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市级层面的健康不平等监测：立陶宛的经验。

Monitoring Health Inequalities at the Municipal Level: Lithuanian Experience.

作者信息

Kaseliene Snieguole, Mesceriakova-Veliuliene Olga, Vladickiene Jurgita, Kalediene Ramune, Seseikaite Neringa, Stankunas Mindaugas

机构信息

Lithuanian University of Health Sciences, Kaunas, Lithuania.

出版信息

Open Med (Wars). 2017 Apr 20;12:163-170. doi: 10.1515/med-2017-0024. eCollection 2017.

DOI:10.1515/med-2017-0024
PMID:28730174
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5471921/
Abstract

UNLABELLED

This study aimed to assess the attitudes of Lithuanian public health professionals towards health inequality monitoring in municipalities. The survey was conducted in public health bureaus (PHBs) and administrations of municipalities in March 2015. All employees of PHBs, all municipal doctors and all employees of health departments were invited to participate in the study (N=318; response rate, 47.2%). The study participants had positive attitudes towards the importance of health inequality monitoring at the municipal level, meanwhile systematic health inequality monitoring was assessed moderately. The majority of the interviewed professionals working at PHBs and municipalities (91.4% and 88.2%, respectively) declared that health indicators were monitored and analysed in their institutions. The respondents acknowledged the importance of routine monitoring of health indicators for assessment of inequalities, but these indicators were not monitored systematically in every municipality and PHB. Public health professionals identified the following measures for better health inequality monitoring: to strengthen intersectoral collaboration, formulate specific objectives of health programmes, promote actions in reducing health inequalities.

CONCLUSIONS

Public health professionals working at the municipal level outlined the importance of monitoring and reducing health inequalities. However, health inequality monitoring at the municipal level was considered as insufficient.

摘要

未标注

本研究旨在评估立陶宛公共卫生专业人员对市政当局健康不平等监测的态度。该调查于2015年3月在公共卫生局（PHBs）和市政当局进行。邀请了公共卫生局的所有员工、所有市政医生和卫生部门的所有员工参与研究（N = 318；回复率为47.2%）。研究参与者对市政层面健康不平等监测的重要性持积极态度，同时对系统性健康不平等监测的评估为中等。在公共卫生局和市政当局工作的大多数受访专业人员（分别为91.4%和88.2%）宣称其所在机构对健康指标进行了监测和分析。受访者承认常规监测健康指标对于评估不平等的重要性，但并非每个市政当局和公共卫生局都对这些指标进行了系统监测。公共卫生专业人员确定了以下更好地监测健康不平等的措施：加强部门间合作、制定健康计划的具体目标、促进减少健康不平等的行动。

结论

在市政层面工作的公共卫生专业人员概述了监测和减少健康不平等的重要性。然而，市政层面的健康不平等监测被认为是不足的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c9/5471921/b70f5d0c33c5/med-12-163-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c9/5471921/8ec32fa18650/med-12-163-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c9/5471921/4f06ed6ddd6e/med-12-163-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c9/5471921/cf142e6bb14c/med-12-163-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c9/5471921/212cffa4f9d9/med-12-163-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c9/5471921/b70f5d0c33c5/med-12-163-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c9/5471921/8ec32fa18650/med-12-163-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c9/5471921/4f06ed6ddd6e/med-12-163-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c9/5471921/cf142e6bb14c/med-12-163-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c9/5471921/212cffa4f9d9/med-12-163-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c9/5471921/b70f5d0c33c5/med-12-163-g005.jpg

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Does an elite education benefit health? Findings from the 1970 British Cohort Study.精英教育有益于健康吗？来自1970年英国队列研究的发现。
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Socio-economic mortality inequalities in Lithuania during 2001-2009: the record linkage study.2001 - 2009年立陶宛社会经济死亡率不平等：记录链接研究
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