良好的民政登记和重要统计系统是否与更好的健康结果有关?
David E Phillips1, Carla AbouZahr2, Alan D Lopez3
1Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Lancet (London, England)
|May 15, 2015
概括
加强民政登记和重要统计 (CRVS) 系统与全球更好的人口健康结果有关. 投资CRVS对于个人福祉和公共卫生进步至关重要.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 卫生系统研究 卫生系统研究
背景情况:
- 良好的民政登记和重要统计系统 (CRVS) 对于治理和发展至关重要.
- 人们还不完全理解CRVS表现和人口健康结果之间的联系.
- 法律身份和重要统计数据被假定会影响健康和福祉.
研究的目的:
- 检查强大的CRVS系统与改善人口健康结果之间的关联.
- 提出一个概念模型,将CRVS与个人福祉和社会健康联系起来.
- 调查CRVS性能和健康指标之间的生态关系.
主要方法:
- 开发一个概念模型,说明从CRVS到健康的途径.
- 使用边际线性模型和滞后-领先分析.
- 测量一个复合CRVS性能指标和三个健康结果之间的生态关联.
主要成果:
- 结果支持概念模型,显示CRVS性能和健康结果之间存在积极的关联.
- 在全球范围内,CRVS性能的提高与人口健康的改善相吻合.
- CRVS与健康结果之间的关联在时间上是一致的.
结论:
- 加强CRVS系统对于改善人口健康结果至关重要.
- 投资CRVS是一个发展的必要条件,具有显著的健康益处.
- CRVS系统为公共卫生政策和干预提供必要的数据.
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