Tracking Disparities In The Effective Delivery Of Health Services

描述(由申请人提供)：跟踪有效提供卫生服务的差距项目的主要目标是开发、应用和改进方法，以提高卫生机构、政策制定者、研究人员和分析人员跟踪有效提供干预措施方面的差距的能力，以改善人口健康。实现这一目标的两个具体目标是：(1)使用所有现有数据估计华盛顿州39个县在2000年至2008年期间一系列主要保健干预措施的覆盖率和有效覆盖率；(2)制定一套标准化的培训工具和方案，可用作其他情况下估计有效覆盖率的模板。将使用统计方法来确定华盛顿州39个县的一系列关键干预措施的覆盖范围，并在可能的情况下确定有效覆盖范围。干预措施将包括个人和非个人干预，例如，以社区为基础的教育，以减少人们接触烟草等关键风险因素，住院管理重大疾病，如心肌梗塞和中风，以及门诊管理风险因素，如高血压和血脂。根据估计复盖率和有效复盖率的方法，将创建一套工具和培训材料，以便在世界各地的其他地点实施这些方法。本提案的目标是不仅衡量总覆盖率，而且衡量覆盖率和有效覆盖率的差距。卫生系统的管理人员可以通过提供有效的干预措施来改善其人口的健康。衡量非传染性疾病治疗和相关风险因素的覆盖面和有效覆盖面的措施，特别是在发达国家，涵盖需要干预的人口、有需要的人对保健服务的利用情况以及保健系统提供的干预质量。

DESCRIPTION (provided by applicant): The primary goal of the Tracking Disparities in the Effective Delivery of Health Services project is to develop, apply and refine methods that enhance health agencies, policy-makers, researchers, and analysts' ability to track disparities in the effective delivery of interventions to improve population health. The two specific aims towards achieving this goal are: (1) to use all available data to estimate the coverage and effective coverage of a range of key health interventions for each of the 39 counties in the State of Washington over the period 2000 to 2008 and (2) to develop a set of standardized training tools and protocols that can be used as a template for estimating effective coverage in other settings. Statistical approaches will be used to determine the coverage, and where possible, the effective coverage of a range of key interventions for each of the 39 counties in Washington State. Interventions will include both personal and non-personal interventions, including, for example, community-based education to reduce population exposure to key risk factors such as tobacco, inpatient management of major disease such as myocardial infarction and stroke as well as outpatient management of risk factors such as high blood pressure and lipids. Based on the methods used to estimate coverage and effective coverage a suite of tools and training materials will be created to allow implementation of these approaches in other locations around the world. Measuring not just aggregate levels of coverage, but disparities in coverage and effective coverage is the goal of this proposal. Stewards of health systems can improve the health of their populations by delivering effective interventions. Measures of coverage and effective coverage of the treatment of non-communicable disease and the associated risk factors, particularly in developed county settings, capture the population in need of an intervention, the utilization of a health service by those in need, and the quality of the intervention being delivered by the health system.