THE GLOBAL BURDEN OF DISEASE 2000 IN AGING POPULATIONS

关于老龄化人口中的2000年全球疾病负担的拟议方案项目是一系列连贯的调查，将加强对老龄人口中的健康问题及其决定因素和后果进行比较评估的方法和经验基础。自1990年《全球疾病负担研究》发表以来，人们对健康结果、决定因素和后果的比较分析越来越感兴趣。世界卫生组织致力于对2000年全球疾病负担研究进行重大修订。这一计划项目将为这一大规模项目加强科学基础。它围绕一个核心构成，包括行政、数据管理和方法部分和八个项目：1)发展中国家成人死亡率的计量；2)非传染性疾病死亡率的转变；3)采用公共卫生研究的统计方法；4)可避免的成人慢性病死亡原因；5)自我报告和观察到的健康状况衡量；6)共病对非致命性健康结果的影响；7)人口健康的综合衡量；8)老龄化、当前和未来趋势的健康成本。COR和八个项目通过多种机制相互丰富，包括研究若干组成部分、通用数据集和方法开发的调查人员。该计划的一个关键优势是牵头机构与世界卫生组织之间的密切伙伴关系，确保通过关键人员密切协调该计划的研究工作。首席调查员既是哈佛大学教授，也是世界卫生组织卫生政策证据全球方案的代理主任。世卫组织人员是三个组成部分的项目负责人。该项目的一个重要目标是减少人口老龄化，同时加强决策的经验和方法基础。

The proposed program project on The Global Burden of Disease 2000 in Aging Populations is a coherent series of investigations that will strengthen the methodological and empirical basis for undertaking comparative assessments of health problems, their determinants and consequences in aging populations. Since the publication of the Global Burden of Disease Study 1990, there has been increasing interest in comparative analyses of health outcomes, determinants and consequences. The World Health Organization is committed to undertaking a major revision of the Global Burden of Disease Study for the year 2000. This program project would strengthen the scientific basis for this large-scale undertaking. It is structured around a core with an administrative, a data management and a methods component and eight projects: 1) measurement of adult mortality in the developing world; 2) non-communicable disease mortality transitions; 3) adapting statistical methods for public health research; 4) avoidable causes of adult chronic disease death; 5) self-reported and observed measures of health status; 6) the impact of co-morbidity on non-fatal health outcomes; 7) summary measures of population health; and 8) health costs of aging, present and future trends. The cor and the eight projects enrich each other through multiple mechanisms, including investigators working on a number of components, common datasets and methods development. A key strength of the program is the close partnership between the lead institution and the World Health Organization, assuring the close coordination of the research work in the program through key personnel. The principal investigator is both a Professor at Harvard and the acting Director of the Global Programme on Evidence for Health Policy at the World Health Organization. WHO personnel are project leaders on three components. An important goal of this project is to aging population, while at the same time strengthening the empirical and methodological foundations on which policy decisions are made.