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RevueThe Lancet Global Health · 2022
Typearticle
Langueen
DomaineMedicine
ThématiqueGlobal Maternal and Child Health
Établissements canadiensnon disponible
Organismes subventionnairesResearch Management Centre, International Islamic University MalaysiaNational Research, Development and Innovation OfficeHorizon 2020Instituto de Salud Carlos IIINational Health and Medical Research CouncilMedical Research CouncilDepartment of Global Health and Population, Harvard T.H. Chan School of Public HealthUniversity at BuffaloDirectorate for Biological SciencesNational Institute for Health Research Southampton Biomedical Research CentreUniversity of Health and Allied SciencesGeorge Institute for Global HealthMadda Walabu UniversityMoscow Institute of Physics and TechnologyWestern Sydney UniversityAl-Farabi Kazakh National UniversityINCLIVA Instituto de Investigación SanitariaJahrom University of Medical SciencesJenderal Soedirman UniversityImam Abdulrahman Bin Faisal UniversityLingnan UniversityI.M. Sechenov First Moscow State Medical UniversityNational Institute for Medical Research DevelopmentNemzeti Kutatási Fejlesztési és Innovációs HivatalAlexandria UniversityNovo Nordisk FondenAfrican Population and Health Research CenterUniversidade do MinhoNational Research University Higher School of EconomicsTechnische Universität BerlinCentro de Investigación Biomédica en Red de Salud MentalUnitatea Executiva pentru Finantarea Invatamantului Superior, a Cercetarii, Dezvoltarii si InovariiUniversità degli Studi dell'AquilaBahir Dar UniversityUniversità di BolognaShahid Beheshti University of Medical SciencesAutoritatea Natională pentru Cercetare StiintificăShahrekord University of Medical SciencesUniversità Cattolica del Sacro CuoreUniversity of the PhilippinesUniversidad Nacional Autónoma de MéxicoBabol University of Medical SciencesUniversidade de São PauloBirjand University of Medical SciencesUniversitair Medisch Centrum GroningenMinistry of HealthImperial College LondonKing's College LondonShiraz UniversityPublic Health Foundation of IndiaNaresuan UniversityHaramaya UniversityInyuvesi Yakwazulu-NataliIsfahan University of Medical SciencesUniversiti MalayaUniversità degli Studi di GenovaKerman University of Medical SciencesUniversiti Kebangsaan MalaysiaNational Research FoundationUniversidad ICESIUniversity of CalcuttaUniversità di CataniaTehran University of Medical Sciences and Health ServicesKuwait UniversitySultan Qaboos UniversityUniversidad Autónoma MetropolitanaBrien Holden Vision InstituteKing Abdulaziz UniversityKarolinska InstitutetConselho Nacional de Desenvolvimento Científico e TecnológicoRajshahi UniversityFundación Valle del LiliPirogov Russian National Research Medical UniversitySaveetha Dental CollegeNovo NordiskIslamic Azad UniversityPohang University of Science and TechnologyUniversità degli Studi di Napoli Federico IIMinistry of Health and Medical EducationFundação de Amparo à Pesquisa do Estado de Minas GeraisUniversity of GondarUniversity of WaterlooShiraz University of Medical SciencesAin Shams UniversityBundesministerium für Bildung und ForschungHamad Medical CorporationMurdoch UniversityQueensland University of TechnologyJames Cook UniversityCairo UniversityDepartment of Social Services, Australian GovernmentFlinders UniversityMonash UniversityTabriz University of Medical SciencesUniversity of Technology SydneyCentral University of KeralaAlexander von Humboldt-StiftungMashhad University of Medical SciencesUniversitetet i BergenMinistarstvo Prosvete, Nauke i Tehnološkog RazvojaUniversiteit StellenboschHealth Services Management Research CenterNational Rosacea SocietyPublic Health EnglandUniversity of OttawaNational Authority for Scientific Research and InnovationUniversitat de ValènciaMassachusetts General HospitalUniwersytet Jagielloński Collegium MedicumUniversity College LondonIndian Council of Medical ResearchTrường Đại học Nguyễn Tất ThànhNational University of SingaporeNational Institute for Health and Care ResearchHarvard UniversityDeutsches KrebsforschungszentrumManipal Academy of Higher EducationUniversity of AberdeenCanadian Institutes of Health ResearchUniversity of TabrizEuropean CommissionUniversity of WashingtonRijksuniversiteit GroningenIran University of Medical SciencesUniversity of LeicesterMinisterul Cercetării, Inovării şi DigitalizăriiOttawa Hospital Research InstituteHøgskulen på VestlandetBarts CharitySocial Science Research CouncilUniversity of South CarolinaKasturba Medical College, ManipalDivision of Human Resource DevelopmentUniversity of TorontoMinisterio de Ciencia e InnovaciónGeneralitat de CatalunyaUniversity of Agriculture, FaisalabadCase Western Reserve UniversityUniversidade Federal do Rio Grande do SulJohns Hopkins UniversityBill and Melinda Gates FoundationTufts Medical CenterKrishna Institute Of Medical Sciences Deemed To Be UniversityShahrekord UniversityNational Heart, Lung, and Blood InstituteEdwards LifesciencesBrigham and Women's HospitalUniversity of New South WalesU.S. Department of Veterans AffairsBournemouth University
