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Appendix B: Overview: Workshop on Summary Measures of Population Health Status
Pages 33-38

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From page 33...
... They share the common purpose of informing a urge range of decision malting in the public health and medical systems both in Me United States and abroad. More specifically, it has been proposed that health status measures are suited to measuring He efficiency or effectiveness of medical interventions, assessing quality of care, estimating the needs of populations, improving clinical decisions, and understanding the causes and consequences of differences in health.2 Forming their uses in a slightly different way, Bergner and Rothmans have suggested Hat health status assessment measures serve four different functions, including examination of the health of general populations, clinical interventions arid their effects, changes In the health care delivery system, and health promotion activities and Heir effects.
From page 34...
... Application at the delivery and program evaluation side of health care has lagged substantially behind the general public health tracking function. The reasons for the disconnect between the measurement and the policy communities are many.
From page 35...
... The outcomes charted by these measures might suggest to planners and decision makers a need to expand or abolish access to therapies or programs which have importance to different constituenc~es. WORKSHOP STRUCTURE This workshop m11 focus on summary measures of health status and heal~-related quality of life that have been created to serve a number of informational and decision making needs in both medicine and public heals.
From page 36...
... Paige Sipes Metzler, who worked with the Oregon Health Services Commission, will describe use of QALYs in state-level decision making on the components of a basic health care benefit package. Jim Mark, Director of the Center for Chronic Diseases at the Centers for Disease Control and Prevention, will discuss CDC's initiative to assess burden of disease in a manner that creates opportunities for exploring prevention priorities for the United States.
From page 37...
... Jean-Pierre Poullier, from the Organization for Economic Cooperation and Development, will describe international discussions under way to achieve consensus concerning the use of summary measures for shared economic evaluations. Stephen Safyer will reflect on how a large, multifaceted health care delivery system providing a continuum of care from primary care to tertiary care, to rehab and nursing home, views the use of these measures.
From page 38...
... Prioritization of Health Care Services: A Progress Report by the Oregon Health Services Commission.ArchivesofInternalMea~icine 151:912-916, 1991.


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