Table 1 Indicators from 100 health targets under consideration for measurement with the regional platform for managing EHR
National French health target | Public health Indicator | Possible regional public health interventions |
|---|---|---|
Target 5: Obesity: 20% reduction in the prevalence of overweight and obesity (body mass index (BMI) > 25 kg/m2) in adults: from 42% in 2003 to 33% in 2008 | BMI of adults (≥ 18 years). | - Targeted medical management of overweight patients |
Target 33: Reducing inequalities in illness and death by increasing life expectancy in groups faced with precarious situations | Probability of death and life expectancy by occupational categories, employment status, place of birth | - Prerequisite: collecting social information in EHRs - Prevention in targeted populations with precarious situation - Evaluation of actions implemented |
Target 42: Vaccine-preventable diseases covered by immunization recommendations in the general population: achieve or maintain immunization coverage of at least 95% of appropriate ages in 2008 (i.e. 83 to 98%) | Immunization coverage rates in the general population and in the main risk groups | - Incentives to physicians for improved patient coverage - Information, awareness of target populations - Evaluation of actions implemented |
Target 49: All malignant tumours: contribute to the improved survival of patients with tumours, including providing support for multidisciplinary oncology meetings of 100% of patients with a diagnosis of cancer. | - Rate of incident patients managed in multidisciplinary oncology meetings -Average survival rate at 5 and 10 years by type of cancer | - Targeted actions to improve cancer management - Evaluation of actions implemented |
Target 72: Stroke: reduce the frequency and severity of functional impairment associated with stroke | Incidence and case fatality of stroke. - Frequency and severity of functional impairment and associated disabilities in the aftermath of stroke. | - Evaluation of stroke management - Planning regional needs of healthcare workers for managing patients based on their disability level - Evaluation of actions implemented |
Target 74: Asthma: 20% reduction in the frequency of asthma attacks requiring hospitalization by 2008 (currently 63,000 full or partial hospitalizations per year) | Incidence of asthma attacks requiring full or partial (day or week) hospitalization | - Evaluation of actions implemented |
Target 81: Reducing the impact of chronic kidney failure on quality of life of people, especially those on dialysis | Measuring quality of life of patients with chronic kidney failure and identifying the social problems associated with it | - Evaluation of actions implemented |