scholarly journals Potential years of life lost as an indicator of public health in the Republic of Srpska

2010 ◽  
Vol 1 (1) ◽  
Author(s):  
Darijana Antonić ◽  
Mirjana Martinov Cvejin ◽  
Risto Kozomara

Mortality is one of the important indicators of health status of the population, especially the knowledge of causes of death that give the full picture in the analysis of certain diseases. Assessment of health status of the population is not only new ideas but also a new concept in health care. In other words, the assessment of health status should be the first step and a prerequisite for continued systematic and planned work to improve both their health and overall health care system, or work on their reform. Given these facts, this article through the data on mortality as an indicator of the health status of the population indicated the state of his health and efficiency through the use of prevention programs potential years of life lost due to premature death. The five-year period of observation in the Republic of Srpska largest number of potential years of life lost due to diseases of the circulatory system, malignant diseases, then injuries, poisoning and the influence of external factors, diseases of the digestive systems and diseases of glands with internal secretion, nutrition and metabolism.

2013 ◽  
Vol 68 (11) ◽  
pp. 60-64 ◽  
Author(s):  
O. S. Kobyakova ◽  
I. A. Deev ◽  
N. Ya. Nesvetailo ◽  
V. A. Boikov ◽  
I. P. Shibalkov ◽  
...  

Aim: to calculate the index of years of life lost population due to premature death in the Tomsk region in 2012, and the contribution of various groups of diseases in the total indicator DALY among males and females.  Materials and methods: in the calculation of DALY used the number and the gender and age structure of the population of Tomsk region by 01.01.2012, according to Rosstat. To conduct the calculation of DALY used the methodology presented by the world Bank in the report «Investing in health» in 1993 According to the methodology, the DALY is the number of years of life of the population, lived with disability or other health problems, and lost due to premature death. Results: the total loss of DALYs in the Tomsk region by the end of 2012 amounted 112,3, per 1000 population (11,6±8,9). In the structure of DALYs by cause of death 1st place is occupied by diseases of the circulatory system, 2nd injury and poisoning, 3rd neoplasms. Conclusions: the indicator DALY in the Tomsk region are significantly lower than the Russian Federation as a whole (according to S.A. Leonov - 1.25 times, according to G. Yang - 2 times). The relatively low level of DALYs in the Tomsk region is associated with favourable compared with other regions of the age structure (younger populations). It should also be noted that more than 70% of population live in urban areas, where, as is known, the availability of medical care are higher than in rural.


2013 ◽  
Vol 94 (3) ◽  
pp. 367-372 ◽  
Author(s):  
I B Kuznetsova ◽  
L M Mukharyamova ◽  
G G Vafina

An analysis of law and enactments, mass-media publications, statistics and healthcare institutions documents, interviews with experts and diasporas leaders was performed to assess the contemporary international and Russian approaches to migrants health and to reveal the features of healthcare services provided for migrants in the Republic of Tatarstan. A social risk connected to migrants health is associated with increase of number of migrant workers with ailments, returning to their communities for treatment and rehabilitation. In societies receiving migrant workers there is an increase of socially dangerous diseases spreading risk due to low immunity, poor nutrition and sanitary life conditions, cultural distress and social isolation. The governmental policy of healthcare and medical services provided for migrants diverges in different countries between a right for free medical care and curtail of such right. «One window» medical examination method provided for migrants in the Republic of Tatarstan shows its effectiveness in decreasing risk and improving the sanitary and epidemiologic situation among this particular community and the whole society. It is concluded that continuous interaction with public, consideration of migrants’ health status and needs, embedding the problem on regional and federal levels should be an important aspects of providing accessible health care for migrants.


2020 ◽  
Author(s):  
Isabel Cristina Esposito Sorpreso ◽  
Francisco Winter dos Santos Figueiredo ◽  
José Lucas Souza Ramos ◽  
Lea Tami SuzuKi Zuchelo ◽  
Fernando Adami ◽  
...  

