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Measuring avoidable deaths and diseases in New York State.

W Carr, N Szapiro, T Heisler

    Paper Series (United Hospital Fund of New York)
    |December 11, 1987
    PubMed
    Summary
    This summary is machine-generated.

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    Sentinel health events, including avoidable deaths and diseases, were analyzed using New York

    Area of Science:

    • Public Health
    • Health Services Research
    • Preventive Medicine

    Background:

    • Sentinel health events (SHEs) are indicators of community health and healthcare system performance.
    • A framework exists for identifying SHEs, encompassing over 120 preventable or manageable conditions.
    • Hospital discharge data provide valuable insights into avoidable negative health outcomes.

    Purpose of the Study:

    • To assess the burden of potentially avoidable deaths and diseases in New York State using sentinel health event methodology.
    • To identify specific conditions contributing significantly to avoidable mortality and morbidity.
    • To examine disparities in sentinel health events among different demographic and socioeconomic groups.

    Main Methods:

    • Analysis of Statewide Planning and Research Cooperative System (SPARCS) hospital discharge abstract data from New York State for 1983.

    Related Experiment Videos

  • Identification and quantification of sentinel health events, categorized as potentially avoidable or partially avoidable.
  • Comparison of sentinel event rates across racial, insurance, and hospital type groups.

    • Main Results:

    • Over 19,000 potentially avoidable deaths and over 336,000 potentially preventable disease instances were identified in hospitalized New York residents in 1983.
    • Lung cancer, emphysema/COPD, and bladder cancer accounted for 75% of deaths and 60% of diseases in the "each event avoidable" category.
    • Vascular complications of hypertension were linked to 45% of deaths in the "some proportion avoidable" category.
    • Significantly higher rates of many sentinel events were observed among Black individuals, Medicaid recipients, and public hospital users, with Black patients having over double the mortality for colon neoplasms.

    Conclusions:

    • Sentinel health event analysis of hospital discharge data reveals a substantial burden of preventable mortality and morbidity in New York State.
    • Specific conditions like lung cancer, COPD, bladder cancer, and hypertensive vascular complications represent critical targets for intervention.
    • Significant health disparities exist, highlighting the need for targeted public health strategies and healthcare improvements for vulnerable populations.