Beheshtian M, Olyaee Manesh A, Bonakdar Sh, Malek Afzali H, Larijani B, Hosseini L, Zakeri M, Dastgerdi M Vahid
Social Determinant of Health Secretariat, Health Policy Council, Ministry of Health and Medical Education, Iran.
Iran J Public Health. 2013 Jan 1;42(Supple1):31-5. Print 2013.
Health equity is considered as one of the main objectives of health care systems. This study was carried out with the aim of determining health equity indicators in Iran. Through consideration of these indicators, differences in health status of different social groups and different geographical areas can be shown in different periods and based on that, effective interventions can be designed. This study is carried out through a main workshop and expert panels and final consensus on selected indicators. The first draft of indicators and inequity stratifying variables were prepared and then revised by working groups consisting of experts inside and outside Health system. Finally ideas were accepted or rejected after presenting enough reasons and deep examination through the Consensus-Oriented Decision-Making (COMD) model. Fifty two indicators have been determined as health equity indicators in five areas including health, social and human development, economic development, physical environment and infrastructure and governance. Furthermore, for each indicator the proper and practical stratifying variables of inequity were identified. By calculating such indicators, it becomes possible to determine differences in health status of different social groups and different geographical areas.
健康公平被视为医疗保健系统的主要目标之一。本研究旨在确定伊朗的健康公平指标。通过考虑这些指标，可以在不同时期展示不同社会群体和不同地理区域的健康状况差异，并据此设计有效的干预措施。本研究通过一个主要研讨会和专家小组进行，并就选定指标达成最终共识。首先编写了指标和不平等分层变量的初稿，然后由卫生系统内外的专家组成的工作组进行修订。最后，通过基于共识的决策（COMD）模型，在提出充分理由并进行深入审查后，对各项意见予以接受或否决。已确定52项指标为健康公平指标，涵盖健康、社会和人类发展、经济发展、物质环境与基础设施以及治理五个领域。此外，还为每项指标确定了适当且实用的不平等分层变量。通过计算这些指标，可以确定不同社会群体和不同地理区域的健康状况差异。
