Versions Compared

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.
summaryView
Divhtml

<div id
="summaryView" role="tabpanel" aria-labelledby="tabSummaryView">
HTML Table
classconfluenceTable
Table Row (tr)
Table Cell (td)
Name
Table Cell (td)
Avoidable Deaths
Table Row (tr)
Table Cell (td)
Short/Other Names
Table Cell (td)

Potentially Avoidable Mortality

Table Row (tr)
Table Cell (td)
Description
Table Cell (td)

Avoidable mortality refers to untimely deaths that should not occur in the presence of timely and effective health care, including prevention. It serves to focus attention on the portion of population health attainment that can potentially be influenced by the health system.

Potentially avoidable mortality includes premature deaths that could potentially have been avoided through all levels of prevention (primary, secondary, tertiary).

For further details, please see the General Methodology Notes.

Table Row (tr)
Table Cell (td)
Interpretation
Table Cell (td)
Lower rates are desirable.

The potentially avoidable mortality indicator includes premature deaths that could be avoidable through all levels of prevention.

Mortality from preventable causes focuses on premature deaths from conditions that could potentially be avoided through primary prevention efforts, such as lifestyle modifications or population-level interventions (for example, vaccinations and injury prevention). The indicator informs efforts aimed at reducing the number of initial cases, or incidence reduction, as deaths are prevented by avoiding new cases altogether.

Mortality from treatable causes focuses on premature deaths that could potentially be avoided through secondary and tertiary prevention efforts, such as screening for and effective treatment of an existing disease. The indicator informs efforts aimed at reducing the number of people who die once they have the condition, or case-fatality reduction.

Table Row (tr)
Table Cell (td)
HSP Framework Dimension
Table Cell (td)

Health System Outcomes: Improve health status of Canadians

Table Row (tr)
Table Cell (td)
Areas of Need
Table Cell (td)

Not applicable

Table Row (tr)
Table Cell (td)
Geographic Coverage
Table Cell (td)

All provinces/territories

Table Row (tr)
Table Cell (td)
Reporting Level/Disaggregation
Table Cell (td)

National, Province/Territory, Region

Table Row (tr)
Table Cell (td)
Latest Result Update DateIndicator Results
HTML Table
classconfluenceTable
HTML

	<col width="165px"/>
	<col width="560px"/>
Table Row (tr)
classsection
Table Cell (td)
colspan2
Identifying Information

Accessing Indicator Results

Table Cell (td)

2014-09

Table Row (tr)
Table Cell (td)
Table Cell (td)

http://indicatorlibrary.cihi.ca/download/attachments/1114124/AccessingIndicatorResultsonYourHealthSystemv4_EN.pdf?version=1&modificationDate=1409838269216&api=v2

Div
idfullView

on Your Health System: In Depth

HTML

</div>
HTML

<div id="fullView" role="tabpanel" aria-labelledby="tabFullView">
HTML


<div role="button" class="expandableTitle" aria-controls="identifyingInfoRegion">Identifying Information</div>
HTML Table
ididentifyingInfoRegion
Table Row (tr)
Table Cell (td)
Name
Table Cell (td)
Avoidable Deaths
Table Row (tr)
Table Cell (td)
Short/Other Names
Table Cell (td)

Potentially Avoidable Mortality

Table Row (tr)
classsection
Table Cell (td)
colspan2
Indicator Description and Calculation
HTML


<div role="button" class="expandableTitle" aria-controls="descAndCalRegion">Indicator Description and Calculation</div>
HTML Table
iddescAndCalRegion
Table Row (tr)
Table Cell (td)
Description
Table Cell (td)

Avoidable mortality refers to untimely deaths that should not occur in the presence of timely and effective health care, including prevention. It serves to focus attention on the portion of population health attainment that can potentially be influenced by the health system.

Potentially avoidable mortality includes premature deaths that could potentially have been avoided through all levels of prevention (primary, secondary, tertiary).

For further details, please see the General Methodology Notes.

