Résumé :
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[BDSP. Notice produite par INIST R0xhs2p6. Diffusion soumise à autorisation]. Objectives. Expert panels determined the public health goals of Healthy People 2000 subjectively. The present study examined whether data-driven benchmarks provide a better afternative. Methods. We developed the "pared-mean method to define from date the best achievable health care practices. We calculated the pared-mean benchmark for screening mammography from the 1994 National Health Interview Survey, using the metropolitan statistical area as the" provider'unit. Beginning with the best-performing provider and adding providers in descending sequence, we established the minimum provider subs that included at least 10% of all women surveyed on this question. The pared-mean benchmark is then the proportion of women in this subset who reserved mammography. Results. The pared-mean bench-deck for screening mammography was 71%, compared with the Healthy People 2000 goal of 60%. Conclusions. For Healthy People 2010, benchmarks derived from data refleeting the best available care provide viable alternatives to consensus-decised targets, We ate currautly pursuing additional refinements to the data-driven pared-mean berichmark approach.
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