Picturing inequities for health impact assessment: linked electronic records, mortality and regional disparities in Portugal

© 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group Health impact assessment (HIA) focuses on minimizing inequities when studying the effects of a policy on the population’s health. Nevertheless, it is seldom simultaneously quantified, multivariate, and visually graphically comprehensible for non-statisticians. This paper aims to address that gap, assessing a policy promoting the quality of Electronic Health Records, linking hospital and primary health care data (Blood Pressure, Cholesterol, Triglycerides, Waist Circumference, Body Mass Index) to mortality outcomes and regional inequities. Acute Myocardial Infarction patients admitted in the hospital are then followed regularly in Portuguese NHS Primary Care. Regional disparities regarding recorded information are observed and different association patterns with mortality identified, ranked, and visualized through adjusted ORs for sex, age, and indicators of severity of hospital admission, complemented with multivariate correspondence analysis. A pathway to handling equity within quantitative HIA shows that complexity in data and methods may generate simplicity and clarity through visual graphical aids. Tackling Big Data with Data Science in HIA may even be at the center of future health reforms, assessing impacts of health promotion and chronic disease policies. This work was partially supported by the CUTEHeart Project – Comparative Use of Technologies for Coronary Heart Disease, funded by FCT, QREN, COMPETE [grant number HMSP-ICT/0013/2011] (http://cuteheart.med.up.pt). info:eu-repo/semantics/publishedVersion

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PID https://www.doi.org/10.6084/m9.figshare.5576404.v1
PID https://www.doi.org/10.1080/14615517.2017.1364016
URL https://www.tandfonline.com/doi/full/10.1080/14615517.2017.1364016
URL http://hdl.handle.net/10451/29665
URL https://academic.microsoft.com/#/detail/2767351781
URL http://dx.doi.org/10.6084/m9.figshare.5576404.v1
URL https://repositorio.ul.pt/handle/10451/29665
URL https://www.tandfonline.com/doi/pdf/10.1080/14615517.2017.1364016?needAccess=true
URL https://core.ac.uk/display/129681256
URL https://www.tandfonline.com/doi/pdf/10.1080/14615517.2017.1364016
URL http://dx.doi.org/10.1080/14615517.2017.1364016
URL http://repositorio.ul.pt/bitstream/10451/29665/1/Picturing_inequities.pdf
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Access Right Open Access
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Author Leonor Bacelar-Nicolau, 0000-0003-0421-1262
Author Teresa Rodrigues
Author Elisabete Fernandes, 0000-0002-4264-1012
Author Mariana F. Lobo, 0000-0003-3890-7735
Author Cláudia Fernandes Nisa, 0000-0003-2867-0754
Author Vanessa Azzone
Author Armando Teixeira-Pinto, 0000-0002-9389-2516
Author Altamiro Costa-Pereira, 0000-0001-8467-6398
Author Sharon-Lise Teresa Normand, 0000-0001-7027-4769
Author José Pereira Miguel, 0000-0003-4648-1658
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Collected From Universidade de Lisboa: Repositório.UL; ORCID; Datacite; UnpayWall; Crossref; Microsoft Academic Graph
Hosted By Universidade de Lisboa: Repositório.UL; figshare; Impact Assessment and Project Appraisal
Publication Date 2017-11-06
Publisher Figshare
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Country Portugal
Language UNKNOWN
Resource Type Other literature type; Article
keyword FOS: Chemical sciences
keyword keywords.Geography, Planning and Development
keyword keywords.Management, Monitoring, Policy and Law
keyword FOS: Biological sciences
keyword FOS: Computer and information sciences
system:type publication
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Source https://science-innovation-policy.openaire.eu/search/publication?articleId=dedup_wf_001::210da21ac06d610b554de9fd34a1dcc5
Author jsonws_user
Last Updated 25 December 2020, 07:47 (CET)
Created 25 December 2020, 07:47 (CET)