Verbal Autopsy: Methods in Transition
Verbal Autopsy: Methods in Transition
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DOI：
10.1093/epirev/mxq003
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发表时间：
2010-04-01
影响因子：
5.5
通讯作者：
Byass, Peter
中科院分区：
文献类型：
--
作者：
Fottrell, Edward;Byass, Peter
对人口健康的衡量不足，限制了对全球健康和不断变化的发病率和死亡率的了解。由于全世界只有不到三分之一的死亡被确定为死因，这种信息的长期缺乏（几乎完全是在世界上最贫穷的国家）阻碍了对人口健康的理解，并限制了规划、监测和评估干预措施的机会。在没有常规死亡登记的情况下，使用死因推断方法来推断可能的死亡原因。已作出很大努力，为具体目的完善这一办法;然而，在这些努力方面缺乏协调。随后，各种各样的方法和原则已被开发，往往集中在一个方面的VA，和由此产生的文献提供了一个不一致的图片。通过审查VA的方法和概念问题，很明显，VA不能被简化为一个单一的一刀切的工具。VA必须是语境化的;鉴于缺乏“黄金标准”，不应从绝对有效性的角度来考虑方法学的发展，而应从一致性、可比性和对预期目的的适当性的角度来考虑。迫切需要对人口一级死亡原因计量的总体目标进行明确的思考，并协调经验方法研究的努力。
Understanding of global health and changing morbidity and mortality is limited by inadequate measurement of population health. With fewer than one-third of deaths worldwide being assigned a cause, this long-standing dearth of information, almost exclusively in the world's poorest countries, hinders understanding of population health and limits opportunities for planning, monitoring, and evaluating interventions. In the absence of routine death registration, verbal autopsy (VA) methods are used to derive probable causes of death. Much effort has been put into refining the approach for specific purposes; however, there has been a lack of harmony regarding such efforts. Subsequently, a variety of methods and principles have been developed, often focusing on a single aspect of VA, and the resulting literature provides an inconsistent picture. By reviewing methodological and conceptual issues in VA, it is evident that VA cannot be reduced to a single one-size-fits-all tool. VA must be contextualized; given the lack of "gold standards," methodological developments should not be considered in terms of absolute validity but rather in terms of consistency, comparability, and adequacy for the intended purpose. There is an urgent need for clarified thinking about the overall objectives of population-level cause-of-death measurement and harmonized efforts in empirical methodological research.