Healthcare access and quality index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990-2015: a novel analysis from the Global Burden of Disease Study 2015
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2017
TITLE AUTHOR(S): O.Oladimeji, GBD 2015Healthcare Access and Quality Collaborators
KEYWORDS: DISEASES, MORTALITY, MORTALITY, PUBLIC HEALTH
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 9851
HANDLE: 20.500.11910/11052
URI: http://hdl.handle.net/20.500.11910/11052
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor estimates generated through the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) to improve and expand the quantification of personal health-care access and quality for 195 countries and territories from 1990 to 2015. This novel extension of the GBD Study shows the untapped potential for personal health-care access and quality improvement across the development spectrum. Amid substantive advances in personal health care at the national level, heterogeneous patterns for individual causes in given countries or territories suggest that few places have consistently achieved optimal health-care access and quality across health-system functions and therapeutic areas. This is especially evident in middle-SDI countries, many of which have recently undergone or are currently experiencing epidemiological transitions. The HAQ Index, if paired with other measures of health-system characteristics such as intervention coverage, could provide a robust avenue for tracking progress on universal health coverage and identifying local priorities for strengthening personal health-care quality and access throughout the world.-
Related Research Outputs:
- Non-communicable diseases (NCDs) in developing countries
- Epidemiology of chronic non-communicable diseases in low and middle income countries: a review
- Towards establishing an NCD research agenda
- Measuring the health-related sustainable development goals in 188 countries: a baseline analysis from the Global Burden of Disease Study 2015
- Prioritizing health system and disease burden factors: an evaluation of the net benefit of transferring health technology interventions to different districts in Zimbabwe
- Multimorbidity in chronic conditions: public primary care patients in four greater Mekong countries
- Dollar value of disability-adjusted life years in South Africa in 2019
- A history of public health in South Africa
- Behind the mask: getting to grips with crime and violence in South Africa
- Crime, violence and public health
- South African public health system and prevention of communicable diseases
- Child development, parasites and public policy
- HIV risk exposure among young children: a study of 2-9 year olds served by public health facilities in the Free State, South Africa
- Public health and the quality of drinking water in rural communities in South Africa: issues arising from the cholera epidemic 2000/01
- Substance abuse and HIV risk behaviours in community health centres in Cape Town
- Lay prototypes of illness among a Northern Sotho community in South Africa
- Performative queer identities: masculinities and public bathroom usage
- Stewardship: protecting the public's health
- Downstream social monitoring study: nutrition, food security and selected public health issues in IFR reaches: IFR 1, IFR 2, IFR 3, IFR 7 and IFR 9. Volume III
- Draft protocol for social monitoring in the downstream areas of the LHWP: use of riverine resources by individuals and households; income and standards of living of households; nutritional and food security indicators; selected public health indicators