Module 3 Flashcards
Population measures of SEP
Area Measures: - deprivation - access Population Measures: - literacy rates - GDP per capita - income inequality
Individual measures of SEP
Education Income Wealth/Assets Occupation Housing
Deprivation = ?
a state of observable and demonstrable disadvantage relative to the local community/nation/wider society to which an individual/family/group belongs.
Poverty = ?
lack of resources and income to obtain a normative standard of living.
Main causes of the causes?
belonging to a marginalized group –> discrimination –> access to education –> educational attainment –> employment status –> income –> access to healthcare
PROGRESS
P = place of residence R = religion O = occupation G = gender/sex R = race/ethnicity/culture/language E = education S = social capital S = socioeconomic status
Implication of income inequities?
- less social cohesion –> reduced social capital and civic participation
- more unequal society –> some do not have resources to participate in productive activity –> reduced productivity
- less trust between groups
- reduced economic productivity
- increased stress
- poorer health outcomes
Why reduce inequities?
- they are unfair
- they are avoidable
- they affect everyone
- reducing them will be more cost effective (allows for teamwork and reduced stress).
Why measure population data?
- trends
birth
mortality
morbidity
migration
Why measure population data
- application
unemployment/pensions/benefits crime health service utilisation voter turnout/who votes for who education pathways
NZDep Variables (9)
communication (people under 65 w/o internet access) income (means tested benefit) income (below income threshold) employment (18-64 unemployed) qualification (18-64 no qualifications) owned home (ppl not in own home) support (single parent family) living space (equivalised household below room occupancy threshold) transport (ppl w/o access to car)
IMD Variables (7)
employment (unemployed working age people)
income (those w/o sufficient income receiving state-funded financial assistance)
crime (material & personal safety. measure of neighbourhood security)
housing (overcrowding & proportion of renters)
health (ill health and mortality rates)
education (youth disengagement and lack of qualifications)
access (cost and inconvenience to access basic services)
Element of a healthy enviornment (6)
clean air and water appropriate housing access to wholesome food safe community spaces transport access opportunity to exercise
Define ‘built environment’
all the buildings, spaces and products that are created, r at least significantly modified by people.
Ways of measuring the built environment (4)
urban density (population, employment, housing)
access to facilities and resources
street connectivity
land-use mix (residential, commercial, industrial, wasteland)
Community Resource domains (6)
- shopping facilities
- recreation
- education
- health
- social
- public transport
5 A’s of Access
availability accommodation affordability accessibility acceptability
Availability definition
the relationship between the volume and type of resources and services with the volume and type of client need
–> existence of service barrier
Availability questions (4)
satisfaction with you’re ability to find a doctor that can treat your entire family well?
confidence in obtaining good medical care for your family when needed?
satisfaction with accessing medical services in an emergency?
satisfaction with your knowledge of where to get healthcare?
Accommodation definition
the relationship between the manner in which supply resources are organised and the expectations of clients
–> organisational barrier
Accommodation questions (4)
satisfaction with wait time to get an appointment
satisfaction with time in waiting room
satisfaction with contacting your physician
satisfaction with office hours of physician
Acceptability definition
relationship between attitudes of client and provider on what constitutes appropriate care
–> psychosocial barriers
Acceptability questions (3)
appearance of doctors office?
people you see at the office?
the neighbourhood of the office?
Accessibility definition
relationship between the location of the provider and the location of the client, accounting for transport resources, cost, time, distance
–> geographic barrier
Accessibility questions (2)
how difficult is it to get to your provider?
how convenient are offices to your home?
Affordability definition
relationship between the cost of the provider service and the willingness and ability to pay of the client.
–> financial barrier
Affordability questions (3)
satisfaction with doctor’s prices?
satisfaction with health insurance?
satisfaction with the amount of time you have to pay the bill?
data linkage approaches
deterministic
probabilistic
deterministic data linkage
exact matches based on personal data that is common amongst all the data to be linked