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Trends in avoidable death over 20 years in Korea
Ji In Chung1, Yun-Mi Song, Ji Sook Choi
1Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Journal of Korean Medical Science
|January 3, 2009
Summary
South Korea
Area of Science:
- Public Health
- Health Services Research
- Epidemiology
Background:
- Assessing healthcare service effectiveness requires evaluating health outcomes independent of socioeconomic factors.
- Trends in avoidable mortality provide a metric for healthcare system performance.
Purpose of the Study:
- To analyze the time trends of avoidable mortality in South Korea from 1983 to 2004.
- To evaluate the contribution of healthcare services to public health improvements.
Main Methods:
- Utilized the European Community Atlas of "Avoidable Death" to define causes.
- Calculated sex- and age-standardized mortality rates for individuals aged 1-64 years.
- Analyzed data from the Korea National Statistical Office.
Main Results:
- Avoidable mortality rates significantly decreased: from 225 to 84 per 100,000 in men and 122 to 41 in women.
- Mortality preventable by medical care saw the largest reduction (77.8%), while primary prevention showed the least (50.0%).
- However, mortality from ischemic heart disease and certain cancers increased, and primary/secondary prevention reductions were less than expected.
Conclusions:
- Healthcare services have demonstrably improved health in South Korea.
- Enhanced primary and secondary prevention strategies are crucial.
- Targeted interventions are needed to address rising mortality from specific preventable diseases.
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