Evidence map›Paper›PMID 41869492›Full record

ArticleInternational journal of population data science2026

The desirable health indicator: a new indicator of population health and healthcare utilisation.

Harri Doel, Lucy J Griffiths, Rhodri D Johnson, Samantha Turner, Ronan A Lyons, Jane Lyons

Abstract read
In one paragraph

Article in International journal of population data science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Harri DoelSwansea University Medical School, Data Science Building, Singleton Park, Swansea, SA2 8PP.
Lucy J GriffithsSwansea University Medical School, Data Science Building, Singleton Park, Swansea, SA2 8PP.
Rhodri D JohnsonSwansea University Medical School, Data Science Building, Singleton Park, Swansea, SA2 8PP.
Samantha TurnerSwansea University Medical School, Data Science Building, Singleton Park, Swansea, SA2 8PP.
Ronan A LyonsSwansea University Medical School, Data Science Building, Singleton Park, Swansea, SA2 8PP.
Jane LyonsSwansea University Medical School, Data Science Building, Singleton Park, Swansea, SA2 8PP.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objective: Healthcare research faces challenges in developing metrics that resonate with the general public or policymakers. We created a Desirable Health Indicator (DHI) to address this gap, centred around New Year's wishes for survival and non-occurrence of undesired events in the following year, for the population of Wales, UK, following discussions with policymakers and members of the public. Methods: We created retrospective, population-based individual-level cohorts from linked routinely collected anonymised, health and demographic data from the Secure Anonymised Information Linkage (SAIL) Databank (2015-2022). The DHI was calculated per person per year and quantified the distribution of the population who survive calendar years and do not use selected health services (not admitted to hospital; no emergency department attendance; and not prescribed medication used in infection, analgesics, or mental health drugs). Group and individual interviews were held with members of the public and policy makers seeking their views of the indicator. Results: The findings were understood and well received by members of the general public and policymakers. Between 2015 and 2019, the percentage of individuals meeting the DHI ranged between 39.6%-41.9%, increasing to 48.6% and 46.2% for2020 and 2021respectively, and reducing to 43.1% in 2022. Focussing on the year 2022, 1,154,630 (43.1%) met the DHI from a population of 2,677,829. The percentage of people with desirable health decreased significantly with age and with increasing socioeconomic deprivation. A higher proportion of males (49.2%) met the DHI compared to females (37.1%). Being male (aOR = 1.62 [95%CI 1.61,1.63]), 10-19 years of age (aOR = 1.69 [95%CI 1.68,1.71]), and living in the least deprived areas of Wales (aOR = 1.31 [95%CI 1.30,1.32]) were the characteristics associated with the highest odds of meeting the desirable health indicator. The most prevalent reasons for not meeting the indicator were GP prescriptions for drugs used in infections (29.5%), analgesics (22.8%) and mental health conditions (20.2%). Conclusion: The DHI provides an insightful and novel tool for monitoring aspects of population health and healthcare utilisation. The DHI's coverage of important topics, derived from routine data sources, makes it a reproducible, temporally flexible, and easily understood indicator, suitable for informing policy development and addressing aspects of health inequalities. As data linkage capabilities expand internationally there are opportunities for implementation to aid comparison and better understanding of how systems perform.

Indexed as

Health Status IndicatorsPatient Acceptance of Health CarePopulation HealthAdolescentAdultAgedChildChild, PreschoolFemaleHumansInfantMaleMiddle AgedRetrospective StudiesWalesYoung Adultadministrative datadata linkagehealthcare utilisationpopulation health

Identifiers

PMID41869492
PMCPMC13004291

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.