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Evaluating population health: The selection of main dimensions and indicators through a participatory approach

Journal article published in 2015 by Paula Santana, Angela Freitas, Claudia Costa ORCID, Artur Vaz
This paper is available in a repository.
This paper is available in a repository.

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Preprint: policy unknown
Question mark in circle
Postprint: policy unknown
Question mark in circle
Published version: policy unknown

Abstract

Population health is influenced by complex interactions between multiple determinants, but there are still large gaps in knowledge about how to comprehensively evaluate the impact of these factors on health. This paper presents the participatory approach used to select a comprehensive set of dimensions and indicators to integrate the Population Health Index; a holistic measure aimed to evaluate the health of the Portuguese population over the past 20 years. It considers the multiple dimensions of population health and experts' judgements from different knowledge areas. Using a combination of Delphi method in two successive processes of consultation and nominal group review, it was reached a consensus on 62 indicators considered relevant for evaluating population health. The main dimensions were Economic and Social, Physical Environment, Healthcare Services, Lifestyles, Mortality and Morbidity. The results of the participatory approach reflects the diversity of points of view and emphasizes the holistic and multidimensional character of health.