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Monitoring Progress in Population Health: Trends in Premature Death Rates
INTRODUCTION: Trends in population health outcomes can be monitored to evaluate the performance of population health systems at the national, state, and local levels. The objective of this study was to compare and contrast 4 measures for assessing progress in population health improvement by using a...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Centers for Disease Control and Prevention
2013
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3873215/ https://www.ncbi.nlm.nih.gov/pubmed/24370109 http://dx.doi.org/10.5888/pcd10.130210 |
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author | Remington, Patrick L. Catlin, Bridget B. Kindig, David A. |
author_facet | Remington, Patrick L. Catlin, Bridget B. Kindig, David A. |
author_sort | Remington, Patrick L. |
collection | PubMed |
description | INTRODUCTION: Trends in population health outcomes can be monitored to evaluate the performance of population health systems at the national, state, and local levels. The objective of this study was to compare and contrast 4 measures for assessing progress in population health improvement by using age-adjusted premature death rates as a summary measure of the overall health outcomes in the United States and in all 50 states. METHODS: To evaluate the performance of statewide population health systems during the past 20 years, we used 4 measures of age-adjusted premature (<75 years of age) death rates: current rates (2009), baseline trends (1990s), follow-up trends (2000s), and changes in trends from baseline to the follow-up periods (ie, “bending the curve”). RESULTS: Current premature death rates varied by approximately twofold, with the lowest rate in Minnesota (268 deaths per 100,000) and the highest rate in Mississippi (482 deaths per 100,000). Rates improved the most in New York during the baseline period (−3.05% per year) and in New Jersey during the follow-up period (−2.87% per year), whereas Oklahoma ranked last in trends during both periods (−0.30%/y, baseline; +0.18%/y, follow-up). Trends improved the most in Connecticut, bending the curve downward by −1.03%; trends worsened the most in New Mexico, bending the curve upward by 1.21%. DISCUSSION: Current premature death rates, recent trends, and changes in trends vary by state in the United States. Policy makers can use these measures to evaluate the long-term population health impact of broad health care, behavioral, social, and economic investments in population health. |
format | Online Article Text |
id | pubmed-3873215 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Centers for Disease Control and Prevention |
record_format | MEDLINE/PubMed |
spelling | pubmed-38732152014-01-14 Monitoring Progress in Population Health: Trends in Premature Death Rates Remington, Patrick L. Catlin, Bridget B. Kindig, David A. Prev Chronic Dis Original Research INTRODUCTION: Trends in population health outcomes can be monitored to evaluate the performance of population health systems at the national, state, and local levels. The objective of this study was to compare and contrast 4 measures for assessing progress in population health improvement by using age-adjusted premature death rates as a summary measure of the overall health outcomes in the United States and in all 50 states. METHODS: To evaluate the performance of statewide population health systems during the past 20 years, we used 4 measures of age-adjusted premature (<75 years of age) death rates: current rates (2009), baseline trends (1990s), follow-up trends (2000s), and changes in trends from baseline to the follow-up periods (ie, “bending the curve”). RESULTS: Current premature death rates varied by approximately twofold, with the lowest rate in Minnesota (268 deaths per 100,000) and the highest rate in Mississippi (482 deaths per 100,000). Rates improved the most in New York during the baseline period (−3.05% per year) and in New Jersey during the follow-up period (−2.87% per year), whereas Oklahoma ranked last in trends during both periods (−0.30%/y, baseline; +0.18%/y, follow-up). Trends improved the most in Connecticut, bending the curve downward by −1.03%; trends worsened the most in New Mexico, bending the curve upward by 1.21%. DISCUSSION: Current premature death rates, recent trends, and changes in trends vary by state in the United States. Policy makers can use these measures to evaluate the long-term population health impact of broad health care, behavioral, social, and economic investments in population health. Centers for Disease Control and Prevention 2013-12-26 /pmc/articles/PMC3873215/ /pubmed/24370109 http://dx.doi.org/10.5888/pcd10.130210 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited. |
spellingShingle | Original Research Remington, Patrick L. Catlin, Bridget B. Kindig, David A. Monitoring Progress in Population Health: Trends in Premature Death Rates |
title | Monitoring Progress in Population Health: Trends in Premature Death Rates |
title_full | Monitoring Progress in Population Health: Trends in Premature Death Rates |
title_fullStr | Monitoring Progress in Population Health: Trends in Premature Death Rates |
title_full_unstemmed | Monitoring Progress in Population Health: Trends in Premature Death Rates |
title_short | Monitoring Progress in Population Health: Trends in Premature Death Rates |
title_sort | monitoring progress in population health: trends in premature death rates |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3873215/ https://www.ncbi.nlm.nih.gov/pubmed/24370109 http://dx.doi.org/10.5888/pcd10.130210 |
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