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Measuring Health Equity in Emergency Care Using Routinely Collected Data: A Systematic Review
Kevin Morisod1,2, Xhyljeta Luta2,3, Joachim Marti2,3
1Department of Vulnerabilities and Social Medicine, Centre for Primary Care and Public Health (Unisanté), Lausanne, Switzerland.
Health Equity
|January 12, 2022
Summary
Health care equity indicators derived from administrative data, combined with socioeconomic determinants of health, can improve emergency care performance measurement. This approach offers a more comprehensive assessment of health care equity across systems.
Area of Science:
- Health Services Research
- Public Health
- Health Equity Studies
Background:
- Health care equity remains a global challenge, with persistent disparities in access and quality of care.
- Identifying health care equity indicators is crucial for assessing health care system performance, especially in emergency care.
Purpose of the Study:
- To systematically review health care equity indicators derived from administrative data.
- To examine the association between these indicators and socioeconomic determinants of health (SEDH) in emergency care settings.
Main Methods:
- Systematic review of administrative data-derived health care equity indicators and their association with SEDH.
- Searched Ovid MEDLINE, EMBASE, PubMed, and Web of Science following PRISMA-Equity guidelines.
- Identified 14 equity indicators across four patient emergency care pathway categories.
Main Results:
- Total emergency department (ED) visits and ambulatory care-sensitive condition-related ED visits were the most common indicators.
- Seven SEDH were analyzed: social deprivation, income, education, social class, insurance, health literacy, and barriers.
- All analyzed SEDH demonstrated associations with inequalities in emergency care access and utilization.
Conclusions:
- Combining administrative data-derived indicators with SEDH can enhance health care equity measurement in emergency care.
- A multifaceted indicator approach provides a more comprehensive assessment than isolated indicators.
- These indicators may be adaptable for measuring equity in other health care domains, warranting further research into root causes of inequities.
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