赵嘉莹《POPULATION HEALTH METRICS》《The incomparability of cause of death statistics under "one country, two systems": Shanghai versus Hong Kong》
POPULATION HEALTH METRICS
卷: 15
文献号: 37
DOI: 10.1186/s12963-017-0155-z
出版年: SEP 29 2017
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JCR® 类别
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类别中的排序
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JCR 分区
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PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
在第 SSCI 版中
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15/157
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Q1
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摘要
Background: Valid and comparable cause of death (COD) statistics are crucial for health policy analyses. Variations in COD assignment across geographical areas are well-documented while socio-institutional factors may affect the process of COD and underlying cause of death (UCD) determination. This study examines the comparability of UCD statistics in Hong Kong and Shanghai, having two political systems within one country, and assesses how socio-institutional factors influence UCD comparability.
Methods: A mixed method was used. Quantitative analyses involved anonymized official mortality records. Mortality rates were analyzed by location of death. To analyze the odds ratio of being assigned to a particular UCD, logistic regressions were performed. Qualitative analyses involved literature reviews and semi-structural interviews with key stakeholders in death registration practices. Thematic analysis was used.
Results: Age-standardized death rates from certain immediate conditions (e.g., septicemia, pneumonia, and renal failure) were higher in Hong Kong. Variations in UCD determination may be attributed to preference of location of death, procedures of registering deaths outside hospital, perceptions on the causal chain of COD, implications of the selected UCD for doctors' professional performance, and governance and processes of data quality review.
Conclusions: Variations in socio-institutional factors were related to the process of certifying and registering COD in Hong Kong and Shanghai. To improve regional data comparability, health authorities should develop standard procedures for registering deaths outside hospital, provide guidelines and regular training for doctors, develop a unified automated coding system, consolidate a standard procedure for data review and validity checks, and disseminate information concerning both UCD and multiple causes of death.
关键词
作者信息
通讯作者地址: Law, CK (通讯作者)
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Griffith Univ, Menzies Hlth Inst Queensland, Sch Med, Ctr Appl Hlth Econ, Nathan, Qld, Australia.
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通讯作者地址: Law, CK (通讯作者)
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Chinese Univ Hong Kong, Jockey Club Sch Publ Hlth & Primary Care, Sha Tin, Hong Kong, Peoples R China.
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地址:
基金资助致谢
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基金资助机构
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授权号
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Hong Kong Health and Medical Research Fund
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13141541
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University Grants Committee (UGC) of Hong Kong
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RPC10HSS01
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Australian Research Council Centre of Excellence in Population Ageing Research
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CE110001029
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出版商
BIOMED CENTRAL LTD, 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLAND
类别 / 分类
研究方向:Public, Environmental & Occupational Health
Web of Science 类别:Public, Environmental & Occupational Health
文献信息
文献类型:Article
语种:English
入藏号: WOS:000412142000002
PubMed ID: 28962575
ISSN: 1478-7954
