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Preventable mortality: indicator or target? Applications in developing countries.
Plaut, R; Roberts, E.
Afiliação
  • Plaut R; Pan American Health Organization, Washington.
World Health Stat Q ; 42(1): 4-15, 1989.
Article em En | MEDLINE | ID: mdl-2711703
Preventable mortality, empirically defined, is analysed using the standardized mortality ratio for all ages (SMR), the SMR for deaths occurring before age 65, and the ratio of observed and expected years of potential life lost (RYPLL). Mortality data from Argentina and Mexico are used for illustration. To assess progress made, expected deaths are computed using data from the country's own past; to show challenges still ahead, expected deaths are computed using the rates of the United States of America. Comparisons with the past are made for mortality from all causes only; to assess what lies ahead, cause-specific mortality is also looked at. It is shown that for the data at hand the RYPLL is the indicator most sensitive to discrepancies between number of deaths observed and those expected, and that it provides information on inequalities beyond and in addition to that obtained from analysing crude and age-adjusted mortality rates and cause-specific proportional mortality. It is hoped that countries and areas will use these procedures for their own benefit to assess their current health situation against their own past and also against a suitable future reference, to assist them in priority setting and surveillance and evaluation of their health-services system.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Mortalidade Tipo de estudo: Prognostic_studies Aspecto: Patient_preference Limite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged País/Região como assunto: America do sul / Argentina / Mexico Idioma: En Revista: World Health Stat Q Ano de publicação: 1989 Tipo de documento: Article País de publicação: Suíça
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Mortalidade Tipo de estudo: Prognostic_studies Aspecto: Patient_preference Limite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged País/Região como assunto: America do sul / Argentina / Mexico Idioma: En Revista: World Health Stat Q Ano de publicação: 1989 Tipo de documento: Article País de publicação: Suíça