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Policy Sciences

, Volume 6, Issue 1, pp 71–89 | Cite as

Social indicators for health planning and policy analysis

  • Milton M. Chen
  • J. W. Bush
  • Donald L. Patrick
Article

Abstract

The concept of health involves two dimensions: The level of function at a point in time and the probability of transition to other levels at future times. By applying measured social values to the distribution of the population among a set of levels, a Function Status Index aptly summarizes the Level-of-Well-Being of a population at a point in time. By incorporating empirically determined transition probabilities into a simple stochastic model, a Quality-Adjusted Life Expectancy can be computed that approximates a comprehensive social indicator for health. The indicators possess the statistical properties required for time series and interpopulation comparisons, for studying outcomes and quality of medical care, and for health system optimization in planning and policy analysis.

Keywords

Time Series Health System Life Expectancy Medical Care Economic Policy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Sheldon, E. B. and Freeman, H. E., “Notes on Social Indicators: Promises and Potential,” Policy Sciences, 1 (1970), pp. 97–111.Google Scholar
  2. 2.
    Land, Kenneth C., “On the Definition of Social Indicators,” The American Sociologist, 6 (November 1971), pp. 322–325.Google Scholar
  3. 3.
    Campbell, D. T., “Reforms as Experiments,” American Psychologist, 24 (April 1969), pp. 409–429.Google Scholar
  4. 4.
    Miles, D. and Rushing, W., “Lawrence/Lamar Health Interview Survey Questionnaire,” Instrument available from Lawrence County Health Care Project, Moulton, Alabama, 1972.Google Scholar
  5. 5.
    Moriyama, I. M., “Problems in Measurement of Health Status,” in E. B. Sheldon and W. E. Moore, eds., Indicators of Social Change: Concepts and Measurements, Russell Sage, 1968, pp. 573–600.Google Scholar
  6. 6.
    Sanders, B. S., “Measuring Community Health Levels,” American Journal of Public Health, 54 (1964), pp. 1063–1070.Google Scholar
  7. 7.
    Chiang, C. L., “An Index of Health: Mathematical Models,” Vital and Health Statistics, Series 2, No. 5, National Center for Health Statistics, Washington, D.C., 1965.Google Scholar
  8. 8.
    Division of Indian Health, “Principles of Program Packaging in the Division of Indian Health,” Public Health Service, U.S. Department of Health, Education, and Welfare, Silver Springs, Maryland, January 15, 1966.Google Scholar
  9. 9.
    Ahumada, J. et al., “Health Planning: Problems of Concept and Method,” Publication No. 111, Pan American Health Organization, Washington, D.C., 1965.Google Scholar
  10. 10.
    Sullivan, D. F., “A Single Index of Mortality and Morbidity,” HSMHA Health Reports, 86 (April 1971), pp. 347–354.Google Scholar
  11. 11.
    Patrick, D. L., Bush, J. W. and Chen, M. M., “Toward an Operational Definition of Health,” Journal of Health and Social Behavior, 14 (March 1973), pp. 6–23.Google Scholar
  12. 12.
    Patrick, D. L., Bush, J. W. and Chen, M. M., “Measuring Levels of Well-Being for a Health Status Index,” Health Services Research, 8 (Fall 1973), pp. 228–245.Google Scholar
  13. 13.
    Coombs, C. H., A Theory of Data, Wiley, 1964.Google Scholar
  14. 14.
    Stevens, S. S., “A Metric for the Social Consensus,” Science, 151 (February 1966), pp. 530–541.Google Scholar
  15. 15.
    Sellin, T. and Wolfgang, M. E., The Measurement of Delinquency, Wiley, 1964.Google Scholar
  16. 16.
    Bock, R. Darrell and Jones, Lyle V., The Measurement and Prediction of Judgment and Choice, Holden-Day, 1967.Google Scholar
  17. 17.
    Anderson, Norman A., “Information Integration Theory: A Brief Survey,” in D. H. Krantz, R. C. Atkinson, R. D. Luce and P. Suppes, eds., Contemporary Developments in Mathematical Psychology (W. H. Freeman and Co., 1974, in press).Google Scholar
  18. 18.
    Chiang, C. L. and Cohen, R. D., “How to Measure Health: A Stochastic Model for an Index of Health,” International Journal of Epidemiology, 2 (Spring 1973), pp. 7–13.Google Scholar
  19. 19.
    Bush, J. W., Chen, M. M. and Zaremba, J., “Estimating Health Program Outcomes Using a Markov Equilibrium Analysis of Disease Development,” American Journal of Public Health, 61 (December 1971), pp. 2362–2375.Google Scholar
  20. 20.
    Bush, J. W., Blischke, W. R. and Berry, C. C., “Health Indices, Outcomes, and Quality of Medical Care,” in R. Yaffe and D. Zalkind, eds., Proceedings of the Conference on Evaluation in Health Services Delivery (Berwyck, Maine, August, 1973, USD/HEW, in press).Google Scholar
  21. 21.
    The authors would like to thank Joseph Lipscomb who pointed out this relation in the basic model.Google Scholar
  22. 22.
    Bush, J. W., Fanshel, S. and Chen, M. M., “Analysis of a Tuberculin Testing Program Using a Health Status Index,” Socio-Economic Planning Sciences, 6 (February 1972), pp. 49–68.Google Scholar
  23. 23.
    Bush, J. W., Chen, M. M. and Patrick D. L., “Health Status Index in Cost-Effectiveness: Analysis of a PKU Screening Program,” pp. 172–209 in R. Berg, ed., Health Status Indexes, Hospital Research and Educational Trust, 1973.Google Scholar
  24. 24.
    Chen, M. M. and Bush, J. W., “A Mathematical Programming Approach for Selecting an Optimum Health Program Case Mix,” Presented before the Operations Research Society of America, Anaheim, California, October 1971.Google Scholar

Copyright information

© Elsevier Scientific Publishing Company 1975

Authors and Affiliations

  • Milton M. Chen
    • 1
    • 2
  • J. W. Bush
    • 3
  • Donald L. Patrick
    • 4
    • 5
    • 6
  1. 1.Health Index ProjectUSA
  2. 2.Department of Quantitative MethodsSchool of Business, California State UniversityFullerton, Calif.USA
  3. 3.Health Index Project and Division of Health Policy and ManagementUniversity of CaliforniaSan Diego, La JollaUSA
  4. 4.Community Health Care Center in New HavenNew HavenUSA
  5. 5.Department of Public HealthYale UniversityUSA
  6. 6.Health Index ProjectUSA

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