Rooney Brenda L, Thompson Jeffrey E
Gundersen Lutheran Health System, La Crosse, WI 54601, USA.
WMJ. 2009 Nov;108(8):403-6.
Community-based health improvement efforts sometimes focus on emerging health issues rather than following a more proactive planning process. Although there is an abundance of easily accessible data on state and national websites, community leaders frequently don't know where to find data that will help them to prioritize local efforts.
The La Crosse Medical Health Science Consortium (LMHSC) is a formal collaborative of the 2 major health care providers and 3 higher education institutions in La Crosse, Wisconsin, and covers 20 counties in western Wisconsin, southeastern Minnesota, and northeastern Iowa. To help prioritize regional health improvement efforts, we developed an interactive scorecard for each county, which allows for tracking indicators (ie, leading causes of death, accidents, cancer, health and behaviors, heart disease, infectious diseases, maternal and child health, sexually transmitted infections, and substance use/abuse) and monitoring health improvement efforts. The website www.communityscorecard.com allows the user to examine a county's statistics over time (as far back as 1998) and compare data among LMHSC's 20 counties, the state, and the nation as a whole. To aid prioritization, a grading schema allows each county to grade itself compared with selected health indicator benchmarks, like the Healthy People 2010 goals.
Since going public in March 2007, the website has received more than 10,500 visits by more than 2300 unique users from 48 states and 46 countries.
Prioritization and engagement of the community in health promotion activities requires quick access to accurate data that have been translated into information. We describe the development of a web-based population health scorecard for this purpose.
基于社区的健康改善工作有时侧重于新出现的健康问题，而非遵循更积极主动的规划流程。尽管在州和国家网站上有大量易于获取的数据，但社区领导人常常不知道在哪里能找到有助于他们确定地方工作重点的数据。
拉克罗斯医学与健康科学联盟（LMHSC）是威斯康星州拉克罗斯市2家主要医疗保健机构和3所高等教育机构的正式合作组织，覆盖威斯康星州西部、明尼苏达州东南部和爱荷华州东北部的20个县。为帮助确定区域健康改善工作的重点，我们为每个县开发了一个交互式记分卡，用于跟踪各项指标（即主要死因、事故、癌症、健康与行为、心脏病、传染病、母婴健康、性传播感染以及物质使用/滥用）并监测健康改善工作。网站www.communityscorecard.com允许用户查看一个县随时间推移（最早可追溯到1998年）的统计数据，并比较LMHSC的20个县、该州以及整个国家的数据。为辅助确定重点，一个分级方案使每个县能够将自身与选定的健康指标基准（如《健康人民2010》目标）进行对比评分。
自2007年3月上线以来，该网站已迎来来自48个州和46个国家的2300多名独立用户的10500多次访问。
在健康促进活动中确定重点并让社区参与，需要快速获取已转化为信息的准确数据。我们为此描述了一种基于网络的人群健康记分卡的开发情况。
