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March 2010 (Volume 88)
March 2010 | Matthew C. Stiefel, Rocco J. Perla, Bonnie L. Zell
Context: Good health is the most important outcome of health care, and healthy life expectancy (HLE), an intuitive and meaningful summary measure combining the length and quality of life, has become a standard in the world for measuring population health.
Methods: This article critically reviews the literature and practices around the world for measuring and improving HLE and synthesizes that information as a basis for recommendations for the adoption and adaptation of HLE as an outcome measure in the United States.
Findings: This article makes the case for adoption of HLE as an outcome measure at the national, state, community, and health care system levels in the United States to compare the effectiveness of alternative practices, evaluate disparities, and guide resource allocation.
Conclusions: HLE is a clear, consistent, and important population health outcome measure that can enable informed judgments about value for investments in health care.
Author(s): Matthew C. Stiefel; Rocco J. Perla; Bonnie L. Zell
Keywords: population surveillance; life expectancy; epidemiologic measurement; health promotion
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Volume 88, Issue 1 (pages 30–53)
Published in 2010
Health Care Reform in Massachusetts: Implementation of Coverage Expansions and a Health Insurance Mandate
Implicit Value Judgments in the Measurement of Health Inequalities