University of Wisconsin School of Medicine and Public Health, Madison, WI 53726, USA.
Prev Chronic Dis. 2010 Jan;7(1):A16. Epub 2009 Dec 15.
Report cards are widely used in health for drawing attention to performance indicators. We developed a state health report card with separate grades for health and health disparities to generate interest in and awareness of differences in health across different population subgroups and to identify opportunities to improve health. We established grading curves from data for all 50 states for 2 outcomes (mortality and unhealthy days) and 4 life stages (infants, children and young adults, working-age adults, and older adults). We assigned grades for health within each life stage by sex, race/ethnicity, socioeconomics, and geography. We also assigned a health disparity grade to each life stage. Report cards can simplify complex information for lay audiences and garner media and policy maker attention. However, their development requires methodologic and value choices that may limit their interpretation.
报告卡广泛应用于健康领域，以引起对绩效指标的关注。我们开发了一份州健康报告卡，为健康和健康差距分别评分，以引起人们对不同人群亚组之间健康差异的兴趣和认识，并确定改善健康的机会。我们根据所有 50 个州的两个结果（死亡率和不健康天数）和四个生命阶段（婴儿、儿童和年轻人、工作年龄成年人和老年人）的数据建立了评分曲线。我们按性别、种族/族裔、社会经济和地理位置为每个生命阶段的健康分配等级。我们还为每个生命阶段分配了一个健康差距等级。报告卡可以为非专业观众简化复杂的信息，并引起媒体和政策制定者的关注。然而，它们的发展需要方法学和价值观的选择，这可能限制它们的解释。
