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  • 标题:Can data-driven benchmarks be used to set the goals of healthy people 2010?
  • 本地全文:下载
  • 作者:J Allison ; C I Kiefe ; N W Weissman
  • 期刊名称:American journal of public health
  • 印刷版ISSN:0090-0036
  • 出版年度:1999
  • 卷号:89
  • 期号:1
  • 页码:61-65
  • 出版社:American Public Health Association
  • 摘要:OBJECTIVES: Expert panels determined the public health goals of Healthy People 2000 subjectively. The present study examined whether data-driven benchmarks provide a better alternative. METHODS: We developed the "pared-mean" method to define from data the best achievable health care practices. We calculated the pared-mean benchmark for screening mammography from the 1994 National Health Interview Survey, using the metropolitan statistical area as the "provider" unit. Beginning with the best-performing provider and adding providers in descending sequence, we established the minimum provider subset that included at least 10% of all women surveyed on this question. The pared-mean benchmark is then the proportion of women in this subset who received mammography. RESULTS: The pared-mean benchmark for screening mammography was 71%, compared with the Healthy People 2000 goal of 60%. CONCLUSIONS: For Healthy People 2010, benchmarks derived from data reflecting the best available care provide viable alternatives to consensus-derived targets. We are currently pursuing additional refinements to the data-driven pared-mean benchmark approach.
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