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Lancet:全球医疗质量调查:中国提升医疗质量每年可避免128万人死亡

2018-09-06 卢芳 中国循环杂志

近日,Lancet一项研究通过对2016年全球疾病负担相关数据进行分析显示,高医疗质量服务的缺位,使得2016年中低收入国家约有860万人死亡。

近日,Lancet一项研究通过对2016年全球疾病负担相关数据进行分析显示,高医疗质量服务的缺位,使得2016年中低收入国家约有860万人死亡。

就中国而言,2016年有近85万死亡可通过人群干预避免,有128万可通过优化医疗质量来避免。

这128万死亡中,有63万与低医疗质量有关,65万由于缺医少药所致。整体而言,中国低医疗质量相关死亡率为46/100000人。

就全球来看,2016年中低收入国家死于记录在案的61种原因的1930万死亡人数,有1560万是可避免的。

这1560万中,有700万可通过公共卫生措施预防;有860万可通过优化医疗质量以避免,其中360万是因为医疗资源匮乏,还有500万是与医疗质量差相关。

这500万的死亡高出了全球HIV/AIDS死亡人数的5倍,全球死于糖尿病人数的3倍。

其中南亚地区由于低质量医疗服务死亡人数最多,有190万;中欧和拉丁美洲由于低质量医疗服务所致死亡比例最大;撒哈拉以南非洲地区,由于缺乏医疗条件而死亡的人数最多。

整体中低收入国家,低医疗质量相关的死亡率为82/100000人。



图1 不同国家和地区与低医疗质量相关死亡人数(/100000人)

在可避免死亡人数中,因血管病死亡者最多,占总死亡人数的33%,其中84%与低医疗质量相关。其次是新生儿死亡和结核病。



图2 不同病种中低医疗质量和未能利用医疗资源相关死亡率比较(/100000人)

研究者指出,在做到全面健康服务的同时,必须同时要提高医疗质量。有质量的医疗服务才能真正改善人群健康状况。

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    2018-11-19 howi
  2. [GetPortalCommentsPageByObjectIdResponse(id=1829797, encodeId=1bfe1829e9731, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Mon Nov 19 20:10:00 CST 2018, time=2018-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=344527, encodeId=235534452e38, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Tue Sep 11 19:07:59 CST 2018, time=2018-09-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=344120, encodeId=b8a334412078, content=受苦的还是老百姓, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/07/24/d9d14db78de202d73276f47d8d8e2596.jpg, createdBy=3b682249905, createdName=盖伦, createdTime=Sun Sep 09 08:48:46 CST 2018, time=2018-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1310358, encodeId=9888131035878, content=<a href='/topic/show?id=ef29351686f' target=_blank style='color:#2F92EE;'>#医疗质量#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=35168, encryptionId=ef29351686f, topicName=医疗质量)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8ca5383, createdName=bbjsj_1979, createdTime=Sat Sep 08 11:10:00 CST 2018, time=2018-09-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=343435, encodeId=cea9343435c2, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Fri Sep 07 15:34:11 CST 2018, time=2018-09-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=343356, encodeId=594f3433567e, content=任重道远, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18741984753, createdName=smartxiuxiu, createdTime=Fri Sep 07 07:08:46 CST 2018, time=2018-09-07, status=1, ipAttribution=)]
    2018-09-11 wxl882001

    了解一下

    0

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    2018-09-09 盖伦

    受苦的还是老百姓

    0

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    2018-09-07 wxl882001

    了解一下

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1829797, encodeId=1bfe1829e9731, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Mon Nov 19 20:10:00 CST 2018, time=2018-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=344527, encodeId=235534452e38, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Tue Sep 11 19:07:59 CST 2018, time=2018-09-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=344120, encodeId=b8a334412078, content=受苦的还是老百姓, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/07/24/d9d14db78de202d73276f47d8d8e2596.jpg, createdBy=3b682249905, createdName=盖伦, createdTime=Sun Sep 09 08:48:46 CST 2018, time=2018-09-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1310358, encodeId=9888131035878, content=<a href='/topic/show?id=ef29351686f' target=_blank style='color:#2F92EE;'>#医疗质量#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=35168, encryptionId=ef29351686f, topicName=医疗质量)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8ca5383, createdName=bbjsj_1979, createdTime=Sat Sep 08 11:10:00 CST 2018, time=2018-09-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=343435, encodeId=cea9343435c2, content=了解一下, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuOgo3iaicb1Imgk1yIfnvr6oXzibcAFB6puAyNJXbzWhNuLqaFYBVRWjh7rghkvFLPxMAfD5ib3nXwVD/0, createdBy=bed21972958, createdName=wxl882001, createdTime=Fri Sep 07 15:34:11 CST 2018, time=2018-09-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=343356, encodeId=594f3433567e, content=任重道远, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18741984753, createdName=smartxiuxiu, createdTime=Fri Sep 07 07:08:46 CST 2018, time=2018-09-07, status=1, ipAttribution=)]
    2018-09-07 smartxiuxiu

    任重道远

    0

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