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降低可避免死亡率的经济价值。

The economic value of reducing avoidable mortality.

机构信息

Danish Institute for Advanced Study, University of Southern Denmark, Odense, Denmark.

Danish Centre for Health Economics, University of Southern Denmark, Odense, Denmark.

出版信息

Nat Med. 2024 Nov;30(11):3327-3334. doi: 10.1038/s41591-024-03253-7. Epub 2024 Sep 27.

Abstract

Living longer and healthier boosts individual and family welfare. As part of the World Bank's Healthy Longevity Initiative, we quantified the economic value of achieving the highest possible life span. We estimated the economic value of reducing avoidable mortality, defined as the difference between observed (or projected) mortality and lowest achieved (or projected) mortality, by world regions, sex, and age, between 2000 and 2021, with projection to 2050. In 2019, 69% of mortality, or 40 million deaths, was avoidable. The economic value of avoidable mortality globally was 23% of annual income, meaning that, globally, populations would be willing to give up about one-fifth of their current income in exchange for a year living at the lowest achieved mortality rate. This value ranges from 19% in China to 34% in sub-Saharan Africa. Under the rapid-progress scenario, in which countries experience fast but plausible mortality reductions from 2019 to 2050, we would expect globally the gap between projected and frontier life expectancy to be halved by 2050, and the economic value after achieving this scenario is equivalent to 14% of annual income. Our work provides supportive evidence on the high economic value placed on improving health.

摘要

活得更久、更健康可以提高个人和家庭的福利。作为世界银行健康长寿倡议的一部分,我们量化了实现最长寿命的经济价值。我们估计了 2000 年至 2021 年期间,按世界区域、性别和年龄划分的避免可避免死亡率(定义为观察到的(或预测的)死亡率与最低实现的(或预测的)死亡率之间的差异)所带来的经济价值,并预测到 2050 年。2019 年,69%的死亡率,即 4000 万人的死亡是可以避免的。全球避免可避免死亡率的经济价值占年收入的 23%,这意味着全球人口愿意放弃当前收入的五分之一,以换取在最低死亡率下生活一年。这一价值在中国为 19%,在撒哈拉以南非洲为 34%。在快速进展的情景下,即各国在 2019 年至 2050 年期间经历快速但合理的死亡率降低,我们预计到 2050 年,全球预期寿命与前沿水平之间的差距将减半,实现这一情景后的经济价值相当于年收入的 14%。我们的工作为提高健康水平的高经济价值提供了有力的证据。

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