Sentinel Amenable Mortality

A New Way to Assess the Quality of Healthcare by Examining Causes of Premature Death for Which Highly Efficacious Medical Interventions Are Available

Montse Vergara-Duarte, Carme Borrell, Glòria Pérez, Juan Carlos Martín-Sánchez, Ramon Clèries, Maria Buxó, Èrica Martínez-Solanas, Yutaka Yasui, Carles Muntaner, Joan Benach

Research output: Contribution to journalReview article

Abstract

Background. Amenable mortality, or premature deaths that could be prevented with medical care, is a proven indicator for assessing healthcare quality when adapted to a country or region's specific healthcare context. This concept is currently used to evaluate the performance of national and international healthcare systems. However, the levels of efficacy and effectiveness determined using this indicator can vary greatly depending on the causes of death that are included. We introduce a new approach by identifying a subgroup of causes for which there are available treatments with a high level of efficacy. These causes should be considered sentinel events to help identify limitations in the effectiveness and quality of health provision. Methods. We conducted an extensive literature review using a list of amenable causes of death compiled by Spanish researchers. We complemented this approach by assessing the time trends of amenable mortality in two high-income countries that have a similar quality of healthcare but very different systems of provision, namely, Spain and the United States. This enabled us to identify different levels of efficacy of medical interventions (high, medium, and low). We consulted a group of medical experts and combined this information to help make the final classification of sentinel amenable causes of death. Results. Sentinel amenable mortality includes causes such as surgical conditions, thyroid diseases, and asthma. The remaining amenable causes of death either have a higher complexity in terms of the disease or need more effective medical interventions or preventative measures to guarantee early detection and adherence to treatment. These included cardiovascular diseases, diabetes, hypertension, all amenable cancers, and some infectious diseases such as pneumonia, influenza, and tuberculosis. Conclusions. Sentinel amenable mortality could act as a good sentinel indicator to identify major deficiencies in healthcare quality and provision and detect inequalities across populations.

Original languageEnglish
Article number5456074
JournalBioMed Research International
Volume2018
DOIs
Publication statusPublished - 2018 Jan 1
Externally publishedYes

Fingerprint

Premature Mortality
Quality of Health Care
Cause of Death
Mortality
Delivery of Health Care
Health Care Quality Indicators
Thyroid Diseases
Medical problems
Health care
Spain
Human Influenza
Communicable Diseases
Pneumonia
Tuberculosis
Cardiovascular Diseases
Asthma
Research Personnel
cyhalothrin
Health
Hypertension

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Immunology and Microbiology(all)

Cite this

Sentinel Amenable Mortality : A New Way to Assess the Quality of Healthcare by Examining Causes of Premature Death for Which Highly Efficacious Medical Interventions Are Available. / Vergara-Duarte, Montse; Borrell, Carme; Pérez, Glòria; Martín-Sánchez, Juan Carlos; Clèries, Ramon; Buxó, Maria; Martínez-Solanas, Èrica; Yasui, Yutaka; Muntaner, Carles; Benach, Joan.

In: BioMed Research International, Vol. 2018, 5456074, 01.01.2018.

Research output: Contribution to journalReview article

Vergara-Duarte, M, Borrell, C, Pérez, G, Martín-Sánchez, JC, Clèries, R, Buxó, M, Martínez-Solanas, È, Yasui, Y, Muntaner, C & Benach, J 2018, 'Sentinel Amenable Mortality: A New Way to Assess the Quality of Healthcare by Examining Causes of Premature Death for Which Highly Efficacious Medical Interventions Are Available', BioMed Research International, vol. 2018, 5456074. https://doi.org/10.1155/2018/5456074
Vergara-Duarte, Montse ; Borrell, Carme ; Pérez, Glòria ; Martín-Sánchez, Juan Carlos ; Clèries, Ramon ; Buxó, Maria ; Martínez-Solanas, Èrica ; Yasui, Yutaka ; Muntaner, Carles ; Benach, Joan. / Sentinel Amenable Mortality : A New Way to Assess the Quality of Healthcare by Examining Causes of Premature Death for Which Highly Efficacious Medical Interventions Are Available. In: BioMed Research International. 2018 ; Vol. 2018.
@article{5248582e193844029921071909ff6aa3,
title = "Sentinel Amenable Mortality: A New Way to Assess the Quality of Healthcare by Examining Causes of Premature Death for Which Highly Efficacious Medical Interventions Are Available",
abstract = "Background. Amenable mortality, or premature deaths that could be prevented with medical care, is a proven indicator for assessing healthcare quality when adapted to a country or region's specific healthcare context. This concept is currently used to evaluate the performance of national and international healthcare systems. However, the levels of efficacy and effectiveness determined using this indicator can vary greatly depending on the causes of death that are included. We introduce a new approach by identifying a subgroup of causes for which there are available treatments with a high level of efficacy. These causes should be considered sentinel events to help identify limitations in the effectiveness and quality of health provision. Methods. We conducted an extensive literature review using a list of amenable causes of death compiled by Spanish researchers. We complemented this approach by assessing the time trends of amenable mortality in two high-income countries that have a similar quality of healthcare but very different systems of provision, namely, Spain and the United States. This enabled us to identify different levels of efficacy of medical interventions (high, medium, and low). We consulted a group of medical experts and combined this information to help make the final classification of sentinel amenable causes of death. Results. Sentinel amenable mortality includes causes such as surgical conditions, thyroid diseases, and asthma. The remaining amenable causes of death either have a higher complexity in terms of the disease or need more effective medical interventions or preventative measures to guarantee early detection and adherence to treatment. These included cardiovascular diseases, diabetes, hypertension, all amenable cancers, and some infectious diseases such as pneumonia, influenza, and tuberculosis. Conclusions. Sentinel amenable mortality could act as a good sentinel indicator to identify major deficiencies in healthcare quality and provision and detect inequalities across populations.",
author = "Montse Vergara-Duarte and Carme Borrell and Gl{\`o}ria P{\'e}rez and Mart{\'i}n-S{\'a}nchez, {Juan Carlos} and Ramon Cl{\`e}ries and Maria Bux{\'o} and {\`E}rica Mart{\'i}nez-Solanas and Yutaka Yasui and Carles Muntaner and Joan Benach",
year = "2018",
month = "1",
day = "1",
doi = "10.1155/2018/5456074",
language = "English",
volume = "2018",
journal = "BioMed Research International",
issn = "2314-6133",
publisher = "Hindawi Publishing Corporation",

