Global, Regional, and National Burden and Quality of Care Index in Children and Adolescents: A Systematic Analysis for the Global Burden of Disease Study 1990–2017 Publisher Pubmed



Hanifiha M¹ ; Ghanbari A¹ ; Keykhaei M^{1, 2} ; Moghaddam SS¹ ; Rezaei N^{1, 3} ; Zanous MP¹ ; Yoosefi M¹ ; Ghasemi E¹ ; Rezaei N^{1, 3} ; Shahin S¹ ; Rashidi MM¹ ; Ghamari A¹ ; Haghshenas R^{1, 3} ; Kompani F⁴ Show All Authors Show Affiliations
Source: PLoS ONE Published:2022

Abstract

Purpose To express a global view of care quality in major causes of mortality and morbidity in children and adolescences Methods We used primary epidemiologic indicators from the Global Burden of Disease 1990–2017 database. We have created four secondary indices from six primary indices in order to assess the care quality parameters. We conducted a principal component analysis on incidence, prevalence, mortality, Years of Life Lost (YLLs), Years Lived with Disability (YLDs), and Disability Adjusted Life Years (DALYs) to create an index presented by quality-of-care index (QCI) to compare different countries. Results The global QCI scores of respiratory infection, enteric infection, leukemia, foreign body aspiration, asthma, epilepsy, diabetes mellitus, dermatitis, road injury, and neonatal disorders have improved remarkably. These causes showed equal distribution of qualified care for both sexes. The global trend of QCI score for mental health showed a steady pattern during the same time and disparities favoring females was evident. The quality of care for these causes was notably higher in developed areas. Conclusions The global QCI revealed a universal growth in major causes of death and morbidity in <20y during 28 years. Quality of care is an associate of the level of country’s development. Despite effective interventions, inequities still remain. Implementation of policies to invest in quality improvement and inequality elimination is needed. Copyright: © 2022 Hanifiha et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.