Improving Health in the Community: A Role for Performance Monitoring (1997)

We use an evidence-based approach to decide how to deal with health problems. In addition to having to use evidence to accurately assess health-affecting factors, appropriate processes are necessary to make changes. For example, vaccination is an effective means to prevent certain infections, but many children and the elderly do not receive the recommended dosage. Research shows that efforts to increase vaccination rates should address barriers to people using existing vaccination services and health care workers' practices that lead to vaccination opportunity misses ( IOM, 1994b)

As the European Commission assumes, CHIP can be implemented in a variety of community environments. Communities can start working at different points in any cycle and have different resources. For example, the need to develop better data systems should not prevent the community from using the CHIP framework. Using this process, we will focus on data needs and find ways to fulfill those needs. Public sector and private sector involvement is necessary, leadership in any process can start in every department. However, the committee stated that the future of public health (IOM, 1988) indicates that public health agencies are responsible for ensuring that the health improvement process is in place. Therefore, the Committee recommends that regional and state public health agencies ensure that they provide effective CHIP to the community. These institutions should be at least CHIP participants, and in some communities they should provide leadership or organize families. Promote progress at the community level by demonstrating powerful national leadership in places like Illinois, Massachusetts, Washington State.

An ongoing health improvement process should be regarded as repetitive development, not linear or short-term. One-time activities, short form partnerships, and isolated solutions are inadequate. CHIP hinders effective and efficient functioning of responsible organizations within the community that are expected to cope with specific health problems and must be adaptable to the dynamic nature of the community and interdependence of community activities You should not. It should also facilitate the flow of information between responsible bodies and other community groups and help them build complementary efforts. Monitoring data at the community level and more detailed information related to specific health issues should be continually fed back to the system to guide subsequent analyzes.

The Institute of Medical Research (IOM) is a self-assessed health and unhealthy day measurement at the National Science Academy's publication publishing network (IOM) recently published book "Regional Health Improvement: Role of Performance Monitoring" We are aware of worth tracking. 1997). The International Migration Organization (IOM) has identified these measures based on BRFSS as two of the 25 regional health profiles it recommends and all communities need to follow these measures. This book also includes a range of practical appendices that include concrete examples of how BRFSS HRQOL measures can be combined with other measures that the community regards as important. Use the Health Day Depression Symptoms metric to assess the prevalence of adult depression in the community, for example, in combination with information on the prevalence of treatment for diagnosis of depression in the appendix and other communities We propose to do.

Information plays a central role in the ability of an effective and efficient health system to ensure improved health for its population. It can be used in a variety of ways, such as tracking public health, monitoring safety of health management, identifying appropriate patient treatment routes, promoting professional improvements, securing management control, promoting public accountability for health systems I will. All of these efforts have the role of performance measurement in the guidance of decision making among stakeholders (patients, clinicians, administrators, governments, the public, etc.) in the guidance of health systems to achieve better results It is based on.