Triangulating on success: innovation, public health, medical care, and cause-specific US mortality rates over a half century (1950-2000).
Triangulating on success: innovation, public health, medical care, and cause-specific US mortality rates over a half century (1950-2000).
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DOI：
10.2105/ajph.2009.164350
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发表时间：
2010-04-01
影响因子：
12.7
通讯作者：
Blumenthal DS
中科院分区：
文献类型：
--
作者：
Rust G;Satcher D;Fryer GE;Levine RS;Blumenthal DS
为了确定在改善美国健康方面取得的成功，我们确定了1950年或2000年出现在美国成年人口主要死亡原因的重要统计数据列表上的疾病类别，并且在1950年至2000年期间，年龄调整死亡率从峰值水平下降到最低点至少50%。在9个实现50%降低的死因类别中，文献综述表明，其中7个明确需要通过公共卫生和医疗保健渠道传播新的创新。我们国家的卫生成功故事与创新+公共卫生+医疗保健的三角模式是一致的，即使这三个部门的工作更多的是平行的，而不是伙伴关系。
To identify successes in improving America’s health, we identified disease categories that appeared on vital statistics lists of leading causes of death in the US adult population in either 1950 or 2000, and that experienced at least a 50% reduction in age-adjusted death rates from their peak level to their lowest point between 1950 and 2000. Of the 9 cause-of-death categories that achieved this 50% reduction, literature review suggests that 7 clearly required diffusion of new innovations through both public health and medical care channels. Our nation’s health success stories are consistent with a triangulation model of innovation plus public health plus medical care, even when the 3 sectors have worked more in parallel than in partnership.