Global burden of disease due to ambulatory care sensitive conditions, 1990-2019

Lekhan, Valery N. and Hrytsenko, Liudmyla O. and Zaiarskyi, Mykola I. (2023) Global burden of disease due to ambulatory care sensitive conditions, 1990-2019. Wiadomości Lekarskie Medical Advances (4). pp. 745-750. ISSN ISSN 0043-5147 E-ISSN 2719-342

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Abstract

Disability-adjusted life years (DALYs) due to ACSC over 30 years in Ukraine averaged 5145.4 years per 100,000 population (95% CI 4731.1 -5559.7), which is approximately 14% of DALYs of all reasons without a clear trend of change - compound annual growth rate (CARG) of 0.14%. These five causes – angina pectoris, chronic obstructive pulmonary diseases (COPD), lower respiratory infections, diabetes, and tuberculosis – account for 90% of the disease burden associated with ACSCs. There was an increasing trend in DALYs (CARG varied for different ACSCs in the range of 0.59-1.88%), except for COPD, where the decrease in CARG reached -3.16%. This longitudinal study found a small trend toward increased DALYs due to ACSCs. State measures to influence modified risk factors to reduce the burden of losses from ACSCs proved to be ineffective. To significantly reduce DALYs, a more clear and more systematic healthcare policy regarding ACSCs is needed, which includes a set of primary prevention measures, and organizational and economic strengthening of the primary health

Item Type:	Article
Additional Information:	DOI: 10.36740/WLek202304107
Uncontrolled Keywords:	KEY WORDS: disability-adjusted life years, public policy, primary health care
Subjects:	Social medicine
Divisions:	Faculty of Postgraduate Education > Department of social medicine, public health and health care management University periodicals > Medical perspectives
Depositing User:	Ирина Медведева
Date Deposited:	11 Oct 2023 08:36
Last Modified:	11 Oct 2023 08:36
URI:	http://repo.dma.dp.ua/id/eprint/8590

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