Abstract Background: The National Policy of Comprehensive Women’s Health Care was implemented more than two decades ago, and the monitoring of potential benefits should be explored. Menopause is a period of life for which there are prevention and health promotion actions carried out by the government’s all-encompassing sole Unify Health System (UHS) and factored into Brazilian policies. It is thus our purpose to identify menopausal women’s main causes of death, as well as the mortality trend of such causes, especially after PNAISM implementation. Methods: This is an ecological study with secondary data analysis conducted by the Setor de Atenção Primária, Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia da Faculdade de Medicina da Universidade de São Paulo from 2018 to 2019. Data were retrieved from the Brazilian Health Department by accessing the mortality information system of the IT Department of SUS between 1996 and 2016, divided in two periods 1996 to 2004 and 2005 to 2006 according to implementation of the National Police. The data included the death records of Brazilian women aged 35 to 64 years who had a precise diagnosis (ICD-10). Trend and differences between periods were evaluated by linear regression. The significance level was set at 5%. Stata 11® (StataCorp, LCC) was used. Results: Menopausal women’s main causes of death were the circulatory system diseases (29.39%, 736,972 deaths), neoplasms (26.17%, 656,385 deaths), respiratory system diseases (7.29%, 182,812 deaths), endocrine (29.39%), nutritional, and metabolic (6.81%, 170,881 deaths) diseases, and external causes of morbidity and mortality (5.49%, 137,674 deaths). Implementation of PNAISM led to increasing reduction in mortality from circulatory system diseases (β=-0.58; 95% CI, -0.68 to -0.48; r²=0.93; p<0.001), but not to any significant changes in neoplasm mortalities (β=0.07; 95% CI, -0.01 to 0.15; r²=0.22; p=0.070). Conclusions: The leading causes of death among menopausal women are circulatory system diseases, neoplasms, respiratory system diseases, nutritional, metabolic, and endocrine diseases, and external causes of morbidity and mortality. The trend of mortality rates among menopausal women, following PNAISM implementation, was a decline in circulatory system diseases and in nutritional, metabolic, and endocrine diseases, with no changes for neoplasms and respiratory system diseases.


Author(s):  
Lyazat K. Ibrayeva ◽  
Dina Kh. Rybalkina ◽  
Nina M. Zhanbasinova ◽  
Elena A. Drobchenko

The analysis of the loss of years by YLL (Years of Life Lost) from the mortality of the population in the age and sex aspect of nosology class of diseases of the circulatory system in industrial regions of East Kazakhstan and Karaganda regions of the Republic of Kazakhstan (RK). In the dynamics for 2011–2014, a decrease in mortality was established, which is associated with an increase in the quality of medical care.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Kontsevaya ◽  
Y Balanova ◽  
M Khudyakov ◽  
A Myrzamatova ◽  
D Mukaneeva ◽  
...  

Abstract Aim To estimate the economic burden of noncommunicable diseases (NCDs) in the Russian Federation (RF) in 2016, including the direct costs and the economic losses caused by reduced productivity. Material and Methods We included 4 diseases: cardiovascular, type 2 diabetes, cancer and chronic pulmonary disease (COPD). We used the official statistics data collected by Ministry of health on the number of patients, health care resources utilization (hospitalizations, emergency visits, outpatients’ visits). The costs of health care were obtained from health insurance fund. Directs nonmedical costs included disabilitypayments, calculated based on the number of disabled persons from each group and by the amount of the disability allowance. Indirect costs (economic losses) included decreased productivity due to premature mortality and disability. The potential years of life lost (PYLL) were calculated using the number of life years lost due todeath and disability due to NCDs before 70 years. Human capital approach was used, and calculation were based on the GDP per person. Results Number of PYLL due to premature death from NCDs was estimated to be 8,0 million years. Economic burden because of NCDs in 2016 in the RF reached 3,3 trillion (45.9 billion €), which is equivalent of 3.9% of GDP for this year. Direct costs were responsible only for 13% of losses, indirect costs for 87% of the total burden. CVD were responsible for 81,4% of burden, cancer – for 7,1%, diabetes - 6,5% and COPD for 5,0%. Conclusions The economic burden because of NCDs in the RF in 2016 was 3.3 trillion (3.9% of GDP). Such the significant economic burden and absence of positive dynamics is a strong argument for increasing investments in the prevention and treatment of NCDs. Key messages Number of PYLL due to premature death from NCDs was estimated to be 8,0 million years. Economic burden because of NCDs in 2016 in the RF reached 3,3 trillion (45.9 billion €), which is equivalent of 3.9% of GDP for this year.


