University of Wisconsin School of Medicine and Public Health, University of Wisconsin Population Health Institute, Madison, WI 53726, USA.
Prev Chronic Dis. 2010 Sep;7(5):A101. Epub 2010 Aug 15.
Population health rankings can be used by various actors for different purposes. This article examines those potential uses and concludes that the chief promise of population health rankings lies in 2 areas. The first is to help set agendas - stimulating awareness, motivation, and debate over means to improved health outcomes. The second is to help establish broad responsibility for population health and the need for multisectoral collaboration to improve outcomes. A new performance regime based on rankings will require more research to establish causal pathways and relative determinants of health, as well as stronger evidence about the effects of public and private interventions to guide investment strategies. Finally, leaders who develop and promote population health rankings must further develop the technical community needed to translate the response to the rankings into constructive public debate and policy development.
人口健康排名可以被不同的利益相关者用于不同的目的。本文探讨了这些潜在用途，并得出结论，人口健康排名的主要意义在于两个方面。一是帮助确定议程——提高健康结果的意识、动机和辩论。二是帮助确定对人口健康的广泛责任以及需要多部门合作来改善结果。基于排名的新绩效制度将需要更多的研究来确定健康的因果途径和相对决定因素，以及更有力的公共和私人干预措施效果的证据，以指导投资策略。最后，制定和推广人口健康排名的领导人必须进一步发展技术社区，将对排名的反应转化为建设性的公众辩论和政策制定。
