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Sentinel Amenable Mortality: A New Way to Assess the Quality of Healthcare by Examining Causes of Premature Death for Which Highly Efficacious Medical Interventions Are Available

BACKGROUND: Amenable mortality, or premature deaths that could be prevented with medical care, is a proven indicator for assessing healthcare quality when adapted to a country or region's specific healthcare context. This concept is currently used to evaluate the performance of national and int...

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Autores principales: Vergara-Duarte, Montse, Borrell, Carme, Pérez, Glòria, Martín-Sánchez, Juan Carlos, Clèries, Ramon, Buxó, Maria, Martínez-Solanas, Èrica, Yasui, Yutaka, Muntaner, Carles, Benach, Joan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139231/
https://www.ncbi.nlm.nih.gov/pubmed/30246022
http://dx.doi.org/10.1155/2018/5456074
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author Vergara-Duarte, Montse
Borrell, Carme
Pérez, Glòria
Martín-Sánchez, Juan Carlos
Clèries, Ramon
Buxó, Maria
Martínez-Solanas, Èrica
Yasui, Yutaka
Muntaner, Carles
Benach, Joan
author_facet Vergara-Duarte, Montse
Borrell, Carme
Pérez, Glòria
Martín-Sánchez, Juan Carlos
Clèries, Ramon
Buxó, Maria
Martínez-Solanas, Èrica
Yasui, Yutaka
Muntaner, Carles
Benach, Joan
author_sort Vergara-Duarte, Montse
collection PubMed
description BACKGROUND: Amenable mortality, or premature deaths that could be prevented with medical care, is a proven indicator for assessing healthcare quality when adapted to a country or region's specific healthcare context. This concept is currently used to evaluate the performance of national and international healthcare systems. However, the levels of efficacy and effectiveness determined using this indicator can vary greatly depending on the causes of death that are included. We introduce a new approach by identifying a subgroup of causes for which there are available treatments with a high level of efficacy. These causes should be considered sentinel events to help identify limitations in the effectiveness and quality of health provision. METHODS: We conducted an extensive literature review using a list of amenable causes of death compiled by Spanish researchers. We complemented this approach by assessing the time trends of amenable mortality in two high-income countries that have a similar quality of healthcare but very different systems of provision, namely, Spain and the United States. This enabled us to identify different levels of efficacy of medical interventions (high, medium, and low). We consulted a group of medical experts and combined this information to help make the final classification of sentinel amenable causes of death. RESULTS: Sentinel amenable mortality includes causes such as surgical conditions, thyroid diseases, and asthma. The remaining amenable causes of death either have a higher complexity in terms of the disease or need more effective medical interventions or preventative measures to guarantee early detection and adherence to treatment. These included cardiovascular diseases, diabetes, hypertension, all amenable cancers, and some infectious diseases such as pneumonia, influenza, and tuberculosis. CONCLUSIONS: Sentinel amenable mortality could act as a good sentinel indicator to identify major deficiencies in healthcare quality and provision and detect inequalities across populations.
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spelling pubmed-61392312018-09-23 Sentinel Amenable Mortality: A New Way to Assess the Quality of Healthcare by Examining Causes of Premature Death for Which Highly Efficacious Medical Interventions Are Available Vergara-Duarte, Montse Borrell, Carme Pérez, Glòria Martín-Sánchez, Juan Carlos Clèries, Ramon Buxó, Maria Martínez-Solanas, Èrica Yasui, Yutaka Muntaner, Carles Benach, Joan Biomed Res Int Review Article BACKGROUND: Amenable mortality, or premature deaths that could be prevented with medical care, is a proven indicator for assessing healthcare quality when adapted to a country or region's specific healthcare context. This concept is currently used to evaluate the performance of national and international healthcare systems. However, the levels of efficacy and effectiveness determined using this indicator can vary greatly depending on the causes of death that are included. We introduce a new approach by identifying a subgroup of causes for which there are available treatments with a high level of efficacy. These causes should be considered sentinel events to help identify limitations in the effectiveness and quality of health provision. METHODS: We conducted an extensive literature review using a list of amenable causes of death compiled by Spanish researchers. We complemented this approach by assessing the time trends of amenable mortality in two high-income countries that have a similar quality of healthcare but very different systems of provision, namely, Spain and the United States. This enabled us to identify different levels of efficacy of medical interventions (high, medium, and low). We consulted a group of medical experts and combined this information to help make the final classification of sentinel amenable causes of death. RESULTS: Sentinel amenable mortality includes causes such as surgical conditions, thyroid diseases, and asthma. The remaining amenable causes of death either have a higher complexity in terms of the disease or need more effective medical interventions or preventative measures to guarantee early detection and adherence to treatment. These included cardiovascular diseases, diabetes, hypertension, all amenable cancers, and some infectious diseases such as pneumonia, influenza, and tuberculosis. CONCLUSIONS: Sentinel amenable mortality could act as a good sentinel indicator to identify major deficiencies in healthcare quality and provision and detect inequalities across populations. Hindawi 2018-09-02 /pmc/articles/PMC6139231/ /pubmed/30246022 http://dx.doi.org/10.1155/2018/5456074 Text en Copyright © 2018 Montse Vergara-Duarte et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Vergara-Duarte, Montse
Borrell, Carme
Pérez, Glòria
Martín-Sánchez, Juan Carlos
Clèries, Ramon
Buxó, Maria
Martínez-Solanas, Èrica
Yasui, Yutaka
Muntaner, Carles
Benach, Joan
Sentinel Amenable Mortality: A New Way to Assess the Quality of Healthcare by Examining Causes of Premature Death for Which Highly Efficacious Medical Interventions Are Available
title Sentinel Amenable Mortality: A New Way to Assess the Quality of Healthcare by Examining Causes of Premature Death for Which Highly Efficacious Medical Interventions Are Available
title_full Sentinel Amenable Mortality: A New Way to Assess the Quality of Healthcare by Examining Causes of Premature Death for Which Highly Efficacious Medical Interventions Are Available
title_fullStr Sentinel Amenable Mortality: A New Way to Assess the Quality of Healthcare by Examining Causes of Premature Death for Which Highly Efficacious Medical Interventions Are Available
title_full_unstemmed Sentinel Amenable Mortality: A New Way to Assess the Quality of Healthcare by Examining Causes of Premature Death for Which Highly Efficacious Medical Interventions Are Available
title_short Sentinel Amenable Mortality: A New Way to Assess the Quality of Healthcare by Examining Causes of Premature Death for Which Highly Efficacious Medical Interventions Are Available
title_sort sentinel amenable mortality: a new way to assess the quality of healthcare by examining causes of premature death for which highly efficacious medical interventions are available
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139231/
https://www.ncbi.nlm.nih.gov/pubmed/30246022
http://dx.doi.org/10.1155/2018/5456074
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