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This annual report - Taranaki District Health Board

This annual report - Taranaki District Health Board

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3. The condition exhibits a socioeconomic gradient (e.g. rates are higher in moredeprived areas)4. The condition is likely to respond to changing economic conditions in the short tomedium term (e.g. months to 1–2 years)Data Quality CriteriaData Quality Criteria (for either of the above indicator categories)1. Needs to be routinely collected2. Available at the national level i.e. complete coverage of target population3. Updated at least <strong>annual</strong>ly (although quarterly preferable)4. Availability of consistent time series data going back several years (i.e. standard andstable method of data collection)5. Distribution can be broken down by e.g. ethnicity, socioeconomic status, regionSelection of the Baseline Indicator SetIn mid 2009 a long list of candidate indicators (selected by means of a scan of theavailable literature, email consultation with child health networks, and the suggestions ofWorking Group members) were then scored against each of these criteria by WorkingGroup members and other health professionals (n=20). Those scoring the indicators werealso asked to select a Top Five Economic and Top Five <strong>Health</strong> and Wellbeing Indicatorsfor inclusion in the Children’s Social <strong>Health</strong> Monitor. The resulting Top Five Economic andWellbeing indicators (as determined both by criteria scoring and priority ranking) were:Economic Indicators:Gross Domestic ProductIncome InequalityChild PovertyUnemployment RatesThe Number of Children Reliant on Benefit RecipientsChild <strong>Health</strong> and Wellbeing Indicators:Hospital Admissions with a Social GradientMortality with a Social GradientInfant MortalityHospital Admissions and Mortality from Non-Accidental InjuryAmbulatory Sensitive Hospital AdmissionsMethodology for Developing the Hospital Admissions andMortality with a Social Gradient IndicatorWhile all of the Top Five Economic Indicators, and a number of the Child <strong>Health</strong> andWellbeing indicators already had established methodologies, the hospital admissions andmortality with a social gradient indicator had to be developed specifically for the Children’sSocial <strong>Health</strong> Monitor. The methodology used to develop this indicator is outlined below:Hospital AdmissionsIn considering which conditions should be included in the analysis of hospital admissionswith a social gradient, the 40 most frequent causes of hospital admission in children aged0–14 years (excluding neonates) were reviewed, and those exhibiting a social gradient (arate ratio of ≥1.8 for NZDep deciles 9–10 vs. deciles 1–2; or for Māori, Pacific or Asian vs.European children) were selected. A small number of conditions with rate ratios in the 1.5–1.8 range were also included, if they demonstrated a consistent social gradient (i.e. ratesincreased in a stepwise manner with increasing NZDep deprivation) and the associationAppendices and References - 448

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