Approaches, strengths, and limitations of avoidable mortality
Por:
Perez, G, Rodriguez-Sanz, M, Cirera, E, Perez, K, Puigpinos, R, Borrell, C
Publicada:
1 may 2014
Resumen:
Publication of recent papers such as the one by Schoenbaum and colleagues entitled 'Mortality Amenable to Health Care in the United States: The Roles of Demographics and Health Systems Performance' has stimulated this commentary. We discuss strengths and limitations of amenable and avoidable mortality in health-care systems' performance and their contribution to health inequalities. To illustrate, we present a case study of avoidable and amenable mortality in Spain over 27 years. We conclude that amenable mortality is not a good indicator of health-care systems' performance, or for determining whether it could give rise to health inequalities. To understand health problems and to assess the impact of interventions affecting health requires good, basic, and routine monitoring of health indicators and of socioeconomic determinants of health.
Filiaciones:
Perez, G:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
Univ Pompeu Fabra, Barcelona, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Inst Biomed Res IIB St Pau, Barcelona, Spain
Rodriguez-Sanz, M:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Inst Biomed Res IIB St Pau, Barcelona, Spain
Cirera, E:
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Univ Vic, Vic, Spain
Perez, K:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Inst Biomed Res IIB St Pau, Barcelona, Spain
Puigpinos, R:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Inst Biomed Res IIB St Pau, Barcelona, Spain
Borrell, C:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
Univ Pompeu Fabra, Barcelona, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain
Inst Biomed Res IIB St Pau, Barcelona, Spain
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