Mots-clésMedicineIndex (typography)DemographyConfidence intervalHealth careIncidence (geometry)GerontologyMetric (unit)Operations managementMathematicsInternal medicine
Résumé
récupéré en direct d'OpenAlexBACKGROUND: Health-care needs change throughout the life course. It is thus crucial to assess whether health systems provide access to quality health care for all ages. Drawing from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019), we measured the Healthcare Access and Quality (HAQ) Index overall and for select age groups in 204 locations from 1990 to 2019. METHODS: We distinguished the overall HAQ Index (ages 0-74 years) from scores for select age groups: the young (ages 0-14 years), working (ages 15-64 years), and post-working (ages 65-74 years) groups. For GBD 2019, HAQ Index construction methods were updated to use the arithmetic mean of scaled mortality-to-incidence ratios (MIRs) and risk-standardised death rates (RSDRs) for 32 causes of death that should not occur in the presence of timely, quality health care. Across locations and years, MIRs and RSDRs were scaled from 0 (worst) to 100 (best) separately, putting the HAQ Index on a different relative scale for each age group. We estimated absolute convergence for each group on the basis of whether the HAQ Index grew faster in absolute terms between 1990 and 2019 in countries with lower 1990 HAQ Index scores than countries with higher 1990 HAQ Index scores and by Socio-demographic Index (SDI) quintile. SDI is a summary metric of overall development. FINDINGS: Between 1990 and 2019, the HAQ Index increased overall (by 19·6 points, 95% uncertainty interval 17·9-21·3), as well as among the young (22·5, 19·9-24·7), working (17·2, 15·2-19·1), and post-working (15·1, 13·2-17·0) age groups. Large differences in HAQ Index scores were present across SDI levels in 2019, with the overall index ranging from 30·7 (28·6-33·0) on average in low-SDI countries to 83·4 (82·4-84·3) on average in high-SDI countries. Similarly large ranges between low-SDI and high-SDI countries, respectively, were estimated in the HAQ Index for the young (40·4-89·0), working (33·8-82·8), and post-working (30·4-79·1) groups. Absolute convergence in HAQ Index was estimated in the young group only. In contrast, divergence was estimated among the working and post-working groups, driven by slow progress in low-SDI countries. INTERPRETATION: Although major gaps remain across levels of social and economic development, convergence in the young group is an encouraging sign of reduced disparities in health-care access and quality. However, divergence in the working and post-working groups indicates that health-care access and quality is lagging at lower levels of social and economic development. To meet the needs of ageing populations, health systems need to improve health-care access and quality for working-age adults and older populations while continuing to realise gains among the young. FUNDING: Bill & Melinda Gates Foundation.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
score de la tête « metaresearch » (Codex)0,002
score de la tête « metaresearch » (Gemma)0,000
Version: codex-gemma-dda1882f352aStatut de validation: machine_predicted_unvalidated
Catégories candidatesaucune
Catégories consensuellesaucune
DomaineSignal candidat: aucune · Signal consensuel: aucune
Devis d'étudeSignal candidat: Observationnel · Signal consensuel: Observationnel
GenreSignal candidat: Empirique · Signal consensuel: Empirique
Score de désaccord entre enseignants0,108
Score d'incertitude au seuil0,893
Scores Codex et Gemma par catégorie
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
Tête enseignante Opus0,032
Tête enseignante GPT0,380
Écart entre enseignants0,348 · la distance entre les deux têtes enseignantes sur ce seul travail
Statut de validationscore_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle