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1. Burden of injury along the development spectrum : Associations between the Socio-demographic Index and disability-adjusted life year estimates from the Global Burden of Disease Study 2017

Author: Haagsma, J. A., James, S. L., Castle, C. D., Dingels, Z. V., Fox, J. T., Hamilton, E. B., Liu, Z., Lucchesi, L. R., Roberts, N. L. S., Sylte, D. O., Adebayo, O. M., Ahmadi, A., Ahmed, M. B., Aichour, M. T. E., Alahdab, F., Alghnam, S. A., Aljunid, S. M., Al-Raddadi, R. M., Alsharif, U., Altirkawi, K., Anjomshoa, M., Antonio, C. A. T., Appiah, S. C. Y., Aremu, O., Arora, A., Asayesh, H., Assadi, R., Awasthi, A., Ayala Quintanilla, B. P., Balalla, S., Banstola, A., Barker-Collo, S. L., BÃ€rnighausen, T. W., Bazargan-Hejazi, S., Bedi, N., Behzadifar, M., Benjet, C., Bennett, D. A., Bensenor, I. M., Bhaumik, S., Bhutta, Z. A., Bijani, A., Borges, G., Borschmann, R., Bose, D., Boufous, S., Brazinova, A., Campuzano Rincon, J. C., CÃ¡rdenas, R., Carrero, J. J., Carvalho, F., CastaÃ±eda-Orjuela, C. A., CatalÃ¡-LÃ³pez, F., Choi, J. -YJ., Christopher, D. J., Crowe, C. S., Dalal, Koustuv, Daryani, A., Davitoiu, D. V., Degenhardt, L., De Leo, D., De Neve, J. -W, Deribe, K., Dessie, G. A., Deveber, G. A., Dharmaratne, S. D., Doan, L. P., Dolan, K. A., Driscoll, T. R., Dubey, M., El-Khatib, Z., Ellingsen, C. L., El Sayed Zaki, M., Endries, A. Y., Eskandarieh, S., Faro, A., Fereshtehnejad, S. -M, Fernandes, E., Filip, I., Fischer, F., Franklin, R. C., Fukumoto, T., Gezae, K. E., Gill, T. K., Goulart, A. C., Grada, A., Guo, Y., Gupta, R., Haghparast Bidgoli, H., Haj-Mirzaian, A., Hamadeh, R. R., Hamidi, S., Haro, J. M., Hassankhani, H., Hassen, H. Y., Havmoeller, R., Hendrie, D., Henok, A., HÃjar, M., Hole, M. K., Homaie Rad, E., Hossain, N., Hostiuc, S., Hu, G., Igumbor, E. U., Ilesanmi, O. S., Irvani, S. S. N., Islam, S. M. S., Ivers, R. Q., Jacobsen, K. H., Jahanmehr, N., Jakovljevic, M., Jayatilleke, A. U., Jha, R. P., Jonas, J. B., Jorjoran Shushtari, Z., Jozwiak, J. J., JÃŒrisson, M., Kabir, A., Kalani, R., Kasaeian, A., Kelbore, A. G., Kengne, A. P., Khader, Y. S., Khafaie, M. A., Khalid, N., Khan, E. A., Khoja, A. T., Kiadaliri, A. A., Kim, Y. -E, Kim, D., Kisa, A., Koyanagi, A., Kuate Defo, B., Kucuk Bicer, B., Kumar, M., Lalloo, R., Lam, H., Lami, F. H., Lansingh, V. C., Leasher, J. L., Li, S., Linn, S., Lunevicius, R., MacHado, F. R., Magdy Abd El Razek, H., Magdy Abd El Razek, M., Mahotra, N. B., Majdan, M., Majeed, A., Malekzadeh, R., Malik, M. A., Malta, D. C., Manda, A. -L, Mansournia, M. A., Massenburg, B. B., Maulik, P. K., Meheretu, H. A. A., Mehndiratta, M. M., Melese, A., Mendoza, W., Mengesha, M. M., Meretoja, T. J., Meretoja, A., Mestrovic, T., Miazgowski, T., Miller, T. R., Mini, G. K., Mirrakhimov, E. M., Moazen, B., Mohammad