Ustün T B, Chisholm D
Global Programme on Evidence for Health Policy, World Health Organization, Geneva, Switzerland.
Psychiatr Prax. 2001 Jul;28 Suppl 1:S7-11. doi: 10.1055/s-2001-15381.
The Global Burden of Disease (GBD) study was conducted to provide a set of summary health measures that would be comprehensive and make available information on disease and injury, including non-fatal health outcomes. The main objective of the GBD approach was to inform global priority setting for health research and to influence international health policy and planning. One of the summary measures used was the Disability Adjusted Life Year (DALY). DALYs are a common metric for fatal and non-fatal health outcomes and are based on years of life lost because of premature death (YLL) and years of life lived with disability (YLD). Thus DALYs = YLL + YLD or Burden = Mortality + Disability. Therefore, a DALY is one lost year of healthy life. The DALY methodology provides a way to link information on disease burden to cost-effectiveness analysis. This feature would assist comparative assessments. The WHO plans to refine this framework for assessing the outcomes of interventions and their related costs.
全球疾病负担(GBD)研究旨在提供一套全面的健康汇总指标,并提供有关疾病和伤害的信息,包括非致命性健康结果。GBD方法的主要目标是为全球卫生研究的优先事项设定提供依据,并影响国际卫生政策和规划。所使用的汇总指标之一是伤残调整生命年(DALY)。DALY是衡量致命和非致命性健康结果的常用指标,基于因过早死亡而损失的寿命年数(YLL)和伴有残疾生存的寿命年数(YLD)。因此,DALY = YLL + YLD,或者说负担 = 死亡率 + 残疾率。所以,一个DALY就是一年健康生命的损失。DALY方法提供了一种将疾病负担信息与成本效益分析联系起来的方式。这一特性将有助于进行比较评估。世界卫生组织计划完善这一框架,以评估干预措施的结果及其相关成本。