Population health planning for health equity

2011 ◽  
Vol 17 (4) ◽  
pp. 327 ◽  
Author(s):  
Helen Keleher
Keyword(s):  
Health Care ◽  
Population Health ◽  
Health Equity ◽  
Health Planning ◽  
Determinants Of Health ◽  
Data Sources ◽  
Health Plans ◽  
Health Care Planning ◽  
Population Planning ◽  
Sound Foundation

Australia’s health reform documents make reference to the need to address health equity and strengthen population health planning. They make a stronger case about the need to address equity than policy documents that have preceded them. However, they do not make clear that health care is one of many determinants of health and equity, and that planning for health care, social care and social health outcomes are necessary for effectiveness. In other words, population health planning is much more than health care planning. Population health plans vary in their intent and design, depending on the population catchment for the plan, the remit of the organisations involved and the paradigms from which the plan is written. A stronger vision is necessary if population health plans are to affect health inequities. Comprehensive population planning is necessarily intersectoral with engagement across a wide cross-section of government department policies, portfolios and data sources, with a focus on the determinants of health and inequity, and a sound foundation of social values. This paper unpacks the elements of population health planning, the data sources that may be used and their interrogation in terms of the determinants of health, and presents core principles that distinguish population health planning from other types of planning to ensure that planning is comprehensive and able to be actioned.

scholarly journals Towards Health Equity in a National Autism Strategy: A Lens on Disparities, Barriers, and Solutions

2021 ◽  
Vol 1 (1) ◽  
pp. 62-72
Author(s):  
Kaela Scott ◽  
Megan Krasnodembski ◽  
Shivajan Sivapalan ◽  
Bonnie Brayton ◽  
Neil Belanger ◽  
...  
Keyword(s):  
Health Care ◽  
Health Equity ◽  
Panel Discussion ◽  
Determinants Of Health ◽  
The Public ◽  
Autistic People ◽  
People First ◽  
The Government ◽  
Services And Supports

Health equity allows people to reach their full health potential and access and receive care that is fair and suitable to them and their needs regardless of where they live, what they have, or who they are. To achieve health equity, equity in healthcare focuses on the role of the health system to provide timely and appropriate care. When viewed in the context of a National Autism Strategy, this extends to ensuring access to the resources that each Autistic person requires to meet their health needs, such as an autism diagnosis, services, and supports. Based on the equity panel discussion held at the Canadian Autism Leadership Summit 2020, this article reflects on the current disparities and barriers to achieving health equity in a National Autism Strategy, and outlines ways to address them. Disparities to equitable care within the autism community extend from the level of support needs of an individual to how those intersect with several key determinants of health including: geography, culture, gender, and socioeconomic status. Notably, barriers arise due to a “lack of” theme, including lack of awareness, knowledge, access, and voice. Four reoccurring ideas were identified for how to address inequities in health care for Autistic people. First, allocate resources for regional or in-community endeavours; second, improve Autistic representation and connection; third, establish a community of allies to advocate and collaborate; and fourth, establish leadership within the community and government to make disability a priority for Canada. To achieve equity in health care in a National Autism Strategy, we need to look at the intersectionality of autism with the key determinants of health. Moreover, to effectively engage with the government, health professionals, and the public, the autism community should strive to find a unified and diverse voice. And finally, conversation must turn to action. 

scholarly journals Health and healthcare in the year 2040 – Facts for planning a complex and uncertain future

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
T Funk ◽  
B Forsberg
Keyword(s):  
Health Care ◽  
Burden Of Disease ◽  
Health Care Services ◽  
Disease Burden ◽  
Health Planning ◽  
Health Care Planning ◽  
Care Needs ◽  
Future Health ◽  
Care Services ◽  
Future Health Care

