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Summarizing Population Health Directions for the Development and Application of Population Metrics (1998) / Chapter Skim
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Pages 17-20

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From page 17...
... In his background paper, Daniels suggests that these aIld other distributive questions form a family of unsolved rationing problems and Hat persistent controversy involving them may be traced to systematic moral views that differ in their distributive unplications. In the face of such divergent views; Damsels claims, it is not possible to elicit meaningful weights from survey techniques, and more attention has to be paid to designing publicly accountable, fair deliberative procedures to resolve disputes about these distributive questions.
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From page 18...
... The Department of Health and Human Services should initiate a process of analysis and public discussion to clarify the ethical assumptions and value judgments embedded in the summary measures and to assess the critical ethical and policy implications of differing designs, implementation approaches, and uses of these measures. Because controversies about the ethical bases and implications of different measures may so greatly affect the acceptability and application of summary measures in policymaking, those encouraging the use of summary measures and those who would actually use them should have a better understanding of the ethical underpinnings and implications of different measures.
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From page 19...
... SUMMARIZING POP Ul~TIONHEAl TH 19 Several agencies and units within DHHS would have to cooperate in establishing a standard-setting process and in integrating it with broader international efforts to secure agreement on standard summary measures to use for specific applications. The goals for the standard-seuing process should include · providing a coherent framework for the testing and application of summary measures of population health, including clear tenninology and criteria for assessing when measures may not be suitable for specific uses; · cianfying the values and assumptions underlying different measures and their application for different purposes, · identifying similanties and difference between existing measures of individual and population health and proposed standard measures; · coordinating web the development, application, and standard-setting efforts of other national and international bodies; and · providing a long-term strategy to encourage compatibility between individual heady outcome measures and summary measures of population health.
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From page 20...
... Public health professionals have traditionally focused on population health, but clinicians are increasingly participating in managed care plans and large medical groups that are being held responsible for the health of populations arid not just for taking care of individual patients. To reach clinicians—and benefit from their special understanding of patients and their health problems educational efforts must involve the professional organizations to which practitioners look for guidance.
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Key Terms

  • population health
  • health status
  • measurement strategies
  • specific applications
  • health states

  • summary measure
  • distributive questions
  • policy implications
  • health professionals
  • value judgments

  • held responsible
  • ethical assumptions
  • clarifying issues
  • critical ethical
  • background paper

  • social preferences
  • designing publicly
  • public attitudes
  • public discussion
  • ethical analysis

  • resource allocations
  • valued health
  • health include
  • health plan
  • fair deliberative

  • publicly accountable
  • provide encouraging
  • controversial value
  • educating policymakers
  • systematic moral


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