[智利卫生系统的数据质量:智利土著和移民人口的未偿债务]。

Revista medica de Chile Pub Date : 2024-11-01 Epub Date: 2025-02-03 DOI:10.4067/s0034-98872024001101130
Carolina Acevedo De La Harpe, Nathalie Jaramillo-Brun
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引用次数: 0

摘要

卫生公平是一项与卫生系统的实力密切相关的目标。在这方面,卫生机构掌握的有关人口的数据和证据至关重要。目的:评价智利移民妇女和土著妇女性健康和生殖健康数据的质量。我们从强调国家及其机构依靠其人民执行更有效和有效率的社会政策的重要性的角度来处理这一问题。方法:对2012 ~ 2024年卫生统计信息部编制的每月统计摘要(REM)进行回顾性分析。结果:关于一致性,数据的来源是相同的,然而,代码随着时间的推移而改变,这就是并非所有观察到的维度都具有土著或移民类别。关于可用性,没有明确区分带有零或空情况的单元格,这使得数据的解释和完整性变得困难。结论:调查结果显示了一种我们称之为“负相互依赖”的现象,这种现象对卫生信息系统(DEIS-Chile)收集的信息产生了偏见,使所观察人群的卫生不平等现象长期存在,最重要的是,忽略了作为持续改进卫生系统基础的次国家领土背景。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Data Quality in the Chilean Health System: An Outstanding Debt with the Indigenous and Migrant Populations in Chile].

Health equity is an objective that is strongly linked to the strength of health systems. In this regard, the data and evidence that the health structure has on the population is of vital importance.

Aim: was to evaluate the quality of data on sexual and reproductive health of migrant and indigenous women in Chile. We approach this issue from a perspective that emphasizes the importance of the State and its institutions relying on their populations to implement more effective and efficient social policies.

Methods: The Monthly Statistical Summaries (REM) prepared by the Department of Health Statistics and Information (DEIS) for the years 2012 to 2024 were reviewed.

Results: Regarding coherence, the origin of the data is the same, however, the codes have changed over time, this is where not all the dimensions observed have the indigenous or migrant category. Regarding availability, there is no clear differentiation between cells with zeros or empty cases, which makes the interpretation and completeness of the data difficult.

Conclusions: The findings show a phenomenon that we have called "negative interdependence" which generates bias with respect to the information collected by the health information system (DEIS-Chile) that perpetuates the health inequities of the observed populations and, above all, omits the subnational territorial context as a basis for the continuous improvement of health systems.

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