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Commentary on In Amenable Mortality – Deaths Avoidable Through Health Care – Progress in the US Lags That of Three European Countries

机译:关于在适当的死亡率中–通过医疗可避免的死亡–美国的进展落后于三个欧洲国家的评论

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摘要

Health care systems are often compared to evaluate and improve the delivery of healthcare to patients. The concept of ‘amenable mortality’ has been introduced as an indicator of quality of care.1 Amenable mortality is defined as deaths from a collection of diseases, such as diabetes and appendicitis, that are potentially preventable given effective and timely health care.1 This serves as a marker that highlights the performance of a health care system, although it has its limitations.A study by Nolte et al. found that the United States was slower to progress in improving amenable mortality when compared to United Kingdom, Germany, and France. Table 1 showed that amenable mortality declined in all countries, although there was significant variation.1Further, the authors compared those under 65 to those over 65 years old between the countries. Those in the US under 65 had larger amenable mortality compared to other countries. Whilst Those over 65 in all the countries declined in amenable mortality, the US had a slower improvement rate.In 2007 the US spent $7,290 US per capita on health care, more than twice the amount of France, Germany, and United Kingdom ($3,601; $3,588; $2,992 respectively) and yet the improvement in amenable mortality is half as good in certain populations compared to other Western countries. The commonality amongst the three European countries is that they provided universal health care, while the US did not have this option. This appears to be further evidence for the need for health care reform in the US.
机译:通常将医疗保健系统进行比较,以评估和改善向患者提供医疗保健的方式。引入“可满足的死亡率”的概念作为护理质量的指标。 1 可满足的死亡率被定义为由于一系列疾病(例如糖尿病和阑尾炎)而导致的死亡,这些疾病在有效的情况下可以预防 1 尽管它有局限性,但它可以作为突出医疗系统性能的标记。发现与英国,德国和法国相比,美国在改善可满足死亡率方面进展较慢。 表1显示,尽管各国之间的可满足死亡率存在显着差异,但其可降低死亡率均有所下降。 > 1 此外,作者还比较了两国之间65岁以下和65岁以上的人。与其他国家/地区相比,美国65岁以下的人群的应满足的死亡率更高。在所有国家/地区中,超过65岁的人的死亡率都有所下降,而美国的改善率却较慢。 2007年,美国在人均医疗保健上的支出为7,290美元,是法国,德国的两倍多,英国(分别为$ 3,601,$ 3,588和$ 2,992),但某些人群的可满足死亡率的提高是其他西方国家的一半。 这三个欧洲国家的共同点在于全民医疗保健,而美国没有此选择。这似乎是美国需要进行医疗改革的进一步证据。

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