}

TY - JOUR

T1 - Sentinel Amenable Mortality

T2 - A New Way to Assess the Quality of Healthcare by Examining Causes of Premature Death for Which Highly Efficacious Medical Interventions Are Available

AU - Vergara-Duarte, Montse

AU - Borrell, Carme

AU - Pérez, Glòria

AU - Martín-Sánchez, Juan Carlos

AU - Clèries, Ramon

AU - Buxó, Maria

AU - Martínez-Solanas, Èrica

AU - Yasui, Yutaka

AU - Muntaner, Carles

AU - Benach, Joan

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background. Amenable mortality, or premature deaths that could be prevented with medical care, is a proven indicator for assessing healthcare quality when adapted to a country or region's specific healthcare context. This concept is currently used to evaluate the performance of national and international healthcare systems. However, the levels of efficacy and effectiveness determined using this indicator can vary greatly depending on the causes of death that are included. We introduce a new approach by identifying a subgroup of causes for which there are available treatments with a high level of efficacy. These causes should be considered sentinel events to help identify limitations in the effectiveness and quality of health provision. Methods. We conducted an extensive literature review using a list of amenable causes of death compiled by Spanish researchers. We complemented this approach by assessing the time trends of amenable mortality in two high-income countries that have a similar quality of healthcare but very different systems of provision, namely, Spain and the United States. This enabled us to identify different levels of efficacy of medical interventions (high, medium, and low). We consulted a group of medical experts and combined this information to help make the final classification of sentinel amenable causes of death. Results. Sentinel amenable mortality includes causes such as surgical conditions, thyroid diseases, and asthma. The remaining amenable causes of death either have a higher complexity in terms of the disease or need more effective medical interventions or preventative measures to guarantee early detection and adherence to treatment. These included cardiovascular diseases, diabetes, hypertension, all amenable cancers, and some infectious diseases such as pneumonia, influenza, and tuberculosis. Conclusions. Sentinel amenable mortality could act as a good sentinel indicator to identify major deficiencies in healthcare quality and provision and detect inequalities across populations.

AB - Background. Amenable mortality, or premature deaths that could be prevented with medical care, is a proven indicator for assessing healthcare quality when adapted to a country or region's specific healthcare context. This concept is currently used to evaluate the performance of national and international healthcare systems. However, the levels of efficacy and effectiveness determined using this indicator can vary greatly depending on the causes of death that are included. We introduce a new approach by identifying a subgroup of causes for which there are available treatments with a high level of efficacy. These causes should be considered sentinel events to help identify limitations in the effectiveness and quality of health provision. Methods. We conducted an extensive literature review using a list of amenable causes of death compiled by Spanish researchers. We complemented this approach by assessing the time trends of amenable mortality in two high-income countries that have a similar quality of healthcare but very different systems of provision, namely, Spain and the United States. This enabled us to identify different levels of efficacy of medical interventions (high, medium, and low). We consulted a group of medical experts and combined this information to help make the final classification of sentinel amenable causes of death. Results. Sentinel amenable mortality includes causes such as surgical conditions, thyroid diseases, and asthma. The remaining amenable causes of death either have a higher complexity in terms of the disease or need more effective medical interventions or preventative measures to guarantee early detection and adherence to treatment. These included cardiovascular diseases, diabetes, hypertension, all amenable cancers, and some infectious diseases such as pneumonia, influenza, and tuberculosis. Conclusions. Sentinel amenable mortality could act as a good sentinel indicator to identify major deficiencies in healthcare quality and provision and detect inequalities across populations.

UR - http://www.scopus.com/inward/record.url?scp=85053689235&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85053689235&partnerID=8YFLogxK

U2 - 10.1155/2018/5456074

DO - 10.1155/2018/5456074

M3 - Review article

VL - 2018

JO - BioMed Research International

JF - BioMed Research International

SN - 2314-6133

M1 - 5456074

ER -