潇湘渌水 @ 2010-12-01 13:57
Peter A. Muenning and Sherry A. Glied 在 Health Affairs 发表了一篇研究13个国家45-65岁生存率比较的文章。What Do Changes in Survival Rankings Tell Us About U.S. Health Care? 反驳使用age-adjusted survival rates（生存率）来测量卫生系统的成败，其理由如：
1．Survival rates are not good measures of health system quality is that individual behavior has a large influence on health and, as a result, the health outcomes that produce survival rates.
2. The authors do consider trans-national differences in smoking, obesity, and traffic accidents/homicide, three
behavioral risk factors that receive a great deal of popular coverage.
3. At the same time, the authors ignore such factors as suicide, alcoholism, illegal drug use, poisoning, drowning, burns, and accidents other than homicide and traffic accidents.
4. The authors also do not discuss the possibility that different countries use different methods of classifying deaths due to traffic accidents or how those differences in classification might affect their results.
5. The authors provide no information about the construction of the life tables used in their calculations.
跨国或夸系统比较卫生体系是一个非常敏感sensitive的事，就前提假设上来说，现在的数据和方法基本上很难有很robust的，所以结论往往不靠谱，只能做参考。
1．Survival rates are not good measures of health system quality is that individual behavior has a large influence on health and, as a result, the health outcomes that produce survival rates.
2. The authors do consider trans-national differences in smoking, obesity, and traffic accidents/homicide, three
behavioral risk factors that receive a great deal of popular coverage.
3. At the same time, the authors ignore such factors as suicide, alcoholism, illegal drug use, poisoning, drowning, burns, and accidents other than homicide and traffic accidents.
4. The authors also do not discuss the possibility that different countries use different methods of classifying deaths due to traffic accidents or how those differences in classification might affect their results.
5. The authors provide no information about the construction of the life tables used in their calculations.
跨国或夸系统比较卫生体系是一个非常敏感sensitive的事，就前提假设上来说，现在的数据和方法基本上很难有很robust的，所以结论往往不靠谱，只能做参考。
