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| Title |
Mortality amenable to health care in the
United States: The roles of demographics and
health systems performance |
| Author(s) |
Stephen C. Schoenbaum, Cathy Schoen, Jennifer L. Nicholson, and Joel C. Cantor - Personal Name
|
Subject |
Health System and Policy |
| Publisher |
Palgrave Macmillan |
| Publishing Year |
2011 |
| Specific Detail Info |
This article examines associations of socio-demographic and healthcare
indicators, and the statistic ‘mortality amenable to health care’ (amenable
mortality) across the US states. There is over two-fold variation in amenable
mortality, strongly associated with the percentages of state populations that are
poor or black. Controlling for poverty and race with bi- and multi-variate analyses,
several indicators of health system performance, such as hospital readmission
rates and preventive care for diabetics, are significantly associated with
amenable mortality. A significant crude association of ‘uninsurance’ and amenable
mortality rates is no longer statistically significant when poverty and race are
controlled. Overall, there appear to be opportunities for states to focus on specific
modifiable health system performance indicators. Comparative rates of
amenable mortality should be useful for estimating potential gains in population
health from delivering more timely and effective care and for tracking the health
outcomes of efforts to improve health system performance. |
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