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E-grāmata: Vital Statistics: Summary of a Workshop

  • Formāts: 144 pages
  • Izdošanas datums: 30-Sep-2009
  • Izdevniecība: National Academies Press
  • Valoda: eng
  • ISBN-13: 9780309141659
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  • Formāts: 144 pages
  • Izdošanas datums: 30-Sep-2009
  • Izdevniecība: National Academies Press
  • Valoda: eng
  • ISBN-13: 9780309141659

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Vital statistics, the records of birth and death, are a critical national information resource for understanding public health. Over the past few decades, the specific program that gathers the data has evolved into a complex cooperative program between the federal and state governments for social measurement. The Vital Statistics Cooperative Program (VSCP) is currently maintained by the National Center for Health Statistics (NCHS).





The U.S. vital statistics system relies on the original information reported by myriad individuals, channeled through varying state and local information systems, and coordinated and processed by a federal statistical agency that has experienced relatively flat funding for many years. The challenges facing the vital statistics system and the continuing importance of the resulting data make it an important topic for examination.





A workshop, held by the National Academies and summarized in this volume, considered the importance of adequate vital statistics. In particular, the workshop assessed both current and emerging uses of the data, considered the methodological and organizational features of compiling vital data, and identified possible visions for the vital statistics program.

Table of Contents



Front Matter 1 Introduction 2 Uses of Vital Statistics Data 3 The Federal-State Cooperative Relationship 4 Methodological Issues and the 2003 Revision of Standard Instruments 5 Options for a 21st Century Vital Statistics Program Appendixes Appendix A: The U.S. Vital Statistics System: The Role of State and Local Health Departments Appendix B: The U.S. Vital Statistics System: A National Perspective Appendix C: Workshop Agenda and Participant List Appendix D: 2003 Revisions, Standard Certificates of Death and Live Birth References Committee on National Statistics
1 Introduction 1
1–A The Workshop on Vital Data for National Needs
3
1–B Successes and Challenges of the Vital Statistics Program
4
1–C Report Overview
8
2 Uses of Vital Statistics Data 9
2–A Uses in Health Policy and Health Research
10
2–A.1 Social Inequalities in Health
10
2–A.2 Trends in Mortality
14
2–A.3 Uses of Vital Statistics by the Maternal and Child Health Bureau
17
2–B Population Projections and Estimates
21
2–B.1 Population and Fiscal Projections at the Social Security Administration
22
2–B.2 Population Estimates and Projections at the Census Bureau
27
2–B.3 Discussion
30
2–C Growing and Emerging Uses: Vital Statistics and Biosurveillance
31
3 The Federal-State Cooperative Relationship 35
3–A The Role of the States
36
3–B Challenges and Limitations at the National Center for Health Statistics
41
3–C Examples of Federal-State Cooperation in the U.S. Federal Statistical System
42
3–C.1 The Quarterly Census of Employment and Wages
42
3–C.2 The Common Core of Data
46
4 Methodological Issues and the 2003 Revision of Standard Instruments 49
4–A The 2003 Revisions
50
4–B Race and Ethnicity
52
4–B.1 Bridging Single-Race and Multiple-Race Data at NCHS
55
4–B.2 Bridging Single-Race and Multiple-Race Data at the Census Bureau
56
4–C Fetal Deaths and Infant Health Risk Factors
58
4–D Mortality and Causes of Death
61
5 Options for a 21st Century Vital Statistics Program 65
Appendixes 75
A The U.S. Vital Statistics System: The Role of State and Local Health Departments Steven Schwartz
77
B The U.S. Vital Statistics System: A National Perspective National Center for Health Statistics
87
C Workshop Agenda and Participant List
111
D 2003 Revisions, Standard Certificates of Death and Live Birth
117
References 125