1991 ◽  
Vol 5 (1) ◽  
pp. 49-53 ◽  
Author(s):  
Shan P Tsai ◽  
CP Wen ◽  
JP Guo ◽  
SF Tsai

Taiwan has made remarkable economic progress in the last 30 years. The life expectancy of its population improved steadily during this period. A male child born in 1983 could look forward to 70.4 years of life and a female child to 75.3 years, gains of 17.5 years and 19.0 years, respectively, since 1950. The potential gains in life expectancy of the Taiwan population are also examined if the five leading causes of death are reduced or eliminated. In addition, this paper discusses the concept of potential productive years of life lost (PYLL), examines the leading causes of premature death and shows how this measure can be used to target prevention programs and health care planning.


2021 ◽  
Vol 31 (Supplement_2) ◽  
Author(s):  
J Neto ◽  
C Carvalho ◽  
P Almeida

Abstract Background Suicide and voluntary self-harm (SVSA) accounted for 0.95% of all deaths in Portugal in 2017. Economic evaluation includes indirect costs analysis, relating to Years of Life Lost (YLL) and premature death. This study aimed to estimate and compare the indirect costs from loss of productivity due to SVSA and 12 other causes of death in 2017. Methods YLL were adapted to the working age (18–66 years-old) ‘Years of Productivity Lost’ (YPL) adjusting the groups 15–19 years-old and under, and disregarding the ages over 66 years-old. The causes of death were based on the European Shortlist. The loss of productivity from deaths was estimated from the YPL and the ‘Apparent Productivity of Work’, with an annual discount rate of 3%, translated into % of Gross Domestic Product (GDP) in 2017. The calculations were performed for the SVSA and for 12 causes of death selected from national Priority Health Programs. The INE and Pordata databases for the year 2017 were used. Calculations were performed using Microsoft Excel for Office 365 software version 2102. Results The estimated costs from loss of productivity by SLAV deaths in 2017 represented approximately 0.16% of GDP. It is the third highest among the 13 causes of death analyzed, ranking behind malignant neoplasm of larynx/trachea/bronchi/lung and ischaemic heart disease. Conclusions Prioritization of health resources may benefit by integrating lost productivity concepts with other indicators. Limitations include predictable increase of retirement age in the future and the oversimplified calculation of productivity costs. Future studies may include sensitivity assessments and other relevant variables.


1996 ◽  
Vol 23 (8) ◽  
pp. 46-75 ◽  
Author(s):  
D.A. Reisman

The Republic of the Philippines is seeking to expand access to the formal sector of medical care. Concentrates on the alternative ways in which that expansion can be financed. First, provides the background by presenting data on mortality and morbidity as indicators of health status, and of manpower and institutions as measures of care inputs. Second, examines private payment, concentrating on family resources, community co‐operatives, private insurance and employer provided services. Third, considers direct provision and national health insurance, which are the principal modes of public payment for care. Makes recommendations about the financing of health care and the mixed health economy that are of relevance in developed and less‐developed countries alike.


2020 ◽  
Vol 36 (4) ◽  
Author(s):  
Martin Samohyl ◽  
Lubica Argalasova ◽  
Katarina Hirosova ◽  
Jana Jurkovicova

The aim of this study was to evaluate trends of potential years of life lost (PYLL) rates in the Slovak population and analyze the average annual percent change (AAPC) of PYLL rates regarding the most common causes of death between 2004 and 2013. National mortality and demographic data were obtained from the Statistical Office of the Slovak Republic, and 378,535 causes of death within the period were analyzed. The PYLL values in both genders and each disease category were added up across all age groups to form annual values. For the trend analysis, the AAPC indicator was proposed. The PYLL rate is age-standardized and expressed as a sum of all deaths per 100,000. In the period 2004-2013, the highest mean PYLL rates were observed in neoplasms in the whole population (2,103 per 100,000), as well as in females (2,088 per 100,000), with a permanent high significant increase of AAPC of PYLL in both genders. The second highest mean PYLL rate in the ten-year period was related to circulatory system diseases in total (1,922 per 100,000) as well as in females (1,449 per 100,000). In males, circulatory system diseases had the highest PYLL rate (2,397 per 100,000). The PYLL rates trend regarding external causes of morbidity and mortality showed the most notable decrease in the assessed period and the AAPC of PYLL showed significant negative values both in males (-2.5%; p < 0.001) and females (-4%; p < 0.001). Our results should contribute in developing intervention programs aimed at reducing the burden of premature mortality since the main causes of premature death are associated to well-known and preventable risk factors.


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