Enhancing measurement of primary health care indicators using an equity lens: An ethnographic study
2011

Improving Primary Health Care Indicators for Health Equity

Sample size: 107 publication Evidence: moderate

Author Information

Author(s): Sabrina T Wong, Annette J Browne, Colleen Varcoe, Josée Lavoie, Victoria Smye, Olive Godwin, Doreen Littlejohn, David Tu

Primary Institution: University of British Columbia

Hypothesis

Current primary health care indicators may not adequately capture the complexities of care for vulnerable populations.

Conclusion

New and modified indicators are needed to better reflect the complexities of primary health care delivery for marginalized populations.

Supporting Evidence

  • Current indicators do not adequately capture the needs of vulnerable populations.
  • Participants emphasized the importance of respectful interactions in health care.
  • New indicators should reflect the social determinants of health.

Takeaway

This study shows that the way we measure health care for people who need it most isn't good enough, and we need to change it to help them better.

Methodology

A mixed methods ethnographic design was used, including participant observation, staff interviews, and patient interviews.

Limitations

The study was limited to two urban Health Centers in Western Canada serving specific populations affected by systemic inequities.

Participant Demographics

{"providers":{"average_years_experience":4,"gender_distribution":{"female":62,"male":38,"transgender":0}},"patients":{"gender_distribution":{"female":50,"male":47,"transgender":3},"ethnicity":{"aboriginal":75,"caucasian":21,"other":4},"employment_status":{"not_employed":51}}}

Digital Object Identifier (DOI)

10.1186/1475-9276-10-38

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