Shanghai Rising: Health Improvements as Measured by Avoidable Mortality since 2000

نویسندگان

  • Chunfang Wang Vital Statistics Division, Shanghai Municipal Center for Disease Prevention and Control, Shanghai, China
  • Daniel Weisz The International Longevity Center, Columbia University, New York, USA
  • Fu Hua School of Public Health, Shanghai, China
  • Li Luo School of Public Health, Shanghai, China
چکیده مقاله:

Over the past two decades, Shanghai, the largest megacity in China, has been coping with unprecedented growth of its economy and population while overcoming previous underinvestment in the health system by the central and local governments. We study the evolution of Shanghai’s healthcare system by analyzing “Avoidable Mortality” (AM) – deaths amenable to public health and healthcare interventions, as previously defined in the literature. Based on analysis of mortality data, by cause of death, from the Shanghai Municipal Center for Disease Control and Prevention, we analyze trends over the period 2000–10 and compare Shanghai’s experience to other mega-city regions – New York, London and Paris. Population health status attributable to public health and healthcare interventions improved dramatically for Shanghai’s population with permanent residency status. The age-adjusted rate of AM, per 1,000 population, dropped from 0.72 to 0.50. The rate of decrease in age-adjusted AM in Shanghai (30%) was comparable to New York City (30%) and Paris (25%), but lower than London (42%). Shanghai’s establishment of the Municipal Center for Disease Control and Prevention and its upgrading of public health and health services are likely to have contributed to the large decrease in the number and rate of avoidable deaths, which suggests that investments in public health infrastructure and increasing access to health services in megacities – both in China and worldwide – can produce significant mortality declines. Future analysis in Shanghai should investigate inequalities in avoidable deaths and the extent to which these gains have benefitted the significant population of urban migrants who do not have permanent residency status.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Health Improvements for a Healthy Shanghai Rising; Comment on “Shanghai Rising: Health Improvements as Measured by Avoidable Mortality since 2000”

The commentator suggests that it is necessary to extend the classical connotation of  global city which focuses much on the functions of controlling global capital and production. Global city should also include the dimensions of the leading role and capacity on health improvements and well-being promotion. The commentator agrees with authors’ assessments about Shanghai’s substantial progress o...

متن کامل

health improvements for a healthy shanghai rising; comment on “shanghai rising: health improvements as measured by avoidable mortality since 2000”

the commentator suggests that it is necessary to extend the classical connotation of  global city which focuses much on the functions of controlling global capital and production. global city should also include the dimensions of the leading role and capacity on health improvements and well-being promotion. the commentator agrees with authors’ assessments about shanghai’s substantial progress o...

متن کامل

Untimely Applause Was a Distraction; Comment on “Shanghai Rising: Health Improvements as Measured by Avoidable Mortality since 2000”

The paper published in the January 2015 issue of this journal by Gusmano and colleagues entitled “Shanghai rising: health improvements as measured by avoidable mortality since 2000” has spurred this commentary. We discuss controversial issues surrounding the concept of avoidable mortality in health service research in general and Gusmano’s study in particular. The impact of overall social devel...

متن کامل

shanghai rising: health improvements as measured by avoidable mortality since 2000

over the past two decades, shanghai, the largest megacity in china, has been coping with unprecedented growth of its economy and population while overcoming previous underinvestment in the health system by the central and local governments. we study the evolution of shanghai’s healthcare system by analyzing “avoidable mortality” (am) – deaths amenable to public health and healthcare interventio...

متن کامل

The Chinese Healthcare Challenge; Comment on “Shanghai Rising: Avoidable Mortality as Measured by Avoidable Mortality since 2000”

Investments in the extension of health insurance coverage, the strengthening of public health services, as well as primary care and better hospitals, highlights the emerging role of healthcare as part of China’s new growth regime, based on an expansion of services, and redistributive policies. Such investments, apart from their central role in terms of relief for low-income people, serve to reb...

متن کامل

untimely applause was a distraction; comment on “shanghai rising: health improvements as measured by avoidable mortality since 2000”

the paper published in the january 2015 issue of this journal by gusmano and colleagues entitled “shanghai rising: health improvements as measured by avoidable mortality since 2000” has spurred this commentary. we discuss controversial issues surrounding the concept of avoidable mortality in health service research in general and gusmano’s study in particular. the impact of overall social devel...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ذخیره در منابع من قبلا به منابع من ذحیره شده

{@ msg_add @}


عنوان ژورنال

دوره 4  شماره 1

صفحات  7- 12

تاریخ انتشار 2015-01-01

با دنبال کردن یک ژورنال هنگامی که شماره جدید این ژورنال منتشر می شود به شما از طریق ایمیل اطلاع داده می شود.

کلمات کلیدی

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023