Strengthening health information systems to address health equity challenges.
Strengthening health information systems to address health equity challenges.
复制标题
加强卫生信息系统以应对卫生公平挑战。
DOI：
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发表时间：
2005
影响因子：
11.1
通讯作者：
C. Zarowsky
中科院分区：
文献类型：
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作者：
L. Nolen;P. Braveman;J. N. Dachs;I. Delgado;E. Gakidou;K. Moser;L. Rolfe;J. Vega;C. Zarowsky
过去几十年来，低收入、中等收入和高收入国家的专门研究和孤立举措一致表明，社会经济群体之间以及性别、种族或族裔、地理区域和其他与社会优势相关的指标之间存在健康不平等。与社会（不利）优势而非固有的生物学差异相关的重大健康不平等通常被认为是不公平或不公平的。这种卫生不平等是卫生发展努力的主要目标，包括千年发展目标等全球目标，这些目标需要监测来评估进展情况。然而，大多数国家卫生信息系统（HIS）缺乏评估和解决健康不平等所需的关键信息，即将个人或小区域层面的健康衡量标准与社会地位或优势衡量标准联系起来的可靠、纵向和代表性数据。如果没有对此类不平等现象的实证记录和监测，也没有国家层面利用这些信息进行有效规划和监测干预措施进展的能力，就不可能实现公平。本文回顾了核心信息需求和潜在数据库，提出了加强 HIS 分析健康公平性能力的短期和长期战略，并讨论了支持公平导向决策和政策制定文化的 HIS 相关切入点。
Special studies and isolated initiatives over the past several decades in low-, middle- and high-income countries have consistently shown inequalities in health among socioeconomic groups and by gender, race or ethnicity, geographical area and other measures associated with social advantage. Significant health inequalities linked to social (dis)advantage rather than to inherent biological differences are generally considered unfair or inequitable. Such health inequities are the main object of health development efforts, including global targets such as the Millennium Development Goals, which require monitoring to evaluate progress. However, most national health information systems (HIS) lack key information needed to assess and address health inequities, namely, reliable, longitudinal and representative data linking measures of health with measures of social status or advantage at the individual or small-area level. Without empirical documentation and monitoring of such inequities, as well as country-level capacity to use this information for effective planning and monitoring of progress in response to interventions, movement towards equity is unlikely to occur. This paper reviews core information requirements and potential databases and proposes short-term and longer term strategies for strengthening the capabilities of HIS for the analysis of health equity and discusses HIS-related entry points for supporting a culture of equity-oriented decision-making and policy development.
影响因子：
11.1
作者：
C. Mathers;Doris Ma Fat;Mie Inoue;C. Rao;Alan D. Lopez
通讯作者：
C. Mathers;Doris Ma Fat;Mie Inoue;C. Rao;Alan D. Lopez