Picturing inequities for health impact assessment : linked electronic records, mortality and regional disparities in Portugal
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2017 |
| Outros Autores: | , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10451/29665 |
Resumo: | © 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group |
| id |
RCAP_f8fd77d4d5717a75c636c1bed279c840 |
|---|---|
| oai_identifier_str |
oai:repositorio.ul.pt:10451/29665 |
| network_acronym_str |
RCAP |
| network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| repository_id_str |
7160 |
| spelling |
Picturing inequities for health impact assessment : linked electronic records, mortality and regional disparities in PortugalEquityQuantificationDecision-makingBig dataData scienceAcute myocardial infarction© 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis GroupHealth 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).Taylor & FrancisRepositório da Universidade de LisboaNicolau, Leonor BacelarRodrigues, TeresaFernandes, ElisabeteLobo, Mariana F.Nisa, Cláudia FernandesAzzone, VanessaPinto, Armando TeixeiraPereira, Altamiro CostaNormand, Sharon-Lise TeresaMiguel, José Pereira2017-11-09T11:31:00Z20172017-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/29665engImpact Assessment and Project Appraisal, 2018 VOL. 36, NO. 1, 90–1041471-546510.1080/14615517.2017.1364016info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:22:00Zoai:repositorio.ul.pt:10451/29665Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:45:33.187167Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Picturing inequities for health impact assessment : linked electronic records, mortality and regional disparities in Portugal |
| title |
Picturing inequities for health impact assessment : linked electronic records, mortality and regional disparities in Portugal |
| spellingShingle |
Picturing inequities for health impact assessment : linked electronic records, mortality and regional disparities in Portugal Nicolau, Leonor Bacelar Equity Quantification Decision-making Big data Data science Acute myocardial infarction |
| title_short |
Picturing inequities for health impact assessment : linked electronic records, mortality and regional disparities in Portugal |
| title_full |
Picturing inequities for health impact assessment : linked electronic records, mortality and regional disparities in Portugal |
| title_fullStr |
Picturing inequities for health impact assessment : linked electronic records, mortality and regional disparities in Portugal |
| title_full_unstemmed |
Picturing inequities for health impact assessment : linked electronic records, mortality and regional disparities in Portugal |
| title_sort |
Picturing inequities for health impact assessment : linked electronic records, mortality and regional disparities in Portugal |
| author |
Nicolau, Leonor Bacelar |
| author_facet |
Nicolau, Leonor Bacelar Rodrigues, Teresa Fernandes, Elisabete Lobo, Mariana F. Nisa, Cláudia Fernandes Azzone, Vanessa Pinto, Armando Teixeira Pereira, Altamiro Costa Normand, Sharon-Lise Teresa Miguel, José Pereira |
| author_role |
author |
| author2 |
Rodrigues, Teresa Fernandes, Elisabete Lobo, Mariana F. Nisa, Cláudia Fernandes Azzone, Vanessa Pinto, Armando Teixeira Pereira, Altamiro Costa Normand, Sharon-Lise Teresa Miguel, José Pereira |
| author2_role |
author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
| dc.contributor.author.fl_str_mv |
Nicolau, Leonor Bacelar Rodrigues, Teresa Fernandes, Elisabete Lobo, Mariana F. Nisa, Cláudia Fernandes Azzone, Vanessa Pinto, Armando Teixeira Pereira, Altamiro Costa Normand, Sharon-Lise Teresa Miguel, José Pereira |
| dc.subject.por.fl_str_mv |
Equity Quantification Decision-making Big data Data science Acute myocardial infarction |
| topic |
Equity Quantification Decision-making Big data Data science Acute myocardial infarction |
| description |
© 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group |
| publishDate |
2017 |
| dc.date.none.fl_str_mv |
2017-11-09T11:31:00Z 2017 2017-01-01T00:00:00Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10451/29665 |
| url |
http://hdl.handle.net/10451/29665 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
Impact Assessment and Project Appraisal, 2018 VOL. 36, NO. 1, 90–104 1471-5465 10.1080/14615517.2017.1364016 |
| dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.publisher.none.fl_str_mv |
Taylor & Francis |
| publisher.none.fl_str_mv |
Taylor & Francis |
| dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
| instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
| instacron_str |
RCAAP |
| institution |
RCAAP |
| reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
| repository.mail.fl_str_mv |
|
| _version_ |
1799134377715695616 |