Grabovskaia T V, Mishchenko A N, Iablon'ko L P
Sov Zdravookhr. 1991(1):22-6.
In connection with the introduction of new economic mechanisms in public health a necessity has arisen for thorough and comprehensive evaluation of final results of the performance of curative and preventive institutions and some of their units, which are the positive changes in the population health. A great number of indicators reflecting some aspects of population health demand the search of integral evaluation methods. The indicator of mean life expectancy and its modifications is one of such integral indicators. Mean life expectancy indicators of patients with certain nosology and deficiency of mean life expectancy from some diseases in dynamics permit one to evaluate the measures taken to control these or those diseases and their cost-effectiveness which is of importance in evaluating the contribution of labour of medical personnel to the reduction of mortality from specific diseases. The paper provides simplified methods for calculating the above-mentioned indicators which in contrast to classical methods do not require complex mathematical calculations and therefore are intelligible for public health bodies and institutions of any level.
随着公共卫生领域新经济机制的引入,有必要对治疗和预防机构及其某些部门的最终绩效结果进行全面、综合的评估,这些结果体现为人群健康状况的积极变化。大量反映人群健康某些方面的指标需要寻找综合评估方法。平均预期寿命指标及其修正指标就是这类综合指标之一。患有特定疾病患者的平均预期寿命指标以及某些疾病平均预期寿命的动态下降情况,有助于评估为控制这些或那些疾病所采取的措施及其成本效益,这对于评估医务人员在降低特定疾病死亡率方面的劳动贡献非常重要。本文提供了上述指标的简化计算方法,与传统方法相比,这些方法不需要复杂的数学计算,因此各级公共卫生机构都能理解。