Şcoala Naţională de Sănătate Publică şi Management Sanitar
Abstract
Measuring the health status of the population is difficult, since many aspects have to be considered. In present, the emphasis is on using tools that includes as many dimensions of health as is possible; also, calculating synthetic and comprehensive indicators covering many aspects of health has become a common practice. Avoidable mortality (with its two components: treatable and preventable causes) is useful in measuring the health status of the population, but also in planning and assessing the healthcare services. In Romania, the avoidable mortality is less studied and data existing at international level require deepening in researching this phenomenon, in order to identify potential weaknesses of the health system and healthcare impact of different policies. For Romania, the level (first place in the EU countries) and increasing trend of phenomenon (mainly for diseases that are treatable) should alert policy makers and politicians. Scientific evidence must accurately reflect reality and decision making process must be supported by a good understanding of the phenomenon.Starea de sanatate a populatiei este dificil de masurat, dat fiind multitudinea aspectelor ce trebuie considerate. Astazi se pune accentul pe folosirea unor instrumente care sa curpinda cat mai multe dimensiuni ale sanatatii, iar calcularea unor indicatori cat mai sintetici si comprehensivi, care sa includa cat mai multe aspecte ale sanatatii a devenit o practica curenta. Mortalitatea evitabila (cu cele doua componente ale sale: cauze tratabile si prevenibile) este, de asemenea, utila in aprecierea starii de sanatate a populatiei, precum si pentru planificarea si evaluarea performantei serviciilor medicale. In Romania, mortalitatea evitabila este putin studiata, iar datele existente la nivel international reclama aprofundarea cercetarii acestui fenomen, in vederea identificarii potentialelor puncte slabe ale sistemului de sanatate si a impactului diferitelor politici din domeniul sanitar. Pentru Romania, nivelul fenomenului (primul loc in randul tarilor din UE) si tendinta de crestere (in principal pentru afectiuni care sunt 100% tratabile) trebuie sa atentioneze decidentii si politicienii
