Advanced Search
MyIDEAS: Login

Avoidable mortality: what it means and how it is measured

Contents:

Author Info

  • Adriana Castelli

    (Centre for Health Economics, University of York, UK)

  • Olena Nizalova

    (Kyiv School of Economics and Kyiv Economics Institute)

Abstract

We explore in this research paper the concept of avoidable mortality and how the way it is measured has evolved over time. Starting from an earlier review by Nolte and McKee (2004), we review the empirical studies which have been produced since then. Finally we appraise the empirical applications of the most recent literature. The concept of “avoidable mortality” refers, broadly speaking, to all those deaths that, given current medical knowledge and technology, could be avoided by the healthcare system through either prevention and/or treatment. It originates from the pioneering work by Rutstein, Berenberg et al. (1976) which introduced the notion of 'unnecessary untimely deaths' as a new way to measuring the quality of medical care. The most recent empirical literature shows that the notion of avoidable mortality continues to be used to establish the extent to which people are dying from amenable conditions within and/or across countries and over time, and whether socio-economic status and ethnicity are related to mortality from amenable conditions. Most studies use data taken from national death registries, with only two which link the concept of avoidable mortality to routinely collected administrative data of healthcare provision, such as hospitals. A number of criticisms are raised, with probably the most remarkable being the lack of association found between avoidable mortality and healthcare inputs. No study has actually attempted to use the concept of avoidable mortality within the original aim envisaged by Rutstein, i.e. as a quality indicator of healthcare provision. We recommend for future work in this area to focus on investigating the link between the provision of healthcare and the concept of avoidable mortality, with a particular emphasis on using routinely collected administrative data, such as hospital discharge data.

Download Info

If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
File URL: http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP63_avoidable_mortality_what_it_means_and_how_it_is_measured.pdf
File Function: First version, 2011
Download Restriction: no

Bibliographic Info

Paper provided by Centre for Health Economics, University of York in its series Working Papers with number 063cherp.

as in new window
Length: 44 pages
Date of creation: Jun 2011
Date of revision:
Handle: RePEc:chy:respap:63cherp

Contact details of provider:
Postal: York Y010 5DD
Phone: (01904) 321401
Fax: (0)1904 323759
Email:
Web page: http://www.york.ac.uk/che
More information through EDIRC

Related research

Keywords:

This paper has been announced in the following NEP Reports:

References

References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
as in new window
  1. Dennis Petrie & Kam Ki Tang & D.S. Prasada Rao, 2009. "Measuring Avoidable Health Inequality with Realization of Conditional Potential Life Years (RCPLY)," Dundee Discussion Papers in Economics 224, Economic Studies, University of Dundee.
  2. Christoph Schwierz & Ansgar Wübker, 2009. "Determinants of Avoidable Deaths from Ischaemic Heart Diseases in East and West Germany," Ruhr Economic Papers 0119, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen.
  3. Carr, Willine & Szapiro, natan & Heisler, Toni & Krasner, Melvin I., 1989. "Sentinel health events as indicators of unmet needs," Social Science & Medicine, Elsevier, vol. 29(6), pages 705-714, January.
  4. FFF1Ellen NNN1Nolte & FFF2Martin NNN2McKee & FFF2Rembrandt D. NNN2Scholz, 2004. "Progress in health care, progress in health?," Demographic Research Special Collections, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 2(6), pages 139-162, April.
  5. FFF1France NNN1Meslé, 2004. "Mortality in Central and Eastern Europe," Demographic Research Special Collections, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 2(3), pages 45-70, April.
  6. K.K.Tang & Prasada Rao, . "Avoidable Mortality Risks and Measurement of Wellbeing and Inequality," MRG Discussion Paper Series 0806, School of Economics, University of Queensland, Australia.
  7. Wood, Evan & Sallar, Anthony M. & Schechter, Martin T. & Hogg, Robert S., 1999. "Social inequalities in male mortality amenable to medical intervention in British Columbia," Social Science & Medicine, Elsevier, vol. 48(12), pages 1751-1758, June.
  8. Kam Ki Tang & Dennis Petrie & D. S. Prasada Rao, 2009. "Measuring health inequality with realization of potential life years (RePLY)," Health Economics, John Wiley & Sons, Ltd., vol. 18(S1), pages S55-S75, April.
Full references (including those not matched with items on IDEAS)

Citations

Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
as in new window

Cited by:
  1. Richard Heijink & Xander Koolman & Gert Westert, 2013. "Spending more money, saving more lives? The relationship between avoidable mortality and healthcare spending in 14 countries," The European Journal of Health Economics, Springer, vol. 14(3), pages 527-538, June.

Lists

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

Statistics

Access and download statistics

Corrections

When requesting a correction, please mention this item's handle: RePEc:chy:respap:63cherp. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Frances Sharp).

If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

If references are entirely missing, you can add them using this form.

If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

Please note that corrections may take a couple of weeks to filter through the various RePEc services.