Gaizauskiene A, Gurevicius R
Lithuanian Health Information Centre, Ministry of Health, Vilnius.
J Epidemiol Community Health. 1995 Jun;49(3):281-4. doi: 10.1136/jech.49.3.281.
The study aimed to analyse avoidable mortality in Lithuania as an index of the quality of health care and to assess trends in avoidable mortality from 1970-90.
All deaths of Lithuanian residents aged between 0 and 64 years between 1970 and 1990 were analysed.
Twenty seven per cent of all deaths in this age group were avoidable. Avoidable deaths were grouped into preventable and treatable ones. Treatable causes of death accounted for 54%, and preventable, 46% of avoidable mortality. Time trends showed that general mortality and mortality from avoidable causes of death in this age group were almost stable between 1970 and 1990. Mortality from treatable causes of death fell, while deaths from preventable causes increased. The results in the preventable group were greatly affected by deaths from malignant neoplasms of trachea, bronchus, and lungs. Differences were noted between the sexes in total mortality as well as in avoidable mortality.
Avoidable causes of death are relatively common and, consequently, they are of practical importance for public health and studies of the health care quality in Lithuania. Reorganisation of health care is to be carried out and considerable emphasis will be placed on health education, promotion, and prevention, as primary prevention measures have not been effective thus far.
本研究旨在分析立陶宛可避免死亡情况，以此作为医疗保健质量的一项指标，并评估1970年至1990年期间可避免死亡的趋势。
分析了1970年至1990年间立陶宛0至64岁居民的所有死亡情况。
该年龄组所有死亡中27%为可避免死亡。可避免死亡分为可预防和可治疗两类。可治疗死因占可避免死亡的54%，可预防死因占46%。时间趋势表明，1970年至1990年间，该年龄组的总体死亡率和可避免死因死亡率几乎稳定。可治疗死因的死亡率下降，而可预防死因的死亡人数增加。可预防组的结果受气管、支气管和肺部恶性肿瘤死亡的影响很大。在总死亡率和可避免死亡率方面，男女之间存在差异。
可避免死因相对常见，因此，它们对立陶宛的公共卫生和医疗保健质量研究具有实际重要性。由于迄今为止一级预防措施效果不佳，因此将进行医疗保健重组，并将重点大力放在健康教育、促进和预防上。
