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Related Experiment Videos

Amenable mortality revisited: the AMIEHS study.

Rasmus Hoffmann1, Iris Plug, Bernadette Khoshaba

  • 1Department of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands. r.hoffmann@erasmusmc.nl

Gaceta Sanitaria
|December 5, 2012
PubMed
Summary

Amenable mortality indicators, measuring healthcare quality, were rigorously selected and validated in the AMIEHS project. This new approach ensures reliable assessment of health system effectiveness for international comparisons.

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Area of Science:

  • Health Services Research
  • Public Health
  • Medical Informatics

Background:

  • Renewed interest in health system indicators.
  • Amenable mortality, introduced by Rutstein in 1976, assesses healthcare quality by identifying deaths preventable with timely and effective care.
  • The Amenable Mortality in the European Union: toward better indicators for the effectiveness of health systems (AMIEHS) project developed a novel approach to selecting amenable mortality indicators.

Purpose of the Study:

  • To introduce a new, rigorously validated approach for selecting amenable mortality indicators.
  • To improve the assessment of healthcare system effectiveness.
  • To establish reliable indicators for international health system comparisons.

Main Methods:

  • Selection of potential amenable mortality indicators based on predefined criteria and literature review.
  • Determination of medical innovation timing via expert reviews and national questionnaires.
  • Validation of indicators through trend analysis correlating innovations with mortality and a Delphi procedure.

Main Results:

  • A list of 14 causes of death meeting selection criteria was identified.
  • Empirical validation of selected indicators was demonstrated using peptic ulcer and renal failure as examples.
  • An innovative, empirically validated procedure for indicator selection was detailed.

Conclusions:

  • The AMIEHS project introduced a rigorous, empirically validated approach to amenable mortality.
  • Validated amenable mortality indicators are essential for accurately assessing healthcare quality in international contexts.
  • This method enhances the reliability of health system performance evaluation.