Abstract Background In the Stockholm region, a regional political assembly is responsible for health care services for a population of 2.3 million. In November 2017, the political leadership decided on a programme to project health and healthcare developments in the Stockholm region until 2040 as a basis for a longterm health plan. This presentation aims to describe the methodology used, share some results and raise some questions for further work. Through the presentation we also seek collaboration with European partners involved in similar health planning work. Methodology Six perspectives for analysis were defined and under each a set of areas for deeper analysis identified. It was agreed that the planning should be fact-driven. Under the constraint of availability, data covering the period 2000 to 2017 was collected for around 90 variables. Data was gathered from various publicly available databases and was analysed in Microsoft Excel. Results Stockholm’s population increased continuously since the millennial shift and could increase by another 28% until 2040. Since 2000, life expectancy increased by 2 years for women and 3 years for men. More than 85% of the burden of disease is caused by chronic diseases. However, the overall disease burden per 100 000 population has been decreasing over the years. In 2017, more than 21 million outpatient care visits were done. Extrapolations of these trends show that the disease burden per capita will continue to decrease, but the total burden of disease as well as demand for health care will continue to increase. Discussion A fact-based analysis of future health and healthcare proved to be an efficient base for planning and discussions of future health care services. Results confirmed some well-established perceptions of developments but also pointed to some misconceptions and established “facts” that proved to be false. New digital services make prediction of the future health service mix dynamic and challenging. Key messages To meet future health care needs, future health and health care trends should be planned for and considered in decision making processes. Forecasts and health care planning should be fact-based to have an as accurate picture of future health and health care trends as possible.

Ohio Statewide Efforts to Align Public Health/Health Care Population Health Planning

2018 ◽  
Vol 24 ◽  
pp. S66-S68
Author(s):  
Susan Tilgner ◽  
Lance Himes ◽  
Terry Allan ◽  
Krista Wasowski ◽  
Beth Bickford ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Population Health ◽  
Health Planning

To what Extent do Australian Health Policy Documents address Social Determinants of Health and Health Equity?

2016 ◽  
Vol 45 (3) ◽  
pp. 545-564 ◽  
Author(s):  
MATTHEW FISHER ◽  
FRANCES E. BAUM ◽  
COLIN MACDOUGALL ◽  
LAREEN NEWMAN ◽  
DENNIS MCDERMOTT
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Social Determinants Of Health ◽  
Health Equity ◽  
Social Determinants ◽  
Access To Health Care ◽  
Determinants Of Health ◽  
Policy Action ◽  
Policy Documents ◽  
Australian Health

AbstractEvidence on social determinants of health and health equity (SDH/HE) is abundant but often not translated into effective policy action by governments. Governments’ health policies have continued to privilege medical care and individualised behaviour-change strategies. In the light of these limitations, the 2008 Commission on the Social Determinants of Health called on health agencies to adopt a stewardship role; to take action themselves and engage other government sectors in addressing SDH/HE. This article reports on research using analysis of health policy documents – published by nine Australian national or regional governments – to examine the extent to which the Australian health sector has taken up such a role.We found policies across all jurisdictions commonly recognised evidence on SDH/HE and expressed goals to improve health equity. However, these goals were predominantly operationalised in health care and other individualised strategies. Relatively few strategies addressed SDH/HE outside of access to health care, and often they were limited in scope. National policies on Aboriginal health did most to systemically address SDH/HE.We used Kingdon's (2011) multiple streams theory to examine how problems, policies and politics combine to enable, partially allow, or prevent action on SDH/HE in Australian health policy.

scholarly journals 2505 Mixed emotions: Health care personnel’s reactions to new accountabilities for health equity

2018 ◽  
Vol 2 (S1) ◽  
pp. 71-71
Author(s):  
Brooke Cunningham ◽  
Windy Fredkove ◽  
Alden Lai ◽  
Dimpho Orionzi ◽  
Jill Marsteller
Keyword(s):  
Health Care ◽  
Focus Groups ◽  
Social Determinants Of Health ◽  
Health Equity ◽  
Social Determinants ◽  
Positive Emotions ◽  
Determinants Of Health ◽  
Sense Of Control ◽  
Professional Identities ◽  
The Social

