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Mortality, morbidity, and resource allocation.

D P Forster

    Lancet (London, England)
    |May 7, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Mortality rates may not accurately reflect population health. This study found weak correlations between mortality and various morbidity measures, questioning its use as a sole health indicator.

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    Area of Science:

    • Public Health
    • Epidemiology
    • Health Services Research

    Background:

    • Standardised mortality ratios (SMRs) are used in health resource allocation.
    • The validity of SMRs as a proxy for population morbidity requires examination.

    Purpose of the Study:

    • To investigate the correlation between mortality rates and morbidity rates across UK regions.
    • To assess whether mortality is a reliable indicator of population morbidity.

    Main Methods:

    • Analysis of age and sex standardised mortality and morbidity rates from the General Household Survey (GHS).
    • Examination of data for 10 standard statistical regions for 1972-1973.
    • Correlation analysis between mortality and different morbidity indicators (acute sickness, bed sickness, chronic sickness, work/school absence).

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    Main Results:

    • No significant correlation was found between mortality and acute sickness or bed sickness.
    • A significant positive correlation was observed between mortality and chronic sickness.
    • No significant correlation was found between mortality and work or school absence due to illness/injury in males.

    Conclusions:

    • Current evidence suggests mortality may not be a fully valid indicator of population morbidity.
    • Reconsideration of using standardised mortality ratios (SMRs) in resource allocation formulas is recommended.
    • The Resource Allocation Working Party (RAWP) recommendation to remove SMRs warrants serious consideration.