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作为利用经合组织健康数据确定国家疾病控制重点工具的潜在寿命损失疾病管理指数。

Disease management index of potential years of life lost as a tool for setting priorities in national disease control using OECD health data.

作者信息

Jang Sung-In, Nam Jung-Mo, Choi Jongwon, Park Eun-Cheol

机构信息

Department of Preventive Medicine and Institute of Health Services Research, Yonsei University College of Medicine, Severance Hospital, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Republic of Korea.

Department of Preventive Medicine and Institute of Health Services Research, Yonsei University College of Medicine, Severance Hospital, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Republic of Korea.

出版信息

Health Policy. 2014 Mar;115(1):92-9. doi: 10.1016/j.healthpol.2013.11.007. Epub 2013 Dec 9.


DOI:10.1016/j.healthpol.2013.11.007
PMID:24365032
Abstract

Limited healthcare resources make it necessary to maximize efficiency in disease management at the country level by priority-setting according to disease burden. To make the best priority settings, it is necessary to measure health status and have standards for its judgment, as well as consider disease management trends among nations. We used 17 International Classification of Diseases (ICD) categories of potential years of life lost (YPLL) from Organization for Economic Co-operation and Development (OECD) health data for 2012, 37 disease diagnoses YPLL from OECD health data for 2009 across 22 countries and disability-adjusted life years (DALY) from the World Health Organization (WHO). We set a range of 1-1 for each YPLL per disease in a nation (position value for relative comparison, PARC). Changes over 5 years were also accounted for in this disease management index (disease management index, DMI). In terms of ICD categories, the DMI indicated specific areas for priority setting for different countries with regard to managing disease treatment and diagnosis. Our study suggests that DMI is a realistic index that reflects trend changes over the past 5 years to the present state, and PARC is an easy index for identifying relative status. Moreover, unlike existing indices, DMI and PARC make it easy to conduct multiple comparisons among countries and diseases. DMI and PARC are therefore useful tools for policy implications and for future studies incorporating them and other existing indexes.

摘要

有限的医疗资源使得有必要通过根据疾病负担设定优先级来在国家层面最大限度地提高疾病管理效率。为了做出最佳的优先级设定,有必要衡量健康状况并制定判断标准,同时考虑各国的疾病管理趋势。我们使用了经济合作与发展组织(OECD)2012年健康数据中的17个国际疾病分类(ICD)潜在寿命损失年(YPLL)类别、22个国家2009年OECD健康数据中的37种疾病诊断YPLL以及世界卫生组织(WHO)的伤残调整生命年(DALY)。我们为每个国家每种疾病的YPLL设定了1 - 1的范围(相对比较的位置值,PARC)。在这个疾病管理指数(疾病管理指数,DMI)中也考虑了5年期间的变化。就ICD类别而言,DMI指出了不同国家在疾病治疗和诊断管理方面的优先级设定特定领域。我们的研究表明,DMI是一个反映从过去5年到当前状态趋势变化的现实指数,PARC是一个便于识别相对状态的指数。此外,与现有指数不同,DMI和PARC便于在国家和疾病之间进行多重比较。因此,DMI和PARC是用于政策影响以及未来将它们与其他现有指数结合的研究的有用工具。

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