OUTLINE AND GUIDE
(March 25, 2009; rev. Sept. 11, 2009)
The Measuring Health Disparities page of this site consists of a main page (which is accessed by clicking on the yellow wording “Measuring Health Disp”). Because the mechanics of the site sometimes cause that key page to get overlooked, the material on the page is also presented in a sub-page styled “Summary to MHD”). An index to that page follows. Seven other sub-pages address particular issues in depth or provide related material. To facilitate access to certain materials, Sections A, B, D, and E.7 are made also made available on separate sub-pages.
Outline to Main Page
Introduction
A. Publications (13 items, with links to most)
B. Conference Presentations (20 items, with links to all)
C. Unpublished Papers (5 items, with links to all)
D. On-Line Comments (94 items, with links to all)
E. Summaries of Particular Issues
1. Health Inequalities in the United Kingdom
2. Seemingly Large Health Inequalities in Nordic Countries
3. Absolute Differences and Odds Ratio
4. Health and Healthcare Disparities Measurement Approaches of the National Center for Health Statistics and Agency for Healthcare Research and Quality.
5. Pay-for-Performance Issues
6. Measures of Health and Healthcare Disparities that are Unaffected by the Prevalence of an Outcome
7. Consensus with Views Expressed on this Page
Sub-Pages Treating Particular Issues in Depth or Providing Other Relevant Material
Solutions sub-page addresses an approach to measuring differences between rates of experiencing an outcome that is not affected by the overall prevalence of the outcome.
http://www.jpscanlan.com/measuringhealthdisp/solutions.html
Solutions Database sub-page provides a downloadable database to implement the approach described on the Solutions sub-page.
http://www.jpscanlan.com/measuringhealthdisp/solutions.html
Irreducible Minimums sub-page addresses the implications of irreducible minimums concerning the approach described on the Solutions sub-page.
http://www.jpscanlan.com/measuringhealthdisp/solutionsdatabase.html
Pay for Performance sub-page discusses perceptions that pay-for-performance programs will tend to increase healthcare disparities and the wisdom of incorporating disparities reduction into pay-for performance programs.
http://www.jpscanlan.com/measuringhealthdisp/payforperformance.html
NHDR Technical Issues sub-page discusses technical problems with the National Healthcare Disparities Report apart from the central measurement problem.
http://www.jpscanlan.com/measuringhealthdisp/nhdrtechnicalissues.html
Concentration Index sub-page addresses the way the Concentration Index is affected by the overall prevalence of an outcome.
http://www.jpscanlan.com/measuringhealthdisp/concentrationindex.html
Reporting Heterogeneity sub-page addresses the way perceptions of reporting heterogeneity fail to consider the extent to which observed patterns are functions of underlying distributions.
http://www.jpscanlan.com/measuringhealthdisp/reportingheterogeneity.html
Cohort Considerations sub-page addresses limitations on the solution in circumstances where outcome rates are calculated from among persons who have not yet experienced the outcome, as distinguished from outcome rates for the entire cohort that may experience the outcome.
http://jpscanlan.com/measuringhealthdisp/cohortconsiderations.html
Relative Versus Absolute sub-page, using as an example a situation where the subject at issue is the degree of employer bias against a particular group, discusses why it is unreasonable to consider opposite conclusions as to the comparative size of two disparities based on relative and absolute differences between outcome rates both to be valid.
http://jpscanlan.com/measuringhealthdisp/relativevabsolutediff.html
Institutional Correspondence sub-page discusses the roles of governmental and nongovernmental institutions in promoting flawed research and serves as a repository of correspondence to institutions that are involved in some manner with the appraisal of differences in outcome rates.
http://jpscanlan.com/measuringhealthdisp/institutionalcorresp.html
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