THE GLOBAL BURDEN OF DISEASE 2000 IN AGING POPULATIONS

拟议的“2000年老龄人口的全球疾病负担”方案项目是一系列连贯的调查，将加强对老龄人口的健康问题、其决定因素和后果进行比较评估的方法和经验基础。自1990年发表《全球疾病负担研究》以来，对健康结果、决定因素和后果的比较分析越来越感兴趣。世界卫生组织承诺对2000年全球疾病负担研究进行重大修订。该计划项目将加强这一大规模事业的科学基础。它的结构围绕一个核心，包括一个行政、一个数据管理和一个方法组成部分，以及八个项目：⑴发展中国家成人死亡率的计量; ⑵非传染性疾病死亡率的变化; ⑶调整公共卫生研究的统计方法; ⑷成人慢性病死亡的可避免原因; ⑸自我报告和观察的健康状况计量; 6）共病对非致命性健康结果的影响; 7）人口健康的简要衡量标准; 8）老龄化的健康成本，目前和未来的趋势。cor和八个项目通过多种机制相互丰富，包括研究人员在许多组件上工作，共同的数据集和方法开发。该方案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方案中的研究工作。主要研究者是哈佛的教授，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领导人。该项目的一个重要目标是，在加强政策决定所依据的经验和方法基础的同时，应对人口老龄化问题。

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.