人群影響指標的概念及應用_《中國循證醫學雜志》

作者：

趙磊 ¹ , 崔曉晨 ¹ , 葛芳君 ¹ , 王樸 ² ,  郭毅 ^1,3

1. 武漢大學公共衛生學院流行病學教研室（武漢 430071）；2. 武漢大學中南醫院康復醫學科（武漢 430071）；3. 武漢大學病毒學重點實驗室（武漢 430071）;

關鍵詞：

人群影響指標疾病影響人數人群影響人數人群預防人數暴露影響人數暴露病例影響人數病例影響人數消除風險t年后的人群影響人數

DOI：

10.7507/1672-2531.20120099

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本文闡述了人群影響指標（PIMs）的定義和應用。PIMs借鑒了需要治療人數（NNT）的概念，將臨床指標擴展到人群，衡量某一個干預措施實施后在人群中的效果或某一危險因素對于人群的危害，為衛生政策的制定提供循證證據。衡量干預措施有效性的人群影響指標有：疾病影響人數、人群影響人數和人群預防人數。衡量危險因素有害性的人群影響指標有：暴露影響人數、暴露病例影響人數、人群影響人數、病例影響人數和消除風險t年后的人群影響人數。

引用本文： 趙磊,崔曉晨,葛芳君,王樸,郭毅. 人群影響指標的概念及應用. 中國循證醫學雜志, 2012, 12(5): 614-618. doi: 10.7507/1672-2531.20120099 復制

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1. Heller RF, Page J. A population perspective to evidence based medicine: "evidence for population health". J Epidemiol Community Health, 2002, 56(1): 45-47.
2. Perez L, Kunzli N. From measures of effects to measures of potential impact. Int J Public Health, 2009, 54(1): 45-48.
3. Khoury MJ, Gwinn M, Ioannidis JP. The emergence of translational epidemiology: from scientific discovery to population health impact. Am J Epidemiol, 2010, 172(5): 517-524.
4. Briss PA, Evidence-based: US road and public-health side of the street. Lancet, 2005, 365(9462): 828-830.
5. 俞衛. 美國醫改新動態: 療效比較研究啟動. 中國衛生, 2009, (11): 78-80.
6. 吳泰相, 劉關鍵. NNT和NNH的概念及應用. 中國循證醫學雜志, 2007, 7(9): 669-672.
7. Heller RF, Dobson AJ. Disease impact number and population impact number: population perspectives to measures of risk and benefit. BMJ, 2000, 321(7266): 950-953.
8. Heller RF, Dobson AJ, Attia J, et al. Impact numbers: measures of risk factor impact on the whole population from case-control and cohort studies. J Epidemiol Community Health, 2002, 56(8): 606-610.
9. Heller RF, Edwards R, McElduff P. Implementing guidelines in primary care: can population impact measures help? BMC Public Health, 2003, 3: 7.
10. Heller RF, Buchan I, Edwards R, et al. Communicating risks at the population level: application of population impact numbers. BMJ, 2003, 327(7424): 1162-1165.
11. Attia J, Page J, Heller RF, et al. Impact numbers in health policy decisions. J Epidemiol Community Health, 2002, 56(8): 600-605.
12. Verma A, Torun P, Harris E, et al. Population Impact Analysis: a framework for assessing the population impact of a risk or intervention. J Public Health (Oxf), 2011.

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人群影響指標的概念及應用

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人群影響指標的概念及應用

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