Carson C A, Zucconi S L
University of Melbourne, Department of Ophthalmology.
J Health Adm Educ. 1993 Fall;11(4):551-62.
Health objectives, developed by the United States Department of Health and Human Services, were published recently in the document entitled Healthy People 2000: National Health Promotion and Disease Prevention Objectives. They were developed to guide national and local health policy toward actions to increase the health of the nation. To effectively apply these objectives locally, epidemiologists and health planners must work together. Through collaboration, the Healthy People 2000 objectives can be prioritized to guide health policy and planning on a regional basis. The purpose of this study was to assess certain health status indicators in southwestern Pennsylvania to determine whether it was likely that the year 2000 targets would be met if trends from the past 20 years were to continue. The following mortality rates were analyzed: heart disease, homicide, breast cancer, colon cancer, lung cancer, suicide, motor vehicle accidents, work-related injury, and infant mortality. In addition, incidence of the following diseases was evaluated against the year 2000 targets: gonorrhea, primary and secondary syphilis, measles, tuberculosis, and AIDS. By employing epidemiological principles and considering strategic planning needs, it is possible to prioritize some of the health care needs in local areas for the next decade.
美国卫生与公众服务部制定的健康目标最近发表在题为《2000年健康人群：国家健康促进与疾病预防目标》的文件中。这些目标旨在指导国家和地方的卫生政策采取行动，以增进国民健康。为了在地方有效应用这些目标，流行病学家和卫生规划者必须共同努力。通过合作，可以确定《2000年健康人群》目标的优先次序，以便在区域基础上指导卫生政策和规划。本研究的目的是评估宾夕法尼亚州西南部的某些健康状况指标，以确定如果过去20年的趋势继续下去，2000年的目标是否有可能实现。分析了以下死亡率：心脏病、凶杀、乳腺癌、结肠癌、肺癌、自杀、机动车事故、工伤和婴儿死亡率。此外，还对照2000年目标评估了以下疾病的发病率：淋病、一期和二期梅毒、麻疹、结核病和艾滋病。通过运用流行病学原理并考虑战略规划需求，有可能确定未来十年当地一些医疗保健需求的优先次序。
