Westerling R
Department of Social Medicine, Uppsala University, Sweden.
Qual Assur Health Care. 1992 Dec;4(4):319-28. doi: 10.1093/oxfordjournals.intqhc.a036732.
Mortality from potentially avoidable causes of death in Sweden 1974-85 for ages 0-64 years was analysed, based on a list published by Rutstein et al., [N Engl J Med 294: 582, 1976] of conditions that were suggested to serve as negative indicators of the quality of health care. In females 22% of deaths and in males 18% of deaths had underlying causes that were included in the list. Deaths from avoidable causes in the Rutstein list were concentrated to a limited number of causes of death and cause of death groups, such as neoplasms and diseases of the respiratory system. Both preventable and treatable conditions were found among the most common avoidable causes of death. There were differences in the causes of death that were most common between different age groups. A large number of the avoidable causes of death were relatively rare in Sweden. Areas for continued methodological development are suggested concerning the choice of avoidable causes of death and the definition of standards.
基于鲁茨坦等人[《新英格兰医学杂志》294: 582, 1976]公布的一份清单，对1974 - 1985年瑞典0至64岁人群中由潜在可避免死因导致的死亡率进行了分析，该清单列出了被认为可作为医疗保健质量负面指标的病症。在女性死亡病例中，22%以及男性死亡病例中18%的潜在死因包含在该清单中。鲁茨坦清单中可避免死因导致的死亡集中于有限数量的死亡原因和死亡原因类别，如肿瘤和呼吸系统疾病。在最常见的可避免死因中，既有可预防的病症，也有可治疗的病症。不同年龄组之间最常见的死亡原因存在差异。在瑞典，大量可避免死因相对少见。针对可避免死因的选择和标准定义，提出了持续方法学发展的领域。
