Social inequality in health - measurements and methods of measurements. En opgave om, hvilke mål kommuner kan benytte sig af til evaluering af tiltag, som skal
Student thesis: Master Thesis and HD Thesis
- Louise Kjærsgaard
4. term, Social Work, Master (Master Programme)
The Danish Health Act which came into force on January 1, 2007 demands that the
municipalities in Denmark are responsible for preventative sanitary measures and health
promotion of which the levelling of the social inequality in health has become an eminent goal in
many municipalities. In the light of this Act, earlier studies of social inequality in health are
reviewed for the purpose of finding a quantitative measurement usable for the municipalities
when preventative projects are being evaluated. This project paper is an attempt to answer these
two questions:
1) Which measurements and methods of measurement are suitable for the description of the level
of inequality in health?
and
2) Which of these measurements and methods of measurement are suitable for the evaluation of
the short-term efforts to levelling the inequality in health?
The first part of the project paper reviews earlier publicized works on social inequality in health.
Many of the studies do not measure inequality in health quantitatively, which is why there is no
representation of the size of inequality or the extent of it. Also, the studies that measure the
extent of the inequality use measurements that relate to “mortality”, which means the aim
becomes long-termed and in substantial in connection to the evaluation of projects with children
as the target group for instance. The first part of the project concludes that the healtheconomic
methods, which measure “health” composed with a social indicator and which mark
accumulative values for these elements into a Lorenz-diagram, are very useful in the work with
short-termed projects on social inequality in health.
The second part of the project paper attempts to utilize the healtheconomic method for
measurement of social inequality in health. For this part of the project, the data is provided by
North Denmark Region. The data includes self-assessed health and income. The method isapplied with these data in order to determine whether or not the method is serviceable for
municipalities in the attempt to measure if a levelling has occurred in the inequality in health.
This test finds the method very useful, but also emphasizes a need for supplements to the method
with more qualitative measurements as a result of the complexity of the area. The empirical
examination also concludes that the available data and the method of approach are very
determinative for the outcome of the analyses.
Language | Danish |
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Publication date | 2008 |
Number of pages | 155 |
Publishing institution | Institut 1 |
Keywords | Social inequality in health |
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