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Wednesday, May 31, 2017

Fairness, equity versus equality in medical integrated system


The equality and equity discussed formerly from one other prospective but in this post we are going to discuss them again with system integration management. The main difference between equality and equity is not big in letters while in meaning actually yes. There are many of available explanation tried to enumerate the differences but at the end that figured out was there missed or difficult to remember exactly where the differences settled in. Moreover, working with integrated medical systems that put you on burden to know by heart what are the differences between equity and equality?!. In order to answer this question, firstly we should understand the core difference for both; meaning without full understanding to the core would be hard to distinguished the proper identification of them. Why I saying that because one of the main reasons pushed medical researcher to create integrated networks was to minimize as possible the gap between end value receivers or in other meaning achieve equity among most of patients. I guess clearly now why we should not underestimate the meaning of core difference.

Equality core meaning works with availability of equipments and tools of medical unites or accessories. For instance; we have hospital and this hospital has clinics for patients; those clinics are considered tools available in the same schedule. This availability of the facility is called equality. The hospital already gave the patient all rights to use these clinics and without any constraints or obstacles.

Equity core meaning is different and we have to take the tail of previous paragraphs to get the point in the proper site. When you got the availability to visit the hospital clinics according to their schedule and get all benefits over there, that is good, is not it?.  But if some people could not arrive at the same schedule or they live very far from the hospital clinics and for any reasons. They are not be able to get there to visit their family doctor or specialist on due because of distance, senility, lack of vehicle…..etc. when we create a way working special for them and matching close their health circumstances, only in that case we got to attain the equity among  patients.

Depending on the former core meaning and explanation we easily can differentiate between Equity and Equality; Equality is dealing with the level of tools and equipment availability for each of community utilizing unites, whether this unite human kind or other integrated machine while Equity is dealing with the level of the same end results and individual utilizations even with different availability levels or modified delivery pathways.

Fairness is related to medical financial modules and associated procedures working better with money management and other economic parameters; would be discussed in details in coming posts.

Accordingly; patients who could be able to get the same services from the working unites, will receive the same value and availability through different gate of service matching more with their special requirements regardless site, age or degree of needs, in other meaning full access of the medical services and get the same services but with different or modified methodologies of delivery. The difference between Equity and Equality was the main and still the important motivator of medical systems improvement and innovative delivery methods. Ultimately; I would like to remind me and our generous reader that medical integration is not welfare of technologies, it considered the necessary concept of work operation more fit and acclimatized to our health life. Full health J

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