Assessing Equity in the Provision of Community Based Health Services

A Post-Mortem Analysis

Authors

  • Francesco Sijinardo Reconnect Community Health Services, Ontario
  • Rishika Williams Reconnect Community Health Services, Ontario
  • Mohamed Badsha Reconnect Community Health Services, Ontario
  • Michelle Krieger The Behavioural Insights Team, Ontario

DOI:

https://doi.org/10.3138/cjpe.68284

Keywords:

community health, health equity, health equity evaluation, mental health services, Reconnect

Abstract

This practice note addresses challenges encountered in assessing client equity in the provision of health services by a large, urban community health services organization. A client equity data-collection tool was designed and health services staff were trained in its use. Anticipated and unanticipated challenges arose in developing training materials, delivering staff training, fostering staff buy-in, administering the data-collection tool, assuring data quality, and interpreting results. Strategies for mitigating the challenges are presented.

References

Betancourt, J. R., Tan-McGrory, A., Kenst, K. S., Phan, T. H., & Lopez, L. (2017). Organizational change management for health equity: Perspectives from the Disparities Leadership Program. Health Affairs, 36(6), 1095 – 1101. https://doi.org/10.1377/hlthaf.2017.0022. Medline:28583969

Beynon-Davies, P. (2013). Business information systems. Palgrave Macmillan.

Centers for Disease Control and Prevention (CDC). (1999). Framework for program evaluation in public health practice. MMWR, 48 (No. RR-11), 1 – 40 . http://www.cdc.gov/eval/framework.htm

Cross, T. L., Bazron, B. J., Dennis, K. W., & Isaacs, M. R. (1989 , March). Towards a culturally competent system of care. National Institute of Mental Health, Child and Adolescent Service System Program.

Evergreen, S. D. (2018). Presenting data effectively: Communicating your findings for maximum impact. Sage.

Kirst, M., Shankardass, K., Bomze, S., Lofers, A., & Quiñonez, C. (2013). Sociodemographic data collection for health equity measurement: A mixed methods study examining public opinions. International Journal for Equity in Health, 12(1), 75 – 85. https://doi.org/10.1186/1475-9276-12-75. Medline:24119260

Patton, M. Q. (2011). Essentials of utilization-focused evaluation. Sage.

Tyer , B. A. ( 2010 ). Te handbook of social work research methods. Sage .

Van Ingen, T., Khandor, E., & Fleiszer, P. (2015, April). The unequal city 2015: Income and health inequities in Toronto. Toronto Public Health. https://www.toronto.ca/health/

Whitehead, M. (1991). The concepts and principles of equity and health. Health Promotion International, 6(3), 217 – 228. https://doi.org/10.1093/heapro/6.3.217

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Published

2023-04-21

How to Cite

Sijinardo, F., Williams, R., Badsha, M., & Krieger, M. (2023). Assessing Equity in the Provision of Community Based Health Services: A Post-Mortem Analysis. Canadian Journal of Program Evaluation, 37(1), 135–141. https://doi.org/10.3138/cjpe.68284

Issue

Section

Research and Practice Notes