Department of Population Health Sciences, University of Wisconsin, Madison.
University of Wisconsin Population Health Institute, University of Wisconsin, Madison.
Prev Chronic Dis. 2023 Apr 6;20:E23. doi: 10.5888/pcd20.220301.
We describe updates to the University of Wisconsin Population Health Institute's methodology for a state health report card, first described in Preventing Chronic Disease in 2010, and the considerations that were weighed in making those updates. These methods have been used since 2006 to issue a periodic report entitled Health of Wisconsin Report Card. The report highlights Wisconsin's standing among other states and serves as an example for others seeking to measure and improve their population's health. For 2021, we revisited our approach with an increased emphasis on disparities and health equity, which required many choices about data, analysis, and reporting methods. In this article, we outline the decisions, rationale, and implications of several choices we made in assessing Wisconsin's health by answering several questions, among them: Who is the intended audience and which measures of length (eg, mortality rate, years of potential life lost) and quality of life (eg, self-reported health, quality-adjusted life years) are most relevant to them? Which subgroups should we report disparities about, and which metric is most easily understood? Should disparities be summarized with overall health or reported separately? Although these decisions are applicable to 1 state, the rationale for our choices could be applied to other states, communities, and nations. Consideration of the purpose, audience, and context for health and equity policy making is important in developing report cards and other tools that can improve the health of all people and places.
我们描述了威斯康星大学人口健康研究所（University of Wisconsin Population Health Institute）的州健康报告卡方法的更新，该方法最初于 2010 年在《预防慢性病》（Preventing Chronic Disease）一文中进行了描述，并考虑了在进行这些更新时需要权衡的因素。自 2006 年以来，这些方法一直被用于发布一份定期报告，题为《威斯康星州健康报告卡》（Health of Wisconsin Report Card）。该报告强调了威斯康星州在其他州中的地位，为其他寻求衡量和改善其人口健康的州提供了范例。2021 年，我们重新审视了我们的方法，更加注重差异和健康公平，这需要在数据、分析和报告方法方面做出许多选择。在本文中，我们概述了我们在评估威斯康星州健康状况时所做的一些选择的决策、理由和影响，其中包括回答以下几个问题：目标受众是谁，哪些长度（例如死亡率、潜在生命损失年数）和生活质量（例如自我报告的健康状况、质量调整生命年）的衡量标准与他们最相关？我们应该报告哪些差异的亚组，以及哪个指标最容易理解？差异应该用整体健康状况来概括还是单独报告？虽然这些决策适用于一个州，但我们选择的理由可以应用于其他州、社区和国家。在制定报告卡和其他可以改善所有人和所有地方健康的工具时，考虑健康和公平政策制定的目的、受众和背景非常重要。
