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A norm-referenced population health status index based on life expectancy and disability
Authors:Martin K Chen
Abstract:This paper describes a population health status index for health services research and planning purposes. The H-index uses data on average life expectancy at birth and percent of the population free from disability, however defined. It is useful in comparing the health status of health services areas relative to that of the more healthy areas selected to serve as the norm. The statistical procedure used in deriving the H-index is centour analysis, by means of which the Euclidian distances of the service areas in the study sample in two-dimensional space to the centroid of the normative areas are reflected in the H values computed. The farther away from the centroid, the less resemblance the service area has to the norm and the lower its health status. A computational example with seven normative states and 10 states in the study sample is given.
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