评估常规死亡统计的政策实用性:各国的全球分类
Tim Adair1, Lene Mikkelsen2, Jessica Hooper3
1The Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, 32 Lincoln Square North, Carlton3053, Victoria, Australia.
Bulletin of the World Health Organization
|December 4, 2023
概括
全球死亡登记数据质量差异很大. 虽然2019年70%的死亡被记录在案,但只有42%的死亡有可用原因,这凸显了全球改善死亡数据系统的需要.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 医疗信息学 医疗信息学
背景情况:
- 准确的死亡数据对于公共卫生政策和资源分配至关重要.
- 在全球范围内,死亡登记数据的可用性和质量存在显著差异.
- 了解这些局限性对于改善全球卫生监测至关重要.
研究的目的:
- 评估2015-2019年156个国家的死亡登记数据的实用性和质量.
- 评估死亡登记的完整性和死亡原因信息的质量.
- 根据其死亡率数据的政策实用性对国家进行分类.
主要方法:
- 编制来自国家当局的例行死亡和死亡原因统计数据.
- 使用Adair-Lopez实证方法估计的注册完整性.
- 通过评估80岁以下个体的可用原因来评估死亡原因数据质量.
主要成果:
- 2019年,估计全球70%的死亡被记录在案,只有42%的死亡原因是可用的.
- 54个国家 (主要是高收入国家) 拥有完整的,高质量的死亡率数据.
- 存在显著差异,许多国家有不完整的登记或质量差的死亡原因数据,38个国家缺乏可访问的数据.
结论:
- 提高死亡数据的实用性需要主动的死亡通知,数字化数据收集,简化编译和增强质量评估.
- 自动口头尸检方法的常规应用对于确定医疗机构以外的死亡原因至关重要.
- 加强国家重要统计系统对于基于证据的政策制定至关重要.
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