Health Performance Evaluation using preventable mortality criteria

The article presents the results of a study assessing the impact of healthcare on the life expectancy of the population of Moscow. The study is based on the concept of preventable mortality, which makes it possible to identify reserves for reducing mortality from manageable causes. In 2019, an electronic survey was conducted of experts representing 14 medical specialties working in inpatient and/or outpatient organizations. Among the respondents, 31 % were healthcare organizers working in administrative positions, another group – doctors of various clinical specialties engaged in medical work. Of the 6.8 years for males and 3.7 years for females reduced by the maximum possible life expectancy before the age of 75 due to premature mortality, preventable deaths account for 5.0 and 2.3 years, respectively. This is exactly what the increase in life expectancy in the range of 0–74 years can be, which, according to the data of 2018, is 67.2 years for men and 71.3 years for women, if mortality from preventable causes that depend on primary prevention is eliminated (group 2) and treatable (group 1) in accordance with the European list. By reducing mortality from preventable causes classified in group 1 and depending on the quality of medical care, life expectancy at the age of 75 years can be increased according to 2018 data by 2.3 years for men and 1.4 years for women. Due to causes classified in group 2 and dependent on effective primary prevention and public health efforts, the increase could be 2.8 and 0.8 years, respectively.

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