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城市层面的健康、健康决定因素和公平措施,以促进人口健康改善:城市健康仪表板。

City-Level Measures of Health, Health Determinants, and Equity to Foster Population Health Improvement: The City Health Dashboard.

机构信息

Marc N. Gourevitch, Jessica K. Athens, Shoshanna E. Levine, and Lorna E. Thorpe are with the Department of Population Health, New York University School of Medicine, New York, NY. Neil Kleiman is with the Robert F. Wagner Graduate School of Public Service, New York University, New York, NY.

出版信息

Am J Public Health. 2019 Apr;109(4):585-592. doi: 10.2105/AJPH.2018.304903. Epub 2019 Feb 21.

DOI:10.2105/AJPH.2018.304903
PMID:30789770
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6417588/
Abstract

OBJECTIVES

To support efforts to improve urban population health, we created a City Health Dashboard with area-specific data on health status, determinants of health, and equity at city and subcity (census tract) levels.

METHODS

We developed a Web-based resource that includes 37 metrics across 5 domains: social and economic factors, physical environment, health behaviors, health outcomes, and clinical care. For the largest 500 US cities, the Dashboard presents metrics calculated to the city level and, where possible, subcity level from multiple data sources, including national health surveys, vital statistics, federal administrative data, and state education data sets.

RESULTS

Iterative input from city partners shaped Dashboard development, ensuring that measures can be compared across user-selected cities and linked to evidence-based policies to spur action. Reports from early deployment indicate that the Dashboard fills an important need for city- and subcity-level data, fostering more granular understanding of health and its drivers and supporting associated priority-setting.

CONCLUSIONS

By providing accessible city-level data on health and its determinants, the City Health Dashboard complements local surveillance efforts and supports urban population health improvement on a national scale.

摘要

目的

为了支持改善城市人口健康的努力,我们创建了一个城市健康仪表板,其中包含特定于区域的健康状况、健康决定因素和城市及次城市(人口普查区)各级公平的数据。

方法

我们开发了一个基于网络的资源,其中包括 5 个领域的 37 个指标:社会和经济因素、物理环境、健康行为、健康结果和临床护理。对于美国最大的 500 个城市,仪表板展示了从多个数据源计算得出的城市级别和(在可能的情况下)次城市级别指标,包括全国健康调查、生命统计、联邦行政数据和州教育数据集。

结果

城市合作伙伴的迭代输入塑造了仪表板的开发,确保可以比较用户选择的城市之间的措施,并与基于证据的政策联系起来,以推动行动。早期部署的报告表明,仪表板满足了对城市和次城市级数据的重要需求,促进了对健康及其驱动因素的更深入了解,并支持相关的优先事项设定。

结论

通过提供可访问的城市级健康及其决定因素数据,城市健康仪表板补充了当地的监测工作,并在全国范围内支持城市人口健康的改善。

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