Table Row (tr)
Table Cell (td)
Calculation: Description
Table Cell (td)

Mortality rate:

(Number of deaths at age younger than 75 from avoidable causes ÷ Total mid-year population younger than age 75) × 100,000 (age-adjusted)

Potential years of life lost (PYLL):

(The sum of differences between 75 and age of death from avoidable causes ÷ Total mid-year population younger than age 75) × 100,000 (age-adjusted)

Table Row (tr)
Table Cell (td)
Calculation: Geographic Assignment
Table Cell (td)

Place of residence

Table Row (tr)
Table Cell (td)
Calculation: Type of Measurement
Table Cell (td)

Rate - Rate per 100,000; also expressed as PYLL per 100,000 population

Table Row (tr)
Table Cell (td)
Calculation: Adjustment Applied
Table Cell (td)

Age-adjusted

Table Row (tr)
Table Cell (td)
Calculation: Method of Adjustment
Table Cell (td)

Direct Standardization
Standard Population:
Canada

1991

2011

Table Row (tr)
Table Cell (td)
Denominator
Table Cell (td)

Description:
Total mid-year population younger than age 75

Table Row (tr)
Table Cell (td)
Numerator
Table Cell (td)

Description:
Mortality rate:

Number of deaths at age younger than 75 from avoidable causes (treatable or preventable)

Potential years of life lost (PYLL):

The sum of differences between age 75 and age of death from avoidable causes (treatable or preventable)
Inclusions:
For the list of avoidable causes, refer to the List of conditions for Potentially Avoidable Mortality and Mortality From Preventable and Treatable Causes Indicators document.

Table Row (tr)
classsection
Table Cell (td)
colspan2
Background, Interpretation and Benchmarks
HTML


<div role="button" class="expandableTitle" aria-controls="backgroundRegion">Background, Interpretation and Benchmarks</div>
HTML Table
idbackgroundRegion
Table Row (tr)
Table Cell (td)
Rationale

Lower rates are desirable.

The potentially avoidable mortality indicator includes premature deaths that could be avoidable through all levels of prevention.

Mortality from preventable causes focuses on premature deaths from conditions that could potentially be avoided through primary prevention efforts, such as lifestyle modifications or population-level interventions (for example, vaccinations and injury prevention). The indicator informs efforts aimed at reducing the number of initial cases, or incidence reduction, as deaths are prevented by avoiding new cases altogether.

Mortality from treatable causes focuses on premature deaths that could potentially be avoided through secondary and tertiary prevention efforts, such as screening for and effective treatment of an existing disease. The indicator informs efforts aimed at reducing the number of people who die once they have the condition, or case-fatality reduction.

Avoidable mortality indicators can serve to inform where Canada's health system has made gains and to point to where more work is needed. They can also help to quantify potential gains. For example, in an ideal world where all avoidable mortality in Canada has been eliminated, life expectancy at birth for the years 2006 to 2008 would have been 85.8 years—4.9 years longer than the actual life expectancy of 80.9 years. Three of the 4.9 years would be attributed to eliminating preventable mortality; the other 1.9 years would come from eliminating mortality from treatable causes.

Analysis of avoidable mortality highlights the need for prevention.

Table Cell (td)

Avoidable mortality indicators provide additional insight into the Canadian health system. These measures can be used to assess the impact of prevention strategies and the outcomes of health policy decisions and health care provision.

Avoidable mortality indicators can serve to inform where Canada's health system has made gains and to point to where more work is needed. They can also help to quantify potential gains. For example, in an ideal world where all avoidable mortality in Canada has been eliminated, life expectancy at birth for the years 2006 to 2008 would have been 85.8 years—4.9 years longer than the actual life expectancy of 80.9 years. Three of the 4.9 years would be attributed to eliminating preventable mortality; the other 1.9 years would come from eliminating mortality from treatable causes.

Analysis of avoidable mortality highlights the need for prevention.

Table Row (tr)
Table Cell (td)
Interpretation
Table Cell (td)
Table Row (tr)
Table Cell (td)
Interpretation
Table Cell (td)

Lower rates are desirable.

Table Row (tr)
Table Cell (td)
HSP Framework Dimension
Table Cell (td)

Health System Outcomes: Improve health status of Canadians

Table Row (tr)
Table Cell (td)
Areas of Need
Table Cell (td)

Not applicable

Table Row (tr)
Table Cell (td)
Targets/Benchmarks
Table Cell (td)

Not applicable

Table Row (tr)
Table Cell (td)
References
Table Cell (td)

Australian Government. National Healthcare Agreement: PI 20-Potentially Avoidable Deaths, 2010. http://meteor.aihw.gov.au/content/index.phtml/itemId/394495. Published June 8, 2011. Accessed on October 19, 2011.

Ministry of Health. Saving Lives: Amenable Mortality in New Zealand, 1996-2006. Wellington, New Zealand: Ministry of Health; 2010.

Nolte E, McKee CM. Does Health Care Save Lives? Avoidable Mortality Revisited. London, UK: The Nuffield Trust; 2004.

