Indicator: Access-Related Excess Mortality
  1. The committee has demonstrated the potential of applying risk adjustments to mortality data to better understand the contribution of access problems to premature mortality. Further work is needed to develop models that can produce a more refined measure of access-related mortality. In addition, these models should be used to consider not only blacks but also other relevant population groups, such as other racial/ethnic groups and low-income populations. (Centers for Disease Control, Researchers)

  2. Improved models will require better and more up-to-date data on the mortality risks of various populations. In addition to continued epidemiological follow-up surveys, there is a need to determine whether useful information could be extracted from routine surveys, such as the National Health Interview Survey. (National Center for Health Statistics)

Objective 5: Reducing Morbidity and Pain through Timely and Appropriate Treatment

Indicator: Acute Medical Care
  1. The National Center for Health Statistics should explore methods that can be used to improve our understanding of what constitutes timely and appropriate use of physician services during episodes of acute illness.

Indicator: Dental Services
  1. The National Health Interview Survey's supplements on dental services should gather more detailed information about income- and insurance-related barriers to care. The surveys should also distinguish more fully among the broad classes of procedures performed. (National Center for Health Statistics)

Indicator: Avoidable Hospitalization for Acute Conditions
  1. Research should focus on factors that lead to the hospitalization of people with acute diseases. Surveys of patients and admitting physicians, both in the emergency room and in inpatient settings, are needed. (Researchers)


DeNeufville, J. I. 1975. Social Indicators and Public Policy. New York: Elsevier.

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