University of Cambridge, Cambridge, UK
PHG Foundation, Cambridge, UK.
BMJ Open. 2024 Sep 5;14(9):e084352. doi: 10.1136/bmjopen-2024-084352.
Health inequalities in the UK are investigated and addressed by analysing data across socioeconomic factors, geography and specific characteristics, including those protected under law. It is acknowledged that the quality of data underpinning these analyses can be improved. The objective of this work was to gain insights from professionals working across the health and care sector in England into the type(s) of resource(s) that can be instrumental in implementing mechanisms to improve data quality into practice.
Qualitative study based on semistructured interviews involving health and care professionals.
England.
A total of 16 professionals, mainly from the East of England.
Awareness of mechanisms that could be put in place to improve quality of data related to health inequalities was high among interviewees. However, logistical (eg, workforce time, capacity and funding) as well as data usage (eg, differences in data granularity, information governance structures) barriers impacted on implementation of many mechanisms. Participants also acknowledged that concepts and priorities around health inequalities can vary across the system. While there are resources already available that can aid in improving data quality, finding them and ensuring they are suited to needs was time-consuming. Our analysis indicates that resources to support the creation of a shared understanding of what health inequalities are and share knowledge of specific initiatives to improve data quality between systems, organisations and individuals are useful.
Different resources are needed to support actions to improve quality of data used to investigate heath inequalities. These include those aimed at raising awareness about mechanisms to improve data quality as well as those addressing system-level issues that impact on implementation. The findings of this work provide insights into actionable steps local health and care services can take to improve the quality of data used to address health inequalities.
通过分析社会经济因素、地理位置和特定特征(包括受法律保护的特征)的数据,研究和解决英国的健康不平等问题。人们认识到,这些分析所依据的数据质量可以得到提高。这项工作的目的是从英格兰卫生和保健部门的专业人员那里获得见解,了解可以用于实施改善数据质量机制的资源类型,以便将其付诸实践。
基于半结构化访谈的定性研究,涉及卫生和保健专业人员。
英格兰。
共有 16 名专业人员,主要来自英格兰东部。
受访者对可以实施的机制有很高的认识,可以提高与健康不平等相关的数据质量。然而,后勤方面(例如,劳动力时间、能力和资金)以及数据使用方面(例如,数据粒度、信息治理结构的差异)的障碍影响了许多机制的实施。参与者还承认,整个系统中对健康不平等的概念和优先事项可能有所不同。虽然已经有一些资源可以帮助提高数据质量,但找到这些资源并确保它们符合需求是很耗时的。我们的分析表明,支持系统、组织和个人之间对健康不平等的共同理解以及分享改善数据质量的具体举措的知识的资源是有用的。
需要不同的资源来支持改善用于调查健康不平等的数据质量的行动。这些资源包括旨在提高对改善数据质量机制的认识的资源,以及解决影响实施的系统层面问题的资源。这项工作的结果为当地卫生和保健服务提供了可采取行动的步骤,以提高用于解决健康不平等问题的数据质量。