Gholi Mezerji, N., Mohammadibakhsh, R., Mohammed, S., Molokhia, M., Monasta, L., Mondello, S., Montero-Zamora, P. A., Moodley, Y., Moosazadeh, M., Moradi, G., Moradi-Lakeh, M., Morawska, L., VelÃ¡squez, I. M., Morrison, S. D., Moschos, M. M., Mousavi, S. M., Murthy, S., Musa, K. I., Naik, G., Najafi, F., Nangia, V., Nascimento, B. R., Ndwandwe, D. E., Negoi, I., Nguyen, T. H., Nguyen, S. H., Nguyen, L. H., Nguyen, H. L. T., Ningrum, D. N. A., Nirayo, Y. L., Ofori-Asenso, R., Ogbo, F. A., Oh, I. -H, Oladimeji, O., Olagunju, A. T., Olagunju, T. O., Olivares, P. R., Orpana, H. M., Otstavnov, S. S., Mahesh, P. A., Pakhale, S., Park, E. -K, Patton, G. C., Pesudovs, K., Phillips, M. R., Polinder, S., Prakash, S., Radfar, A., Rafay, A., Rafiei, A., Rahimi, S., Rahimi-Movaghar, V., Rahman, M. A., Rai, R. K., Ramezanzadeh, K., Rawaf, S., Rawaf, D. L., Renzaho, A. M. N., Resnikoff, S., Rezaeian, S., Roever, L., Ronfani, L., Roshandel, G., Sabde, Y. D., Saddik, B., Salamati, P., Salimi, Y., Salz, I., Samy, A. M., Sanabria, J., Sanchez Riera, L., Santric Milicevic, M. M., Satpathy, M., Sawhney, M., Sawyer, S. M., Saxena, S., Saylan, M., Schneider, I. J. C., Schwebel, D. C., Seedat, S., Sepanlou, S. G., Shaikh, M. A., Shams-Beyranvand, M., Shamsizadeh, M., Sharif-Alhoseini, M., Sheikh, A., Shen, J., Shigematsu, M., Shiri, R., Shiue, I., Silva, J. P., Singh, J. A., Sinha, D. N., Soares Filho, A. M., Soriano, J. B., Soshnikov, S., Soyiri, I. N., Starodubov, V. I., Stein, D. J., Stokes, M. A., Sufiyan, M. B., Sunshine, J. E., Sykes, B. L., TabarÃ©s-Seisdedos, R., Tabb, K. M., Tehrani-Banihashemi, A., Tessema, G. A., Thakur, J. S., Tran, K. B., Tran, B. X., Tudor Car, L., Uthman, O. A., Uzochukwu, B. S. C., Valdez, P. R., Varavikova, E., Vasconcelos, A. M. N., Venketasubramanian, N., Violante, F. S., Vlassov, V., Waheed, Y., Wang, Y. -P, Wijeratne, T., Winkler, A. S., Yadav, P., Yano, Y., Yenesew, M. A., Yip, P., Yisma, E., Yonemoto, N., Younis, M. Z., Yu, C., Zafar, S., Zaidi, Z., Zaman, S. B., Zamani, M., Zhao, Y., Zodpey, S., Hay, S. I., Lopez, A. D., Mokdad, A. H., Vos, T., Haagsma, J. A., James, S. L., Castle, C. D., Dingels, Z. V., Fox, J. T., Hamilton, E. B., Liu, Z., Lucchesi, L. R., Roberts, N. L. S., Sylte, D. O., Adebayo, O. M., Ahmadi, A., Ahmed, M. B., Aichour, M. T. E., Alahdab, F., Alghnam, S. A., Aljunid, S. M., Al-Raddadi, R. M., Alsharif, U., Altirkawi, K., Anjomshoa, M., Antonio, C. A. T., Appiah, S. C. Y., Aremu, O., Arora, A., Asayesh, H., Assadi, R., Awasthi, A., Ayala