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Using routine geo-coded data to identify geographical heterogeneity to reduce disparities: case studies in UK

Published: 06 November 2012 Publication History

Abstract

This paper outlines a structured argument for the use of routine health and demographic data to support the delivery of equitable services that are better aligned to the needs of the populations they serve. The paper describes case studies from a nationally funded research and quality improvement programme in London, UK as examples of targeting existing services, without top-down reconfiguration, using quality improvement methodology.
Three case studies are presented each demonstrating a differing use of geocoded routine data. The first demonstrates the use of a novel composite metric for the prospective targeting of service improvement; the second shows how routine geo-coded health data can be used to support the geographical location of services; the third demonstrates how routine data can be used to evaluate the impact of improvement initiatives on disparities in healthcare. All methods provide a novel way of analyzing current service provision to ensure targeting of services where needed and contributing to the quality and cost challenges faced by healthcare providers and commissioners.

References

[1]
Bisognano, M, and Kenney, C. Pursuing the Triple Aim: Seven Innovators Show the Way to Better Care, Better Health, and Lower Costs. Jossey-Bass Publishers, San Francisco, 2012.
[2]
Communities and Local Government: The English Indices of Deprivation. 2010. Retrieved 14 July 2012: http://www.communities.gov.uk/publications/corporate/statistics/indices2010
[3]
Fremont, A. M, Bierman, A., Wicktrom, S. L., Bird, C. E., Shah, M., Escarce, J. J., Horstman, J., and Rector, T. Use of Geocoding In Managed Care Settings To Identify Disparities. Health Affairs, 24(2):516--526.
[4]
Green, S., Poots, A. J., Marcano-Belisario, J., Samarasundera, E., Green, J., Honeybourne, H., and Barnes, R. Mapping mental health service access: Achieving equity through quality improvement. Journal of Public Health, 34 Advance Access http://
[5]
Green, S. A., Sullivan, P., Bell, D., and Barnes, R. Aligning quality improvement to population health. International Journal for Quality in Healthcare, 24(5):441--442.
[6]
Improving Access to Psychological Therapies. Retrieved 01 July 2012: http://www.iapt.nhs.uk/iapt/
[7]
McCrone, P., Thornicroft, G., Boyle, S., Knapp, M., and Aziz. F. The development of a Local Index of Need (LIN) and its use to explain variations in social services expenditures on mental health care in England. Health and Social Care in the Community, 14(3):254--263.
[8]
National Health Service Connecting for Health: the Secondary Uses Service programme. Retrieved 15 Jul 2012: http://www.connectingforhealth.nhs.uk/systemsandservices/sus
[9]
Office for National Statistics: Statistical Bulleting: Retrieved 23 July 2012: http://www.ons.gov.uk/ons/rel/sape/soa-mid-year-pop-est-engl-wales-exp/mid-2010-release/stb---super-output-area---mid-2010.html
[10]
Office for National Statistics: Neighbourhood Statistics. Retrieved 12 July 2012: http://neighbourhood.statistics.gov.uk/dissemination/
[11]
Psychological Therapy Patient Management System, Mayden. Retrieved 25 Jul 2012 http://www.iaptus.co.uk/
[12]
Quantum GIS Development Team, 2012. Quantum GIS Geographic Information System. Open Source Geospatial Foundation Project.Retrieved 26 July 2012: http://qgis.osgeo.org
[13]
Stead, M., Hastings, G., and Eadie, D. The challenge of evaluating complex interventions: a framework for evaluating media advocacy. Health Education Research 27(4):351--364.

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      cover image ACM Conferences
      HealthGIS '12: Proceedings of the First ACM SIGSPATIAL International Workshop on Use of GIS in Public Health
      November 2012
      93 pages
      ISBN:9781450317030
      DOI:10.1145/2452516
      Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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      Published: 06 November 2012

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      Author Tags

      1. 3 variable display
      2. GIS
      3. commissioning
      4. geographical heterogeneity
      5. health of the population
      6. need
      7. quality improvement
      8. routine data

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