Hancock T, Labonte R, Edwards R
Can J Public Health. 1999 Nov-Dec;90 Suppl 1(Suppl 1):S22-6. doi: 10.1007/BF03403574.
We begin with a discussion of some vitally important conceptual and methodological issues. These issues concern our understanding of community, of health, of population health and its determinants, of the concept of 'measurement' and the values that underlie it, and our reasons for wishing to measure these constructs. We then present a framework for indicator categories, propose some criteria for indicator selection and suggest an initial set of core indicators. This indicator set reflects not simply health status--no matter how broadly defined--but also the environmental, social and economic determinants of health and the "healthfulness" of the community itself. Our most important conclusion is that if the information that is contained in the data of the indicator set is to be transformed into knowledge that can empower and emancipate the community, it has to be developed in consultation with the local community and local users of the information.
我们首先讨论一些至关重要的概念和方法问题。这些问题涉及我们对社区、健康、人群健康及其决定因素、“测量”概念及其背后的价值观的理解，以及我们希望测量这些结构的原因。然后，我们提出一个指标类别的框架，提出一些指标选择标准，并建议一组初始的核心指标。这个指标集不仅反映了健康状况——无论定义得多么宽泛——还反映了健康的环境、社会和经济决定因素以及社区本身的“健康程度”。我们最重要的结论是，如果指标集数据中包含的信息要转化为能够赋予社区权力并使其获得解放的知识，就必须与当地社区和信息的当地使用者协商制定。
