Indicators of "avoidable" mortality in health administrative areas in Sweden 1974-1985

Scand J Soc Med. 1993 Sep;21(3):176-87. doi: 10.1177/140349489302100307.

Abstract

When comparing health administrative areas in Sweden the variation in death rates for 13 suggested indicators of avoidable mortality was analysed for the time periods 1974-79 and 1980-85. For most indicators the variation was significant. The level of systematic (nonrandom) variance differed between the sexes for certain conditions. According to the theory of mass-significance it would be appropriate to use a sharpened significance test of high SMRs. For certain health policy indicators it was possible to detect areas accounting for nearly all the deviation above the national standard using a sharpened test (p < 0.001). For most medical care indicators, however, the high death rates had a lower level of significance. When sensitivity is given priority an ordinary test (p < 0.05) should be preferred. This means, however, dealing with potential false positive warning signals. Epidemiological surveillance of indicators of avoidable mortality should be the starting point for in-depth studies.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cause of Death*
  • Child
  • Child, Preschool
  • Death Certificates
  • Female
  • Health Policy / trends
  • Health Status Indicators
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Mortality*
  • Registries
  • Sweden / epidemiology