An unsupervised probabilistic net (UPN) is introduced to identify health inequalities among countries according to their health status measured by the collected health indicators. By estimating the underlying probability density function of the health indicators using UPN, countries, which have similar health status, will be categorized into the same cluster. From this, the intercluster health inequalities are identified by the Mahalanobis distance, and the intracluster health inequalities are identified by the diversity within the clusters. To extract the typical health status, the concept of virtual objects is used in this study. Each virtual object in this study, therefore, represents a hypothetical country, which does not exist in a data set but can be found through learning. The identified virtual objects represent the hidden knowledge in a data set and can be valuable to social scientists in health promotion planning. Moreover, the investigation of the behavior of the virtual objects can help us to find the realistic and reasonable health promotion target for a country with a poor health status.
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http://dx.doi.org/10.1109/TNN.2002.806956 | DOI Listing |
Biometrics
October 2024
RAND Corporation, Pittsburgh, PA 15213, United States.
Health care decisions are increasingly informed by clinical decision support algorithms, but these algorithms may perpetuate or increase racial and ethnic disparities in access to and quality of health care. Further complicating the problem, clinical data often have missing or poor quality racial and ethnic information, which can lead to misleading assessments of algorithmic bias. We present novel statistical methods that allow for the use of probabilities of racial/ethnic group membership in assessments of algorithm performance and quantify the statistical bias that results from error in these imputed group probabilities.
View Article and Find Full Text PDFClin Pharmacol Ther
December 2024
Flatiron Health, New York, NY, USA.
Clinical research has historically failed to include representative levels of historically underrepresented populations and these inequities continue to persist. Ensuring representativeness in clinical trials is crucial for patients to receive clinically appropriate treatment and have equitable access to novel therapies; enhancing the generalizability of study results; and reducing the need for post-marketing commitments focused on underrepresented groups. As demonstrated by recent legislation and guidance documents, regulatory agencies have shown an increased interest in understanding how novel therapies will impact the patient population that will receive them.
View Article and Find Full Text PDFSyst Rev
December 2024
Centre for Health Promotion Research, School of Health, Leeds Beckett University, Leeds, UK.
Background: Delivery of health and care services using a combination of remote and/or in-person channels and digital and/or traditional tools (Hybrid Service Delivery, HSD) is increasingly seen as a way of improving quality and affordability, improving access, personalisation and sustainability, and reducing inequalities. Across the voluntary, community and social enterprise sector (VCSE), using a combination of remote and/or in-person channels and digital and/or traditional tools (HSD) has enabled the essential provision of services for people who have learning disabilities and/or autistic (LDA). However, it is unclear how different tools and channels have been used, what worked well or not well, for whom, and in what circumstances.
View Article and Find Full Text PDFInt J Equity Health
December 2024
Modeling of Noncommunicable Diseases Research Center, Institute of Health Sciences and Technologies, Avicenna Health Research Institute, Hamadan University of Medical Sciences, Hamadan, Iran.
Background: We aimed to determine the prevalence of physical activity and socio-economic inequality among the adults of Hamadan city.
Methods: This cross-sectional analytical study was conducted in Hamadan city between 2022 and 2023, involving a total of 591 adults aged 18 to 64 years. The research tool utilized in this study was the International Physical Activity Questionnaire, the results of the concentration index analysis reported at 95% confidence level.
Sci Rep
December 2024
The Center for Internet and Society, Nantong Institute of Technology, 211 Yongxing Road, Nantong, 226002, China.
China faces substantial challenges in healthcare access and quality, marked by significant regional disparities. While the potential of informatization to enhance healthcare services is increasingly acknowledged, the specific mechanisms through which it impacts healthcare delivery remain underexplored. By employing provincial panel data and dynamic spatial panel models, we aim to uncover the mechanisms through which informatization impacts healthcare delivery.
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