医学可避免死亡概念演变  

Concept and evolution of avoidable mortality

作　　者：周奕男[1] 李敬芝[2] 王春芳[3] 金超[4] 温伟军[4] 侯磊[4] 罗力[4] 

机构地区：[1]上海交通大学医学院附属第九人民医院科教处,上海200011 [2]上海市奉贤区疾病预防控制中心 [3]上海市疾病预防控制中心 [4]复旦大学

出　　处：《中国公共卫生》2016年第8期1125-1128,共4页Chinese Journal of Public Health

基　　金：国家自然科学基金(71473045)

摘　　要：医学可避免死亡是衡量卫生系统绩效的指标,本文搜索1976—2013年有关可避免死亡的国内外文献,对"医学可避免死亡"的内涵、指标和统计口径的演变进行梳理,为中国应用医学可避免死亡提供参考借鉴。应用可避免死亡疾病指标衡量卫生系统绩效需要结合中国国情,大城市可以应用发达国家可避免死亡疾病列表进行历史分析和横向比较,对于传染病、地方病和农村地区需要制定新的疾病列表。Avoidable mortality is a useful indicator to measure the effectiveness of health system. We searched relevant references of avoidable mortality from 1976 through 2013 to study the origin,development,concepts,and methodologies of avoidable mortality for providing a reference to the application of the indicator in China. In conclusion,the application of avoidable mortality to measure health system performance in China needs to be combined with China＇s domastic conditions. The list of avoidable mortality diseases of developed countries can be used directly in metropolis of China,whereas a newavoidable disease list should be made when it is used in rural areas in China where infectious and endemic diseases are prevalent.

关 键 词：医学可避免死亡 卫生系统绩效 卫生服务 

分 类 号：R-3[医药卫生]