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This commentary is right on target. A clear chain of process, intermediate outcomes and ultimate population health outcomes tied togehter by research evidence of effectiveness is the "line of sight" required for individuals or individual organizations to know that their specific efforts approprately incented will untimately contribute to improved communty heatlh.

Primary and secondary chronic illness prevention often have both medical and non-medical determinants. This is one argument for including chronic illness burden as a measure of population health

Thanks to both George Isham and Ed Donovan for comments supporting using chronic illness burden as an "intermediate" population health outcome measure. Do they or anyone else know the status of the development of such an index or summary measure of chronic disease burden?

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