Health equity differs from the concept of health inequality by taking into consideration the fairness of an inequality. Inequities may be culturally specific, based on social relations within a society. Measuring these inequities often requires grouping individuals. These groupings can be termed equity stratifiers. The most common groupings affected by health inequalities are summarised by the acronym PROGRESS (Place of residence, Race, Occupation, Gender, Religion, Education, Socioeconomic status, Social capital). The aim of this review was to examine the use of equity stratifiers in routinely collected health and social care data collections in Ireland. One hundred and twenty data collections were identified from the Health Information and Quality Authority (HIQA) document, “Catalogue of national health and social care data collections: Version 3.0”. Managers of all the data collections included were contacted and a data dictionary was requested where one was not available via the HIQA website. Each of the data dictionaries available was reviewed to identify the equity stratifiers recorded. Eighty-three of the 120 data collections were considered eligible to be included for review. Twenty-nine data dictionaries were made available. There was neither a data dictionary available nor a response to our query from data collection managers for twenty-three (27.7%) of the data collections eligible for inclusion. Data dictionaries were from national data collections, regional data collections and national surveys. All data dictionaries contained at least one of the PROGRESS equity stratifiers. National surveys included more equity stratifiers compared with national and regional data collections. Definitions used for recording social groups for the stratifiers examined lacked consistency. While there has been much discussion on tackling health inequalities in Ireland in recent years, health and social care data collections do not always record the social groupings that are most commonly affected. In order to address this, it is necessary to consider which equity stratifiers should be used for the Irish population and, subsequently, for agreed stratifiers to be incorporated into routine health data collection. These are lessons that can be shared internationally as other countries begin to address deficits in their use of equity stratifiers.

中文翻译：

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对爱尔兰健康和社会保健数据收集中纳入公平分层器以衡量健康不平等的审查


健康公平与健康不平等的概念不同，它考虑了不平等的公平性。不平等可能因文化而异，基于社会内部的社会关系。衡量这些不平等通常需要对个人进行分组。这些分组可以称为权益分层器。受健康不平等影响的最常见群体可以用缩写 PROGRESS（居住地、种族、职业、性别、宗教、教育、社会经济地位、社会资本）来概括。本次审查的目的是检查公平分层器在爱尔兰常规收集的健康和社会护理数据收集中的使用情况。从健康信息和质量管理局 (HIQA) 文件“国家健康和社会保健数据收集目录：3.0 版”中确定了 120 个数据收集。我们联系了所有数据收集的管理人员，并要求提供数据字典，而 HIQA 网站无法提供数据字典。对每个可用的数据字典进行了审查，以确定记录的股权分层因素。 120 个数据集合中有 83 个被认为有资格纳入审查。提供了二十九种数据字典。对于符合纳入条件的 23 个 (27.7%) 数据集合，既没有可用的数据字典，也没有对我们的查询做出回应。数据字典来自国家数据收集、区域数据收集和国家调查。所有数据字典至少包含一个 PROGRESS 权益分层器。与国家和地区数据收集相比，国家调查包含更多的公平分层因素。 用于记录所检查的分层者的社会群体的定义缺乏一致性。尽管近年来关于解决爱尔兰健康不平等问题进行了很多讨论，但健康和社会保健数据收集并不总是记录最常受影响的社会群体。为了解决这个问题，有必要考虑应该对爱尔兰人口使用哪些公平分层器，然后将商定的分层器纳入常规健康数据收集中。当其他国家开始解决公平分层器使用中的缺陷时，这些经验教训可以在国际上分享。