Sentinel Amenable Mortality : A New Way to Assess the Quality of Healthcare by Examining Causes of Premature Death for Which Highly Efficacious Medical Interventions Are Available
Vergara-Duarte, Montse (Institut Català de la Salut)
Borrell i Thió, Carme (Institut d'Investigació Biomèdica Sant Pau)
Pérez Albarracín, Glòria (Institut d'Investigació Biomèdica Sant Pau)
Martín-Sánchez, Juan Carlos (Universitat Internacional de Catalunya)
Clèries, Ramon (Universitat de Barcelona)
Buxó, Maria (Institut d'Investigació Biomèdica de Girona)
Martínez-Solanas, Èrica (Barcelona Institute for Global Health (ISGlobal))
Yasui, Yutaka (University of Alberta, Canada)
Muntaner, Carles (University of Toronto, Canada)
Benach, Joan (Universidad Autónoma de Madrid)
Universitat Autònoma de Barcelona

Fecha:	2018
Resumen:	Amenable mortality, or premature deaths that could be prevented with medical care, is a proven indicator for assessing healthcare quality when adapted to a country or region's specific healthcare context. This concept is currently used to evaluate the performance of national and international healthcare systems. However, the levels of efficacy and effectiveness determined using this indicator can vary greatly depending on the causes of death that are included. We introduce a new approach by identifying a subgroup of causes for which there are available treatments with a high level of efficacy. These causes should be considered sentinel events to help identify limitations in the effectiveness and quality of health provision. We conducted an extensive literature review using a list of amenable causes of death compiled by Spanish researchers. We complemented this approach by assessing the time trends of amenable mortality in two high-income countries that have a similar quality of healthcare but very different systems of provision, namely, Spain and the United States. This enabled us to identify different levels of efficacy of medical interventions (high, medium, and low). We consulted a group of medical experts and combined this information to help make the final classification of sentinel amenable causes of death. Sentinel amenable mortality includes causes such as surgical conditions, thyroid diseases, and asthma. The remaining amenable causes of death either have a higher complexity in terms of the disease or need more effective medical interventions or preventative measures to guarantee early detection and adherence to treatment. These included cardiovascular diseases, diabetes, hypertension, all amenable cancers, and some infectious diseases such as pneumonia, influenza, and tuberculosis. Sentinel amenable mortality could act as a good sentinel indicator to identify major deficiencies in healthcare quality and provision and detect inequalities across populations.
Ayudas:	Instituto de Salud Carlos III FIS 07/0285
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Publicado en:	BioMed Research International, Vol. 2018 (september 2018) , ISSN 2314-6141

DOI: 10.1155/2018/5456074
PMID: 30246022

15 p, 929.8 KB

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Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Institut de Recerca Sant Pau
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