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[监测健康的社会决定因素]

[Monitoring social determinants of health].

作者信息

Espelt Albert, Continente Xavier, Domingo-Salvany Antonia, Domínguez-Berjón M Felicitas, Fernández-Villa Tania, Monge Susana, Ruiz-Cantero M Teresa, Perez Glòria, Borrell Carme

机构信息

Agencia de Salut Pública de Barcelona, Barcelona, España; Institut d'Investigació Biomèdica Sant Pau, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Departament de Psicobiologia i Metodologia en Ciències de la Salut, Facultat de Psicologia, Universitat Autònoma de Barcelona, Bellaterra (Barcelona), España.

Agencia de Salut Pública de Barcelona, Barcelona, España; Institut d'Investigació Biomèdica Sant Pau, Barcelona, España.

出版信息

Gac Sanit. 2016 Nov;30 Suppl 1:38-44. doi: 10.1016/j.gaceta.2016.05.011.

Abstract

Public health surveillance is the systematic and continuous collection, analysis, dissemination and interpretation of health-related data for planning, implementation and evaluation of public health initiatives. Apart from the health system, social determinants of health include the circumstances in which people are born, grow up, live, work and age, and they go a long way to explaining health inequalities. A surveillance system of the social determinants of health requires a comprehensive and social overview of health. This paper analyses the importance of monitoring social determinants of health and health inequalities, and describes some relevant aspects concerning the implementation of surveillance during the data collection, compilation and analysis phases, as well as dissemination of information and evaluation of the surveillance system. It is important to have indicators from sources designed for this purpose, such as continuous records or periodic surveys, explicitly describing its limitations and strengths. The results should be published periodically in a communicative format that both enhances the public's ability to understand the problems that affect them, whilst at the same time empowering the population, with the ultimate goal of guiding health-related initiatives at different levels of intervention.

摘要

公共卫生监测是为公共卫生举措的规划、实施和评估而系统、持续地收集、分析、传播和解释与健康相关的数据。除卫生系统外,健康的社会决定因素包括人们出生、成长、生活、工作和变老的环境,这些因素在很大程度上解释了健康不平等现象。一个关于健康社会决定因素的监测系统需要对健康进行全面的社会概述。本文分析了监测健康社会决定因素和健康不平等现象的重要性,并描述了在数据收集、汇编和分析阶段以及信息传播和监测系统评估过程中与监测实施相关的一些方面。重要的是要有为此目的设计的数据源的指标,如连续记录或定期调查,并明确描述其局限性和优势。结果应以一种交流性的形式定期公布,这种形式既能提高公众理解影响他们的问题的能力,同时又能增强民众的权能,最终目标是指导不同干预层面的与健康相关的举措。

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