影响手术后死亡率的经济指标、医疗资源的数量和质量。

IF 3.8 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Epidemiology and Global Health Pub Date : 2024-09-01 Epub Date: 2024-05-27 DOI:10.1007/s44197-024-00249-x
Raffaele Merola, Maria Vargas
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引用次数: 0

摘要

目的:根据 EUSOS 研究报告,确定医疗资源的质量和数量、国家经济指标和术后住院死亡率之间的相关性:方法:从一系列公开数据库中确定不同的变量。方法:从一系列可公开获取的数据库中确定不同的变量,并根据 EUSOS 研究报告确定术后住院死亡率。计算斯皮尔曼非参数和非线性回归系数:结果:医疗资源的质量与术后住院死亡率呈负相关。医疗资源的数量与术后住院死亡率呈中度负相关。国民经济指标与术后住院死亡率呈中度负相关。世卫组织报告的总死亡率与术后住院死亡率呈正相关,但相关程度很低:结论:术后住院死亡率在很大程度上取决于医疗质量,而不是医疗资源和医疗支出的数量。我们认为,提高医疗保健系统的质量可降低术后住院死亡率。
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Economic Indicators, Quantity and Quality of Health Care Resources Affecting Post-surgical Mortality.

Objective: to identify correlations between quality and quantity of health care resources, national economic indicators, and postoperative in-hospital mortality as reported in the EUSOS study.

Methods: Different variables were identified from a series of publicly available database. Postoperative in-hospital mortality was identified as reported by EUSOS study. Spearman non-parametric and Coefficients of non-linear regression were calculated.

Results: Quality of health care resources was strongly and negatively correlated to postoperative in-hospital mortality. Quantity of health care resources were negatively and moderately correlated to postoperative in-hospital mortality. National economic indicators were moderately and negatively correlated to postoperative in-hospital mortality. General mortality, as reported by WHO, was positively but very moderately correlated with postoperative in-hospital mortality.

Conclusions: Postoperative in-hospital mortality is strongly determined by quality of health care instead of quantity of health resources and health expenditures. We suggest that improving the quality of health care system might reduce postoperative in-hospital mortality.

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来源期刊
CiteScore
10.70
自引率
1.40%
发文量
57
审稿时长
19 weeks
期刊介绍: The Journal of Epidemiology and Global Health is an esteemed international publication, offering a platform for peer-reviewed articles that drive advancements in global epidemiology and international health. Our mission is to shape global health policy by showcasing cutting-edge scholarship and innovative strategies.
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