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Br Med J (Clin Res Ed). Feb 1, 1986; 292(6516): 295–301.
PMCID: PMC1339275

Some international comparisons of mortality amenable to medical intervention.

Abstract

A series of outcome indicators was proposed for assessing the curative aspects of health care using several diseases for which evidence suggested that death was largely avoidable provided that appropriate medical treatment could be given in time. International data were examined for those causes for which data were readily available. Time trends in mortality were compared for each of these conditions for six countries that had experienced appreciable growth in health services during 1950-80. Mortality from the heterogeneous "avoidable" causes had declined faster than mortality from all other causes in each of the six countries. Despite problems of diagnosis, reporting, and classification of diseases that may have existed among countries, making international comparisons of absolute mortality difficult, the trends of declining mortality were similar, lending credibility to the use of these causes of mortality as indices of health care within countries. Changes within countries may also have been attributable to changes in social, environmental, genetic, and diagnostic factors, which were not examined. Nevertheless, the consistency in mortality trends for this group of "amenable" diseases suggested that improvements in medical care were a factor in their rapid decline.

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Selected References

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  • Rutstein DD, Berenberg W, Chalmers TC, Child CG, 3rd, Fishman AP, Perrin EB. Measuring the quality of medical care. A clinical method. N Engl J Med. 1976 Mar 11;294(11):582–588. [PubMed]
  • Rutstein DD, Berenberg W, Chalmers TC, Fishman AP, Perrin EB, Zuidema GD. Measuring the quality of medical care: second revision of tables of indexes. N Engl J Med. 1980 May 15;302(20):1146–1146. [PubMed]
  • Charlton JR, Hartley RM, Silver R, Holland WW. Geographical variation in mortality from conditions amenable to medical intervention in England and Wales. Lancet. 1983 Mar 26;1(8326 Pt 1):691–696. [PubMed]
  • Ryan GM, Pettigrew AH, Fogerty S, Donahue CL. Regionalizing perinatal health services in Massachusetts. N Engl J Med. 1977 Jan 27;296(4):228–230. [PubMed]
  • Wynder EL, Hirayama T. Comparative epidemiology of cancers of the United States and Japan. Prev Med. 1977 Dec;6(4):567–594. [PubMed]
  • Devesa SS, Silverman DT. Cancer incidence and mortality trends in the United States: 1935-74. J Natl Cancer Inst. 1978 Mar;60(3):545–571. [PubMed]
  • Gordis L. Effectiveness of comprehensive-care programs in preventing rheumatic fever. N Engl J Med. 1973 Aug 16;289(7):331–335. [PubMed]
  • Gordon T, Thom T. The recent decrease in CHD mortality. Prev Med. 1975 Jun;4(2):115–125. [PubMed]
  • Noer T. Decreasing incidence of acute appendicitis. Acta Chir Scand. 1975;141(5):431–432. [PubMed]
  • Johnston RF, Wildrick KH. The impact of chemotherapy on the care of patients with tuberculosis. Am Rev Respir Dis. 1974 Jun;109(6):636–664. [PubMed]
  • Ransohoff DF, Gracie WA, Wolfenson LB, Neuhauser D. Prophylactic cholecystectomy or expectant management for silent gallstones. A decision analysis to assess survival. Ann Intern Med. 1983 Aug;99(2):199–204. [PubMed]

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