society?
Our report tells the story of six different jobs. We have chosen jobs from across the private and public sectors and deliberately chosen ones that illustrate the problem. Three are low paid – a hospital cleaner, a recycling plant worker and a childcare worker. The others are highly paid – a City banker, an advertising executive and a tax accountant. We examined the contributions they make to society, and found that, in this case, it was the lower paid jobs which involved more valuable work.
The report goes on to challenge ten of the most enduring myths surrounding pay and work. People who earn more don’t necessarily work harder than those who earn less. The private sector is not necessarily more efficient than the public sector. And high salaries don’t necessarily reflect talent.
The report offers a series of policy recommendations that would reduce the inequality between different incomes and reconnect salaries with the value of work.”
Report to the Hospital Collaborative on Marginalized Populations in the Toronto Central Local Health Integration Network. The Network is a voluntary community of practice. The Collaborative was established by Chief Executive Officers of Toronto area hospitals to share best practices and to work in partnership to reduce health inequities for vulnerable and marginalized populations.
“The province of Ontario has identified the need to address inequities in health care (Rachlis, 2007). In 2009, the Toronto Central Local Health Integration Network (TC-LHIN) required hospitals to begin reporting on equity initiatives. Despite increasing interest, measuring equity in hospitals is a relatively new practice in Canada. Knowledge of indicators best suited for assessing equity in hospitals, including how best to measure and take action relative to these indicators, is only just developing.
The Centre for Research on Inner City Health (CRICH) at St. Michael’s Hospital partnered with the Hospital Collaborative on Marginalized Populations in the TC-LHIN to complete a review of scholarly and grey literature concerning existing approaches for measuring equity of care in the hospital setting.”Read Full Post | Make a Comment ( None so far )