Comparing UK and 20 Western countries' efficiency in reducing adult (55–74) cancer and total mortality rates 1989–2010: Cause for cautious celebration? A population-based study
نویسندگان
چکیده
OBJECTIVE Every Western nation expends vast sums on health, especially for cancer; thus, the question is how efficient is the UK in reducing adult (55-74) cancer mortality rates and total mortality rates (TMR) compared to the other Western nations in the context of economic-input to health, the percentage of Gross-Domestic-Product-expenditure-on-Health. DESIGN WHO mortality rates for baseline 3 years 1989-1991 and 2008-2010 were analysed, and confidence intervals determine any significant differences between the UK and other countries in reducing the mortalities. Efficiency ratios are calculated by dividing reduced mortality over the period by the average % of national income. SETTING Twenty-one similar socio-economic Western countries. PARTICIPANTS The 21 countries' general population. MAIN OUTCOME MEASURES Cancer mortality rates, total mortality rates Gross Domestic Product and Efficiency Ratios. RESULTS Economic Input: In 1980, UK national income was 5.6% and the European average was 7.1%. By 2010, UK national income was 9.4% being equal 17th of 21 averaging 7.1% over the period. Europe's 1980-2010 average of 8.4% yields a UK to Europe ratio of 1:1.18. Clinical output 1989-2010: UK Cancer Mortality Rates was the sixth highest, but equal sixth biggest fall, significantly greater than 14 other countries. UK Total Mortality Rates was the fifth highest but third biggest decline, significantly greater than 17 countries. UK's cancer Efficiency Ratios is largest at 1:301 and second biggest for Total Mortality Rates at 1.1341; the USA ratios were 1:152 and 1:525, respectively. CONCLUSIONS UK reduced mortalities indicate that the NHS achieves proportionally more with relatively less, but UK needs to match European average Gross-Domestic-Product-expenditure-on-Health to meet future challenges.
منابع مشابه
Comparing the USA, UK and 17 Western countries' efficiency and effectiveness in reducing mortality
OBJECTIVES To test the hypothesis that the USA healthcare system was superior to the NHS and 17 other Western countries in reducing feasible mortality rates over the period 1979-2005. DESIGN Economic inputs into healthcare, GDP health expenditure (GDPHE) were compared with clinical outputs, i.e. total 'adult' (15-74 years) and 'older' (55-74 years) mortality rates based upon three-year averag...
متن کاملNeurological deaths of American adults (55–74) and the over 75's by sex compared with 20 Western countries 1989–2010: Cause for concern
BACKGROUND Have USA total neurological deaths (TNDs) of adults (55-74) and the over 75's risen more than in twenty Western Countries? METHODS World Health Organization TND data are compared with control mortalities cancer mortality rates (CMRs) and circulatory disease deaths (CDDs) between 1989-1991 and 2008-2010 and odds ratios (ORs) and confidence intervals calculated. RESULTS Neurologica...
متن کاملEpidemiology and trends in mortality from liver cancer in Iran
Liver cancer is the sixth most common cancer worldwide and the third leading cause of death from cancer. Liver cancer is more prevalent in countries in East Asia, Southeast Asia and the western Central Africa.1 Liver cancer rates in North America and Western Europe, less than 10 cases per hundred thousand people in Asia and Africa between 50-150 cases per hundred thousand people.2 The inc...
متن کاملEpidemiology and trend of stomach cancer mortality in Iran
Background and aims: Stomach cancer is one of the most common cancers and the second cause of deaths among cancers worldwide cancer in the world. This study aimed to estimate the rate and trend of death from stomach cancer in Iranian population between 2006 and 2010. Methods: This study was a cross-sectional conducted using mortality data in Iranian popul...
متن کاملIdentification of Traffic Users Values in Yazd City and its Impact on Traffic (Focusing on Reducing Losses and Driving Accidents)
Introduction: Vehicle and motorcycle accidents are one of the main causes of mortality in the world and the highest rates of mortality are attributed to developing countries. On average, every day, there are three thousand car deaths in the world, and mortality related to vehicles are the 11th most common cause of death in developing countries. In our country, the death toll from driving accide...
متن کامل