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Development of Health Equity Indicators in Primary Health Care Organizations Using a Modified Delphi

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  • Sabrina T Wong
  • Annette J Browne
  • Colleen Varcoe
  • Josée Lavoie
  • Alycia Fridkin
  • Victoria Smye
  • Olive Godwin
  • David Tu

Abstract

Objective: The purpose of this study was to develop a core set of indicators that could be used for measuring and monitoring the performance of primary health care organizations' capacity and strategies for enhancing equity-oriented care. Methods: Indicators were constructed based on a review of the literature and a thematic analysis of interview data with patients and staff (n = 114) using procedures for qualitatively derived data. We used a modified Delphi process where the indicators were circulated to staff at the Health Centers who served as participants (n = 63) over two rounds. Indicators were considered part of a priority set of health equity indicators if they received an overall importance rating of>8.0, on a scale of 1–9, where a higher score meant more importance. Results: Seventeen indicators make up the priority set. Items were eliminated because they were rated as low importance (

Suggested Citation

  • Sabrina T Wong & Annette J Browne & Colleen Varcoe & Josée Lavoie & Alycia Fridkin & Victoria Smye & Olive Godwin & David Tu, 2014. "Development of Health Equity Indicators in Primary Health Care Organizations Using a Modified Delphi," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-15, December.
    • Handle: RePEc:plo:pone00:0114563
    DOI: 10.1371/journal.pone.0114563
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    References listed on IDEAS

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    1. Varcoe, Colleen & Browne, Annette J. & Wong, Sabrina & Smye, Victoria L., 2009. "Harms and benefits: Collecting ethnicity data in a clinical context," Social Science & Medicine, Elsevier, vol. 68(9), pages 1659-1666, May.
    2. Stuber, Jennifer & Meyer, Ilan & Link, Bruce, 2008. "Stigma, prejudice, discrimination and health," Social Science & Medicine, Elsevier, vol. 67(3), pages 351-357, August.
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    1. Devaki Nambiar & Hari Sankar D. & Jyotsna Negi & Arun Nair & Rajeev Sadanandan, 2020. "Monitoring Universal Health Coverage reforms in primary health care facilities: Creating a framework, selecting and field-testing indicators in Kerala, India," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-15, August.

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