Office for National Statistics (United Kingdom). Definitions of Avoidable Mortality. http://www.ons.gov.uk/ons/dcp171778_264958.pdf. Published May 15, 2012. Accessed on October 19, 2012.

Page A, Tobias M, Wright C, et al. Australian and New Zealand Atlas of Avoidable Mortality. Adelaide, Australia: PHIDU, University of Adelaide; 2006.

Rutstein DD, Berenberg W, Chalmers TC, et al. Measuring the Quality of Medical Care: A Clinical Method. N Engl J Med 1976( 294): 582-588

Table Row (tr)
classsection
Table Cell (td)
colspan2
Availability of Data Sources and Results
HTML


<div role="button" class="expandableTitle" aria-controls="availabilityRegion">Availability of Data Sources and Results</div>
HTML Table
idavailabilityRegion
Table Row (tr)
Table Cell (td)
Data Sources
Table Cell (td)

Demography division, Statistics Canada, Vital Statistics - Death Database, Statistics Canada

Table Row (tr)
Table Cell (td)
Available Data Years
Table Cell (td)

Type of Year:
Calendar
First Available Year:
2007
Last Available Year:

2010

2014

Table Row (tr)
Table Cell (td)
Geographic Coverage
Table Cell (td)

All provinces/territories

Table Row (tr)
Table Cell (td)
Reporting Level/Disaggregation
Table Cell (td)

National, Province/Territory, Region

Table Row (tr)
classsection
Table Cell (td)
colspan2
Result Updates
HTML


<div role="button" class="expandableTitle" aria-controls="resultRegion">Result Updates</div>
HTML Table
idresultRegion
Table Row (tr)
Table Cell (td)
Update Frequency
Table Cell (td)

Every year

Indicator Results
Table Row (tr)
Table Cell (td)
Latest Result Update Date
Table Cell (td)

2014-09

Table Row (tr)
Table Cell (td)
Table Cell (td)

Web Tool:
Your Health System: In Depth
URL:

http://indicatorlibrary.cihi.ca/download/attachments/1114124/AccessingIndicatorResultsonYourHealthSystemv4_EN.pdf?version=1&modificationDate=1409838269216&api=v2


Accessing Indicator Results on Your Health System: In Depth

Table Row (tr)
Table Cell (td)
Updates
Table Cell (td)

Not applicable

Table Row (tr)
classsection
Table Cell (td)
colspan2
Quality Statement
HTML


<div role="button" class="expandableTitle" aria-controls="qualityRegion">Quality Statement</div>
HTML Table
idqualityRegion
Table Row (tr)
Table Cell (td)
Caveats and Limitations
Table Cell (td)

It is generally acknowledged that not all deaths from potentially avoidable causes can actually be avoided. For example, some deaths from treatable causes may be unavoidable due to late diagnosis or concurrent health problems, while some deaths from preventable causes could be due to unpredictable events against which no protective measures could have been taken.

An upper age limit of 75 should not imply that some deaths in the population older than 75 could not be avoided. However, multiple comorbidities are common among older adults, making the assignment of a single cause of death challenging.

The indicators will be reviewed periodically to assess the upper age limit and potential new avoidable conditions due to better understanding of disease etiology or advances in treatment.

Table Row (tr)
Table Cell (td)
Trending Issues
Table Cell (td)

Not applicable

Table Row (tr)
Table Cell (td)
Comments
Table Cell (td)

The indicator is calculated based on three years of pooled data. The reference year reflects the mid-point of a three-year period.

Avoidable mortality indicators were developed based on the Australian Potentially Avoidable Deaths indicator and the U.K. Office for National Statistics' list of causes of avoidable mortality, followed by expert review of the diagnosis codes and rationales for including each condition.

Causes of death were assigned to preventable and treatable subcategories based on two main mechanisms of mortality reduction: incidence and case-fatality reduction. These subcategories are mutually exclusive. In cases where a prevention/treatment overlap exists, the case was assigned to the preventable category; the exceptions were ischemic heart disease and stroke, where a random half of cases were assigned as preventable and the other half assigned as treatable. However, the mutually exclusive nature of the subcategories does not imply that all cases assigned to the preventable group do not have a treatable component, and vice versa.

More information about the indicator can be found in the In Focus section of Health Indicators 2012, available on CIHI's website (https://secure.cihi.ca/estore/productFamily.htm?locale=en&pf=PFC1791).

Indicator results are also available on

  • The Health Indicators e-publication (http://www.cihi.ca/hirpt/?language=en)
  • HTML
    
    </div>