Originales
La mortalidad evitable: lista de consenso para la actualización del indicador en España
Avoidable mortality: a consensus list of causes to update the indicator in Spain
Rosa Gispert
, María de Arán Barés, Anna Puigdefàbregas, El Grupo para el Consenso en la Mortalidad Evitable
Autor para correspondencia
rosa.gispert@gencat.net
Correspondencia: Dra. Rosa Gispert. Servei d’Informació i Estudis. Direcció General de Recursos Sanitaris. Departament de Salut. Travessera de les Corts, 131-159. Pavelló Ave Maria. 08028 Barcelona. España.
Correspondencia: Dra. Rosa Gispert. Servei d’Informació i Estudis. Direcció General de Recursos Sanitaris. Departament de Salut. Travessera de les Corts, 131-159. Pavelló Ave Maria. 08028 Barcelona. España.
Servei d’informació i estudis, Departament de Salut, Generalitat de Catalunya, Barcelona, España
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Redistribution of socioeconomic resources without a reduction of health inequalities? Some surprises on the road to Utopia" "tienePdf" => "en" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "182" "paginaFinal" => "183" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Comentario. ¿Redistribución de los recursos socioeconómicos sin reducción de las desigualdades en salud? Algunas sorpresas en el viaje a Utopía" ] ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Johan P. Mackenbach" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Johan P." 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Rosa Gispert. Servei d’Informació i Estudis. Direcció General de Recursos Sanitaris. Departament de Salut. Travessera de les Corts, 131-159. Pavelló Ave Maria. 08028 Barcelona. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Avoidable mortality: a consensus list of causes to update the indicator in Spain" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-07-13" "fechaAceptado" => "2006-01-12" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec14082" "palabras" => array:5 [ 0 => "Muerte evitable" 1 => "Causas de muerte" 2 => "Investigación en servicios sanitarios" 3 => "Indicadores de calidad" 4 => "Servicios sanitarios" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec14081" "palabras" => array:5 [ 0 => "Avoidable death" 1 => "Causes of death" 2 => "Health services research" 3 => "Quality indicators" 4 => "Health care" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Los indicadores de mortalidad podrían reflejar el efecto de las intervenciones sanitarias sobre la salud de la población, aunque no hay acuerdo sobre el más adecuado. El objetivo del trabajo fue obtener una lista de causas de mortalidad evitable que pueda ser de uso común en España.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha realizado un proceso de consenso entre médicos asistenciales, elaboradores y usuarios de indicadores sanitarios, basado en las publicaciones sobre el tema y las aportaciones de los expertos participantes. Se ha valorado el grado de acuerdo obtenido en los distintos ítems.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se han consensuado 34 causas de mortalidad evitable, así como el tipo de intervenciones que podrían evitar la muerte. El consenso fue medio o alto en la mayor parte de causas e intervenciones (sólo en 4 fue bajo), así como para el conjunto de la lista y sublistas (de servicios sanitarios y de políticas intersectoriales) elaboradas. El consenso fue mayor en relación a la evitabilidad de las causas de muerte que al tipo de intervenciones que la pueden evitar. La discrepancia fue mayor en las intervenciones del ámbito asistencial que en las de políticas intersectoriales.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La reflexión y la discusión a que ha sido sometida esta lista de mortalidad evitable, así como la publicitación de los criterios y del procedimiento seguido, supone un valor añadido. La lista mejora la comparabilidad de los datos y de los resultados entre los distintos sistemas de salud del territorio, por lo cual se recomienda su utilización en el contexto español.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Mortality indicators could reflect the effect of health services interventions on the population’s health, although there is no agreement about which indicator would be the most appropriate. The objective of this study was to obtain a consensus list of causes of avoidable mortality that could be used as a reference in Spain.</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Based on existing publications and participants’ knowledge, a process of consensus among medical practitioners, producers and users of health indicators was carried out. The degree of agreement on the different items was assessed.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Agreement was reached on a final list of 34 causes of avoidable mortality as well as on the interventions that could avoid death. The level of consensus was high or intermediate in most categories (consensus was low in only 4 categories) and was high for the list and sublists (medical care or health policy interventions) as a whole. Agreement was higher on the avoidable causes of death than on the kind of interventions that can avoid it. Discrepancy was greater for the kind of medical interventions than for intersectorial policy measures.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The reflection and discussion involved in reaching a consensus on the avoidable mortality list, as well as the dissemination of the criteria and the procedures followed, provide added value. The list will improve data comparisons and facilitate benchmarking among the various regional health systems. We recommend its use in the Spanish context.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:30 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Measuring the quality of medical care" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "D.D. 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Información del artículo
ISSN: 02139111Idioma original: Español
DOI:10.1157/13088849
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