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Tytuł pozycji:

Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990-2015:a novel analysis from the Global Burden of Disease Study 2015

Tytuł :
Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990-2015:a novel analysis from the Global Burden of Disease Study 2015
Informacja o wydawcy :
2017
Dodane szczegóły :
Barber, Ryan M
Fullman, Nancy
Sorensen, Reed J D
Christensen, Hanne Krarup
Zoeckler, Leo
Zuhlke, Liesl Joanna
Murray, Christopher J L
Typ dokumentu :
Zasób elektroniczny
Index Terms :
Global Burden of Disease
Health Services Accessibility/standards
Health Status Indicators
Humans
Mortality
Quality of Health Care/standards
Risk Assessment/methods
Universal Coverage/standards
dk/atira/pure/researchoutput/pubmedpublicationtype/D016428
Journal Article
article
Dostępność :
Open access content. Open access content
info:eu-repo/semantics/openAccess
Uwaga :
application/pdf
English
Pozostałe numery :
DAV oai:pure.atira.dk:publications/cd073166-4f15-41c9-8ee5-f8fbf01332d6
1048266616
Źródło wspomagające :
UNIV OF COPENHAGEN
From OAIster®, provided by the OCLC Cooperative.
Numer akcesji :
edsoai.on1048266616
Zasób elektroniczny
BACKGROUND: National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor estimates generated through the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) to improve and expand the quantification of personal health-care access and quality for 195 countries and territories from 1990 to 2015.METHODS: We mapped the most widely used list of causes amenable to personal health care developed by Nolte and McKee to 32 GBD causes. We accounted for variations in cause of death certification and misclassifications through the extensive data standardisation processes and redistribution algorithms developed for GBD. To isolate the effects of personal health-care access and quality, we risk-standardised cause-specific mortality rates for each geography-year by removing the joint effects of local environmental and behavioural risks, and adding back the global levels of risk exposure as estimated for GBD 2015. We employed principal component analysis to create a single, interpretable summary measure-the Healthcare Quality and Access (HAQ) Index-on a scale of 0 to 100. The HAQ Index showed strong convergence validity as compared with other health-system indicators, including health expenditure per capita (r=0·88), an index of 11 universal health coverage interventions (r=0·83), and human resources for health per 1000 (r=0·77). We used free disposal hull analysis with bootstrapping to produce a frontier based on the relationship between the HAQ Index and the Socio-demographic Index (SDI), a measure of overall development consisting of income per capita, average years of education, and tot

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