Agència de Salut Pública de Barcelona, 08023 Barcelona, Spain.
CIBER de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain.
Int J Environ Res Public Health. 2023 Feb 17;20(4):3536. doi: 10.3390/ijerph20043536.
In the past, health inequalities were not prioritised in the political agenda of Barcelona. The change of city government (2015) was an opportunity to develop a Surveillance System for Social Health Inequalities in the city, which is described in this article.
The design of the Surveillance System formed part of the Joint Action for Health Equity in Europe (JAHEE), funded by the European Union. Various steps were considered by the experts to set up the System: define its objectives, target population, domains and indicators, and sources of information; perform data analysis; implement and disseminate the system; define the evaluation; and perform regular data updates.
The System considers the following domains: social determinants of health, health-related with behaviours, use of healthcare, and health outcomes, and includes eight indicators. As axes of inequality, the experts chose sex, age, social class, country of origin, and geographical area. The Surveillance System for Social Health Inequalities is presented on a website including different types of figures.
The methodology used to implement the Surveillance System can be used to implement similar systems in other urban areas around the world.
过去，巴塞罗那的政治议程并未将健康不平等问题作为优先事项。市政府的换届（2015 年）为在城市中开发社会健康不平等监测系统提供了机会，本文对此进行了描述。
该监测系统的设计是欧洲健康公平联合行动（JAHEE）的一部分，由欧盟资助。专家们考虑了多个步骤来建立该系统：定义其目标、目标人群、领域和指标，以及信息来源；进行数据分析；实施和传播系统；定义评估；并定期更新数据。
该系统考虑了以下领域：健康相关行为的社会决定因素、卫生保健的使用和健康结果，并包括 8 个指标。作为不平等的轴心，专家们选择了性别、年龄、社会阶层、原籍国和地理区域。社会健康不平等监测系统在一个网站上展示，包括不同类型的图表。
用于实施监测系统的方法可用于在世界其他城市地区实施类似的系统。
