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Global and Regional Burden and Quality of Care of Non-Rheumatic Valvular Heart Diseases: A Systematic Analysis of Global Burden of Disease 1990-2017 Publisher Pubmed



Nejad M1 ; Ahmadi N1, 2 ; Mohammadi E1 ; Shabani M1 ; Sherafati A3 ; Aryannejad A1, 4 ; Rezaei N1, 2 ; Ghanbari A1 ; Yoosefi M1 ; Aminorroaya A1 ; Shabani M1 ; Rezaei N1, 2 ; Salavati T6 ; Larijani B2 Show All Authors
Authors
  1. Nejad M1
  2. Ahmadi N1, 2
  3. Mohammadi E1
  4. Shabani M1
  5. Sherafati A3
  6. Aryannejad A1, 4
  7. Rezaei N1, 2
  8. Ghanbari A1
  9. Yoosefi M1
  10. Aminorroaya A1
  11. Shabani M1
  12. Rezaei N1, 2
  13. Salavati T6
  14. Larijani B2
  15. Naderimagham S1, 2
  16. Farzadfar F1, 2
Show Affiliations
Authors Affiliations
  1. 1. Non-Communicable Diseases Research Center, Endocrinology And Metabolism Population Sciences Institute, Tehran University Of Medical Sciences, No. 10, Al-e-Ahmad Highway, Tehran, 1411713137, Iran
  2. 2. Endocrinology And Metabolism Research Center, Endocrinology And Metabolism Clinical Sciences Institute, Tehran University Of Medical Sciences, No. 10, Al-e-Ahmad Highway, Tehran, 1411713137, Iran
  3. 3. Department Of Cardiology, Imam Khomeini Hospital Complex, Tehran University Of Medical Sciences, End of Keshavarz Blvd, Tehran, 1411713137, Iran
  4. 4. Experimental Medicine Research Center (Next To The Depaitment Of Pharmacology), School Of Medicine, St. Poursina, Keshavarz Blvd, Tehran, 1417613151, Iran
  5. 5. Division Of Cardiology, Department Of Medicine, Johns Hopkins Hospital, 1800 Orleans St, Baltimore, 21287, MD, United States
  6. 6. Student Research Committee, Kurdistan University Of Medical Sciences, Sanandaj, Sanandaj, 66177-13446, Iran

Source: International Journal for Quality in Health Care Published:2022


Abstract

Background: With an increase in the incidence and prevalence of non-rheumatic valvular heart diseases (NRVHDs), having a proper understanding of the disease current status in terms of quality of care and healthcare access can considerably affect further planning for the healthcare system. Objective: In this study, we aimed to evaluate and compare the quality and equity of care concerning NRVHDs in terms of gender and sociodemographic index (SDI) using a newly proposed index. Methods: We obtained the primary measures (e.g. incidence) from the Global Burden of Disease (GBD) data about NRVHD from 1990 to 2017 to calculate the subsequent secondary indices (e.g. mortality-to-incidence ratio) with close association to quality of care. Then, using principal component analysis (PCA), quality of care index (QCI) was calculated as a novel index from the secondary indices, rescaled to 0-100. QCI was calculated for all age groups and both genders, globally, regionally and nationally between 1990 and 2017. Results: Globally, the QCI for NRVHDs in 2017 was 87.3, and it appears that gender inequity was unremarkable (gender disparity ratio = 1.00, female QCI: 90.2, male QCI: 89.7) in 2017 similar to the past three decades. Among WHO world regions, the Western Pacific Region and Eastern Mediterranean Region showed the highest (90.1) and lowest (74.0) QCI scores. Regarding SDI, the high-middle-SDI quintile with a QCI of 89.4 and the low-SDI quintile with a QCI of 77.8 were the two extremes of healthcare quality in 2017. Conclusion: Although global status regarding the NRVHD's quality of care is acceptable, higher attention is required for lower SDI countries. © 2022 The Author(s) 2022. Published by Oxford University Press on behalf of International Society for Quality in Health Care. All rights reserved.
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