Performance in rate of decline of adult mortality in the OECD, 1970-2010
Performance in rate of decline of adult mortality in the OECD, 1970-2010
复制标题
DOI：
10.1016/j.healthpol.2012.09.013
复制
发表时间：
2013-02-01
期刊：
影响因子：
3.3
通讯作者：
Jamison, Dean T.
中科院分区：
文献类型：
--
作者：
Verguet, Stephane;Jamison, Dean T.
目的：以OECD国家22个国家的成人死亡率下降率为例，说明变化率在衡量国家健康绩效中的效用。方法：我们使用1970-2010年各国的成人死亡率（15岁至60岁之间死亡的概率）作为我们的结果指标。我们评估和排名的国家表现在成年人死亡率下降的速度为40 decades，并将其与成人mortality.Principal findings的表现水平进行比较：我们确定了最好的和最差的表现，并确定了性能的变化。例如，就成年女性死亡率而言：1970年代，下降率最高的是日本，最差的是丹麦; 2000年代，下降率最高的是葡萄牙，最差的是美国。荷兰在FAM下降率方面的改善最大，从1991- 2000年到2001年，下降率接近10。芬兰从1971- 1980年到1981- 1990年下降幅度最大。我们发现，在下降率和性能水平的FAM.Conclusions：检查在国家一级的健康指标的变化率之间的相关性很小，可以找到性能的过渡时间，并提供了一个更具时效性的衡量国家的性能比评估性能的健康水平。健康的潜在决定因素的变化的影响，然后可以评估其与业绩的过渡时间的关系。(C)2012爱思唯尔爱尔兰有限公司保留所有权利。
Objective: To demonstrate the utility of rates of change in measuring country performance in health using the rate of decline of adult mortality for 22 countries in the OECD as an illustration.Methods: We used adult mortality (the probability of dying between ages 15 and 60) for 1970-2010 by country as our outcome measure. We assessed and ranked country performance in rates of decline of adult mortality for four decades, and compared this to performance in levels of adult mortality.Principal findings: We identified best and worst performers, and identified changes in performance. For example, for female adult mortality (FAM): in the 1970s, the top performer in the rate of decline was Japan and the worst performer was Denmark; in the 2000s, the top performer was Portugal and the worst performer was the United States. The Netherlands saw the largest improvement in the rate of decline of FAM, from 1991-00 to 2001 similar to 10. Finland showed the greatest decrease, from 1971-80 to 1981-90. We found little correlation between performance in rates of decline and performance in levels of FAM.Conclusions: Examining the rates of change of health indicators at the country level enables finding transition times in performance, and provides a more time-sensitive measure of country performance than does assessing performances in levels of health. The effects of changes in potential determinants of health can then be assessed in terms of their relation to transition times in performance. (C) 2012 Elsevier Ireland Ltd. All rights reserved.