1. Proportion of persons satisfied with the quality of life in the community.

    As proposed by the committee, health is more than just the biological events occurring or not occurring in a person. The ideal of health is a sense of well-being in a person's life. Although quality of life is a difficult concept to measure, this indicator represents an effort to address this state. Standard measures of satisfaction and quality of life would have to be developed to use this indicator. Field model domains: individual behavior, social environment, physical environment, prosperity, health care, health and function, and well-being. Data sources: community survey; questions related to quality of life have been developed for the BRFSS.

REFERENCES

CDC (Centers for Disease Control and Prevention). 1991. Consensus Set of Health Status Indicators for the General Assessment of Community Health Status—United States. Morbidity and Mortality Weekly Report 40:449–451.

CDC. 1996. Immunization Schedule—United States, January–June 1996. Morbidity and Mortality Weekly Report 44:940–943.


McGinnis, J.M., and Foege, W.H. 1993. Actual Causes of Death in the United States. Journal of the American Medical Association 270:2207–2211.


NRC (National Research Council). 1993. Understanding Child Abuse and Neglect. Washington, D.C.: National Academy Press.


USDHHS. 1995. International Classification of Diseases, Ninth Revision, Clinical Modification. 5th ed. DHHS Pub. No. (PHS) 95-1260. Washington, D.C.: National Center for Health Statistics and Health Care Financing Administration.


Wennberg, J., ed. 1996. The Dartmouth Atlas of Health Care. Chicago: American Hospital Press.


Zill, N. 1996. Parental Schooling and Children's Health. Public Health Reports 111:34–43.



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