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Inequalities in Health: Methodological Approaches to Spatial Differentiation

Author

Listed:
  • Dana Hübelová

    (Department of Social Studies, Faculty of Regional Development and International Studies, Mendel University in Brno, 613 00 Brno, Czech Republic)

  • Martina Kuncová

    (Department of Economic Studies, College of Polytechnics Jihlava, 586 01 Jihlava, Czech Republic)

  • Hana Vojáčková

    (Department of Technical Studies, College of Polytechnics Jihlava, 586 01 Jihlava, Czech Republic)

  • Jitka Coufalová

    (Department of Development, City Municipality of Břeclav, 690 02 Břeclav, Czech Republic)

  • Alice Kozumplíková

    (Department of Environmental Studies, Faculty of Regional Development and International Studies, Mendel University in Brno, 613 00 Brno, Czech Republic)

  • Francois Stefanus Lategan

    (Department of Regional and Business Economics, Faculty of Regional Development and International Studies, Mendel University in Brno, 613 00 Brno, Czech Republic)

  • Beatrice-Elena Chromková Manea

    (Department of Social Studies, Faculty of Regional Development and International Studies, Mendel University in Brno, 613 00 Brno, Czech Republic)

Abstract

The prevalence of inequalities in the general health position of communities can be assessed by using selected determinants. The aims of this article are three-fold: (1) to apply a comprehensive approach to the assessment of inequalities in the general health position of communities, (2) to determine the spatial differentiation of determinants, and (3) to present selected assessment methods and their impact on the results. To present a quantitative assessment of these inequalities in health status in communities, a composite indicator (Health Index) was developed. This Health Index is composed of 8 areas of evaluation and 60 indicators which include, amongst others, determinants of health status and healthcare at district level (LAU 1) in the Czech Republic. The data are evaluated using multicriteria decision-making methods (the WSA and TOPSIS methods). Findings suggest that, when all eight domains are assigned the same weight of one, the spatial differentiation among the districts is similar when using both methods. If different weightings are assigned to the districts, changes occur in both the index values and the rankings of the analyzed districts. For example, the allocation of weightings in both methods results in a rearrangement of the ranking of districts for which the Health Index is around the average.

Suggested Citation

  • Dana Hübelová & Martina Kuncová & Hana Vojáčková & Jitka Coufalová & Alice Kozumplíková & Francois Stefanus Lategan & Beatrice-Elena Chromková Manea, 2021. "Inequalities in Health: Methodological Approaches to Spatial Differentiation," IJERPH, MDPI, vol. 18(23), pages 1-21, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12275-:d:685618
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    References listed on IDEAS

    as
    1. Lopez, Russ, 2004. "Income inequality and self-rated health in US metropolitan areas: A multi-level analysis," Social Science & Medicine, Elsevier, vol. 59(12), pages 2409-2419, December.
    2. Fink, A. & Kosecoff, J. & Chassin, M. & Brook, R.H., 1984. "Consensus methods: Characteristics and guidelines for use," American Journal of Public Health, American Public Health Association, vol. 74(9), pages 979-983.
    3. Alireza Alinezhad & Javad Khalili, 2019. "New Methods and Applications in Multiple Attribute Decision Making (MADM)," International Series in Operations Research and Management Science, Springer, number 978-3-030-15009-9, September.
    4. Lucia Bosakova & Katarina Rosicova & Daniela Filakovska Bobakova & Martin Rosic & Dagmar Dzurova & Hynek Pikhart & Michala Lustigova & Paula Santana, 2019. "Mortality in the Visegrad countries from the perspective of socioeconomic inequalities," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(3), pages 365-376, April.
    5. Leonid Azarnert, 2006. "Child mortality, fertility, and human capital accumulation," Journal of Population Economics, Springer;European Society for Population Economics, vol. 19(2), pages 285-297, June.
    6. Raffaele Lagravinese & Paolo Liberati & Giuliano Resce, 2020. "Measuring Health Inequality in US: A Composite Index Approach," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 147(3), pages 921-946, February.
    7. Woolf, S.H. & Johnson, R.E. & Phillips Jr., R.L. & Philipsen, M., 2007. "Giving everyone the health of the educated: An examination of whether social change would save more lives than medical advances," American Journal of Public Health, American Public Health Association, vol. 97(4), pages 679-683.
    8. repec:dau:papers:123456789/10510 is not listed on IDEAS
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