OBJECTIVES/SPECIFIC AIMS: Calls for health care organizations to promote health equity, through reducing health care disparities and addressing the social determinants of health, are growing and disrupt assumptions about equal care and the role of the health care delivery system more generally. This paper uses qualitative data to explore the emotions that health care personnel express as they make sense of the newfound emphasis on equity. To do so, we consider the relationships between social identity, sense of control, emotion, cognition, and action. METHODS/STUDY POPULATION: The principle investigator conducted 21 semistructured interviews with senior leaders and equity team members and 7 focus groups with providers and staff employed at one of Minnesota’s largest health care system. The PI asked respondents to describe recent conversations about equity in their workplaces and to identify barriers and facilitators to addressing equity. Focus group participants were also asked to imagine colleagues’ reactions—“what would they say, think, and feel”—should they be asked to adapt practices to address the social determinants of health, community health, and healthcare disparities. Interviews and focus groups were audiotaped and transcribed. Two coders independently coded each transcript for themes and then compared and reconciled their coding. Reactions to equity work emerged inductively during the coding process. RESULTS/ANTICIPATED RESULTS: Findings suggest that discourses on health equity can disrupt personal and professional identities and trigger a mixture of emotions, including fear, sadness, and excitement. Personnel with broad, or flexible, constructions of their work roles experienced less disruption, and more positive emotions, than those personnel who constructed narrow, or rigid, professional identities. Those who expressed a stronger sense of control also expressed more positive emotions, such as happiness and hope, and were excited about the prospect of greater accountabilities related to equity. Those who doubted the existence of disparities were defensive and pointed to cues such as standardized care protocols and perceptions of colleagues’ professionalism to oppose change. Those who perceived low organizational self-efficacy, due to a lack of time, skills, or knowledge, often expressed frustration and helplessness. Their sensemaking focused on the lack of progress and sought sensegiving about ways to “make it workable.” DISCUSSION/SIGNIFICANCE OF IMPACT: Discussions about equity are new in healthcare and trigger mixed reactions, drawing out provider and staff’s hopes, fears, and anxieties. Variations in emotional reactions may be related to differing perceptions about sense of control over disparities and the social determinants of health. If we want to enlist health care providers, nurses, and managers in efforts to improve health equity, we need to understand these emotions and sensemaking processes.

Wealth, equity and health care: a critique of a “population health” perspective on the determinants of health

1998 ◽  
Vol 46 (7) ◽  
pp. 785-798 ◽  
Author(s):  
Blake Poland ◽  
◽  
David Coburn ◽  
Ann Robertson ◽  
Joan Eakin
Keyword(s):  
Health Care ◽  
Population Health ◽  
Determinants Of Health ◽  
Wealth Equity

scholarly journals 30.G. Round table: Health planning In Europe: preparing for the expected and the unexpected

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Disease Burden ◽  
Health Planning ◽  
Round Table ◽  
Care Planning ◽  
Health Care Needs ◽  
Health Care Planning ◽  
Care Needs

Abstract The objective of this round table discussion is to highlight the need for careful and systematic health planning of health systems in Europe, illustrate how health planning can be used for policy and management and provide some useful tools for participants to bring home and apply in their own contexts. Participants will acquire knowledge on current health care planning in some leading international organisations, with examples from some countries and region Health in Europe is facing challenges and threats of both immediate and longer term character. In recent years, discussions on health care in the future has focussed on pressures coming from the increase in chronic diseases and demographic changes, such as the growing number of older people. Recently, the covid-19 outbreak has shown that newly emerging diseases can cause massive challenges to public health and health services. Both developments illustrate the need of health systems to be prepared for both expected and unexpected developments and to engage in careful planning of resource needs to ensure good health services to all. This session seeks to present approaches to health planning and discuss with the audience different methods for simulation and analysis of future health care needs and the resulting requirements for financial and human resources. The session will contribute to the development of health services and public health in Europe by highlighting the necessity to establish structures for comprehensive health planning and to seek ways to meet future challenges well in time. The round-table will have four participants, each of them giving an initial brief on some essential elements of health planning: projections of disease burden and health care needs,forecasting of health care costs and funding sources,health workforce needs in relation to disease burden projections, andplanning for unexpected events such as pandemics and climate threats Each brief will be given a short comment by one of the other participants. After all four briefs, panel members will give general or specific comments on the topic and subsequently, the audience will be invited to provide input and pose questions to the panel members. Based on the presentations given and the information provided in the discussions, a report on the session will be compiled and made available to participants and the wider public electronically. Key messages Health care planning is important for emergency preparedness and long term sustainable delivery of health services. The best available estimates of population health developments and the resulting needs for prevention and health care should be the basis for health services planning.

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