Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

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

Version 1 : Received: 15 January 2021 / Approved: 18 January 2021 / Online: 18 January 2021 (11:24:42 CET)

How to cite: Morisod, K.; Luta, X.; Marti, J.; Spycher, J.; Malebranche, M.; Bodenmann, P. Measuring Health Equity in Emergency Care Using Routinely Collected Data: A Systematic Review. Preprints 2021, 2021010317. https://doi.org/10.20944/preprints202101.0317.v1 Morisod, K.; Luta, X.; Marti, J.; Spycher, J.; Malebranche, M.; Bodenmann, P. Measuring Health Equity in Emergency Care Using Routinely Collected Data: A Systematic Review. Preprints 2021, 2021010317. https://doi.org/10.20944/preprints202101.0317.v1

Abstract

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. We conducted a systematic review of administrative data-derived health care equity indicators and their association with socio-economic 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. 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. Despite some conflicting results, all identified SEDH (social deprivation, income, education level, social class, insurance coverage and health literacy) are associated with inequalities in access to and use of emergency care. In conclusion, the use of administrative data-derived indicators combined with identified SEDH could improve healthcare equity measurement in emergency care settings across health care systems worldwide.

Keywords

health equity; emergency care; determinants of health

Subject

Public Health and Healthcare, Health Policy and Services

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our Diversity statement.

Leave a public comment
Send a private comment to the author(s)
* All users must log in before leaving a comment
Views 0
Downloads 0
Comments 0
Metrics 0


×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.