Can data-driven benchmarks be used to set the goals of healthy people 2010
Department of Quantitative Health Sciences
Benchmarking; *Data Interpretation, Statistical; *Evidence-Based Medicine; Female; Forecasting; *Health Planning Guidelines; Health Priorities; Humans; Mammography; Mass Screening; Middle Aged; Reproducibility of Results; United States
Bioinformatics | Biostatistics | Epidemiology | Health Services Research
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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Citation: Am J Public Health. 1999 Jan;89(1):61-5.
American journal of public health
Allison, Jeroan J.; Kiefe, Catarina I.; and Weissman, Norman W., "Can data-driven benchmarks be used to set the goals of healthy people 2010" (1999). Quantitative Health Sciences Publications and Presentations. 126.