Measuring NHS performance 1990–2009 using amenable mortality: interpret with care
نویسندگان
چکیده
منابع مشابه
Measuring the health of nations: analysis of mortality amenable to health care.
OBJECTIVE To assess whether and how the rankings of the world's health systems based on disability adjusted life expectancy as done in the 2000 World Health Report change when using the narrower concept of mortality amenable to health care, an outcome more closely linked to health system performance. DESIGN Analysis of mortality amenable to health care (including and excluding ischaemic heart...
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Background The risk-adjusted mortality rate (RAMR) is used widely by healthcare agencies to evaluate hospital performance. The RAMR is insensitive to case volume and requires a confidence interval for proper interpretation, which results in a hypothesis testing framework. Unfamiliarity with hypothesis testing can lead to erroneous interpretations by the public and other stakeholders. We argue t...
متن کاملMortality from causes amenable and non-amenable to medical care: the experience of eastern Europe.
OBJECTIVE To investigate comparative national trends in mortality from conditions amenable to timely, appropriate medical care and from those considered not to be amenable to such care. DESIGN Analysis of trends in direct age standardised mortality from the 1950s to 1987. SETTING Four eastern European nations (Hungary, Czechoslovakia, Poland, the German Democratic Republic) and two western ...
متن کاملAmenable mortality as a performance indicator of Italian health-care services
BACKGROUND Mortality amenable to health-care services ('amenable mortality') has been defined as "premature deaths that should not occur in the presence of timely and effective health care" and as "conditions for which effective clinical interventions exist." We analyzed the regional variability in health-care services using amenable mortality as a performance indicator. Convergent validity was...
متن کاملDeclining amenable mortality: a reflection of health care systems?
BACKGROUND Some studies have analyzed the association of health care systems variables, such as health service resources or expenditures, with amenable mortality, but the association of types of health care systems with the decline of amenable mortality has yet to be studied. The present study examines whether specific health care system types are associated with different time trend declines i...
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ژورنال
عنوان ژورنال: Journal of the Royal Society of Medicine
سال: 2011
ISSN: 0141-0768,1758-1095
DOI: 10.1258/jrsm.2011.110120