Outcome measures for district and regional health care planners

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Abstract
A series of outcome indicators based on mortality data have been proposed for measuring the effectiveness of medical treatment over a wide range of curative services. The indicators are intended to provide warning signals of possible shortcomings in health care delivery. This paper describes how such indicators might be used, illustrated with data from one particular region. Data for other regions have also been tabulated. On the basis of these, decisions need to be made on what, if any, further investigations are warranted. The warning signals may be investigated further by examining-the circumstances surrounding individual deaths. Some approaches to this are discussed. The usefulness or otherwise of these indicators in improving standards of medical care can only be tested by their practical application in several District Health Authorities. This is currently being undertaken in a number of Districts.

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