Comparing the Population Health Impacts of Medical Conditions Using Routinely Collected Health Care Utilization Data - Nature and Sources of Variability
Authors: Brundage, John F.; Brundage, John F.; Johnson, Karen E.; Lange, Jeffrey L.; Rubertone, Mark V.
Source: Military Medicine, Volume 171, Number 10, October 2006 , pp. 937-942(6)
Abstract:Prevention activities are designed and resourced based on perceptions of the relative population health impacts of various conditions. We examined the nature and variability of rankings of “conditions” based on how they are defined and how their population health impacts are measured. The first listed diagnosis from all hospitalizations and ambulatory visits of U.S. service members during 2002 was used to rank conditions (as defined by two standard classification systems) using five different measures of population health impacts. Less than 10% of all conditions accounted for more than one-half of total population health impact, regardless of how conditions were defined or impacts measured. However, specific conditions with the largest impacts varied depending on the classification system and impact measure. Four groups of related conditions—acute musculoskeletal injuries, pregnancy-related conditions, respiratory infections, and mental disorders (including substance abuse)—accounted for disproportionately large impacts regardless of the measure. The identification of conditions with the largest population health impacts depends on the nature and degree of aggregation in defining conditions and the measure of impact. The findings are relevant to prevention planning and resourcing.
Document Type: Research Article
Affiliations: Army Medical Surveillance Activity, Epidemiology and Disease Surveillance Directorate, U.S. Army Center for Health Promotion and Preventive Medicine, Washington, DC 20307.
Publication date: October 2006
- Military Medicine will be available on another platform. See: http://publications.amsus.org. Please contact the publisher at email@example.com for information on how to continue access to this title.
Military Medicine is the Association's official monthly journal. The objective of the Journal is to promote awareness of Federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to Federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members' writings.
Military Medicine's 5-year Impact Factor: 1.061
- Editorial Board
- Information for Authors
- Submit a Paper
- Subscribe to this Title
- Membership Information
- Information for Advertisers
- Terms & Conditions
- Reviewer Information
- ingentaconnect is not responsible for the content or availability of external websites