Department of Social Medicine, School of Public Health, Fudan University, Shanghai, China.
Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA, USA.
Int J Health Policy Manag. 2015 Mar 13;4(6):403-5. doi: 10.15171/ijhpm.2015.64.
The paper published in the January 2015 issue of this journal by Gusmano and colleagues entitled "Shanghai rising: health improvements as measured by avoidable mortality since 2000" has spurred this commentary. We discuss controversial issues surrounding the concept of avoidable mortality in health service research in general and Gusmano's study in particular. The impact of overall social development on mortality may be underappreciated in Gusmano's report; the innovative efforts of healthcare professionals to use cutting-edge technology and evidence-approved preventive strategies to reduce healthcare cost and improve the life quality of community members may not necessarily come to fruition in death reduction, and might be undervalued, too. More critically, the shape and magnitude of emerging health issues in Shanghai, such as accidents and injuries, pollution-related cancers, may be camouflaged in Gusmano's report. We conclude this commentary by suggesting the most urgent questions to be addressed in the future studies.
这篇论文发表在本杂志 2015 年 1 月的一期上，由 Gusmano 和同事撰写，题为“上海崛起：2000 年以来可避免死亡率衡量的健康改善”，引发了这篇评论。我们讨论了围绕健康服务研究中可避免死亡率这一概念的争议问题，特别是 Gusmano 的研究。在 Gusmano 的报告中，可能对整体社会发展对死亡率的影响估计不足；医疗保健专业人员为降低医疗成本和提高社区成员的生活质量而使用尖端技术和经证实的预防策略的创新努力，不一定会在减少死亡方面取得成果，而且可能也被低估了。更关键的是，上海新出现的健康问题，如事故和伤害、与污染有关的癌症等，在 Gusmano 的报告中可能被掩盖了。我们在评论的最后提出了未来研究中最需要解决的紧迫问题。
