Klazinga N, Stronks K, Delnoij D, Verhoeff A
Department of Social Medicine, Academic Medical Centre, University of Amsterdam, The Netherlands.
Int J Qual Health Care. 2001 Dec;13(6):433-8. doi: 10.1093/intqhc/13.6.433.
Indicators have a long history in public health. Since the end of the 18th century information on the health of communities has been gathered on a health system level and public health indicators have become more sophisticated over the vears. However, in many modern health care systems there is a separation between public health and health services. This paper discusses the need for integration and promotes a stronger public health orientation of health services. This has consequences for the nature of indicators on the health services level. The methodological problems of turning epidemiological data into management information for health services are discussed. The key message is that the health of the community should be the ultimate cause of all indicators.
指标在公共卫生领域有着悠久的历史。自18世纪末以来，有关社区健康的信息就在卫生系统层面进行收集，并且多年来公共卫生指标变得更加精细。然而，在许多现代医疗保健系统中，公共卫生与卫生服务是分离的。本文讨论了整合的必要性，并倡导卫生服务更加强化公共卫生导向。这对卫生服务层面指标的性质产生了影响。文中探讨了将流行病学数据转化为卫生服务管理信息的方法学问题。关键信息是，社区健康应是所有指标的最终目标。
