Expert panels determined the public health goals of Healthy People 2000 subjectively.
The present study examined whether data-driven benchmarks provide a better afternative.
We developed the pared-mean method to define from date 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 subs 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 reserved mammography.
The pared-mean bench-deck for screening mammography was 71%, compared with the Healthy People 2000 goal of 60%. Conclusions.
For Healthy People 2010, benchmarks derived from data refleeting the best available care provide viable alternatives to consensus-decised targets, We ate currautly pursuing additional refinements to the data-driven pared-mean berichmark approach.
Mots-clés Pascal : Etats Unis, Amérique du Nord, Amérique, Homme, Programme sanitaire, Méthodologie, Analyse donnée, Analyse statistique, Mammographie, Dépistage, Femelle, Perspective, Radiodiagnostic
Mots-clés Pascal anglais : United States, North America, America, Human, Sanitary program, Methodology, Data analysis, Statistical analysis, Mammography, Medical screening, Female, Perspective, Radiodiagnosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0082654
Code Inist : 002B30A01C. Création : 31/05/1999.