Quintanilla, B. P., Balalla, S., Banstola, A., Barker-Collo, S. L., BÃ€rnighausen, T. W., Bazargan-Hejazi, S., Bedi, N., Behzadifar, M., Benjet, C., Bennett, D. A., Bensenor, I. M., Bhaumik, S., Bhutta, Z. A., Bijani, A., Borges, G., Borschmann, R., Bose, D., Boufous, S., Brazinova, A., Campuzano Rincon, J. C., CÃ¡rdenas, R., Carrero, J. J., Carvalho, F., CastaÃ±eda-Orjuela, C. A., CatalÃ¡-LÃ³pez, F., Choi, J. -YJ., Christopher, D. J., Crowe, C. S., Dalal, Koustuv, Daryani, A., Davitoiu, D. V., Degenhardt, L., De Leo, D., De Neve, J. -W, Deribe, K., Dessie, G. A., Deveber, G. A., Dharmaratne, S. D., Doan, L. P., Dolan, K. A., Driscoll, T. R., Dubey, M., El-Khatib, Z., Ellingsen, C. L., El Sayed Zaki, M., Endries, A. Y., Eskandarieh, S., Faro, A., Fereshtehnejad, S. -M, Fernandes, E., Filip, I., Fischer, F., Franklin, R. C., Fukumoto, T., Gezae, K. E., Gill, T. K., Goulart, A. C., Grada, A., Guo, Y., Gupta, R., Haghparast Bidgoli, H., Haj-Mirzaian, A., Hamadeh, R. R., Hamidi, S., Haro, J. M., Hassankhani, H., Hassen, H. Y., Havmoeller, R., Hendrie, D., Henok, A., HÃjar, M., Hole, M. K., Homaie Rad, E., Hossain, N., Hostiuc, S., Hu, G., Igumbor, E. U., Ilesanmi, O. S., Irvani, S. S. N., Islam, S. M. S., Ivers, R. Q., Jacobsen, K. H., Jahanmehr, N., Jakovljevic, M., Jayatilleke, A. U., Jha, R. P., Jonas, J. B., Jorjoran Shushtari, Z., Jozwiak, J. J., JÃŒrisson, M., Kabir, A., Kalani, R., Kasaeian, A., Kelbore, A. G., Kengne, A. P., Khader, Y. S., Khafaie, M. A., Khalid, N., Khan, E. A., Khoja, A. T., Kiadaliri, A. A., Kim, Y. -E, Kim, D., Kisa, A., Koyanagi, A., Kuate Defo, B., Kucuk Bicer, B., Kumar, M., Lalloo, R., Lam, H., Lami, F. H., Lansingh, V. C., Leasher, J. L., Li, S., Linn, S., Lunevicius, R., MacHado, F. R., Magdy Abd El Razek, H., Magdy Abd El Razek, M., Mahotra, N. B., Majdan, M., Majeed, A., Malekzadeh, R., Malik, M. A., Malta, D. C., Manda, A. -L, Mansournia, M. A., Massenburg, B. B., Maulik, P. K., Meheretu, H. A. A., Mehndiratta, M. M., Melese, A., Mendoza, W., Mengesha, M. M., Meretoja, T. J., Meretoja, A., Mestrovic, T., Miazgowski, T., Miller, T. R., Mini, G. K., Mirrakhimov, E. M., Moazen, B., Mohammad Gholi Mezerji, N., Mohammadibakhsh, R., Mohammed, S., Molokhia, M., Monasta, L., Mondello, S., Montero-Zamora, P. A., Moodley, Y., Moosazadeh, M., Moradi, G., Moradi-Lakeh, M., Morawska, L., VelÃ¡squez, I. M., Morrison, S. D., Moschos, M. M., Mousavi, S. M., Murthy, S., Musa, K. I., Naik, G., Najafi, F., Nangia, V., Nascimento, B. R., Ndwandwe, D. E., Negoi, I., Nguyen, T. H., Nguyen, S. H., Nguyen, L. H., Nguyen, H. L. T., Ningrum, D. N. A., Nirayo, Y. L., Ofori-Asenso, R., Ogbo, F. A., Oh, I. -H, Oladimeji, O., Olagunju, A. T., Olagunju, T. O., Olivares, P. R., Orpana, H. M., Otstavnov, S. S., Mahesh, P. A., Pakhale, S., Park, E. -K, Patton, G. C., Pesudovs, K., Phillips, M. R., Polinder, S., Prakash, S., Radfar, A., Rafay, A., Rafiei, A., Rahimi, S., Rahimi-Movaghar, V., Rahman, M. A., Rai, R. K., Ramezanzadeh, K., Rawaf, S., Rawaf, D. L., Renzaho, A. M. N., Resnikoff, S., Rezaeian, S., Roever, L., Ronfani, L., Roshandel, G., Sabde, Y. D., Saddik, B., Salamati, P., Salimi, Y., Salz, I., Samy, A. M., Sanabria, J., Sanchez Riera, L., Santric Milicevic, M. M., Satpathy, M., Sawhney, M., Sawyer, S. M., Saxena, S., Saylan, M., Schneider, I. J. C., Schwebel, D. C., Seedat, S., Sepanlou, S. G., Shaikh, M. A., Shams-Beyranvand, M., Shamsizadeh, M., Sharif-Alhoseini, M., Sheikh, A., Shen, J., Shigematsu, M., Shiri, R., Shiue, I., Silva, J. P., Singh, J. A., Sinha, D. N., Soares Filho, A. M., Soriano, J. B., Soshnikov, S., Soyiri, I. N., Starodubov, V. I., Stein, D. J., Stokes, M. A., Sufiyan, M. B., Sunshine, J. E., Sykes, B. L., TabarÃ©s-Seisdedos, R., Tabb, K. M., Tehrani-Banihashemi, A., Tessema, G. A., Thakur, J. S., Tran, K. B., Tran, B. X., Tudor Car, L., Uthman, O. A., Uzochukwu, B. S. C., Valdez, P. R., Varavikova, E., Vasconcelos, A. M. N., Venketasubramanian, N., Violante, F. S., Vlassov, V., Waheed, Y., Wang, Y. -P, Wijeratne, T., Winkler, A. S., Yadav, P., Yano, Y., Yenesew, M. A., Yip, P., Yisma, E., Yonemoto, N., Younis, M. Z., Yu, C., Zafar, S., Zaidi, Z., Zaman, S. B., Zamani, M., Zhao, Y., Zodpey, S., Hay, S. I., Lopez, A. D., Mokdad, A. H., and Vos, T.
Abstract: Background: The epidemiological transition of non-communicable diseases replacing infectious diseases as the main contributors to disease burden has been well documented in global health literature. Less focus, however, has been given to the relationship between sociodemographic changes and injury. The aim of this study was to examine the association between disability-adjusted life years (DALYs) from injury for 195 countries and territories at different levels along the development spectrum between 1990 and 2017 based on the Global Burden of Disease (GBD) 2017 estimates. Methods: Injury mortality was estimated using the GBD mortality database, corrections for garbage coding and CODEm-the cause of death ensemble modelling tool. Morbidity estimation was based on surveys and inpatient and outpatient data sets for 30 cause-of-injury with 47 nature-of-injury categories each. The Socio-demographic Index (SDI) is a composite indicator that includes lagged income per capita, average educational attainment over age 15 years and total fertility rate. Results: For many causes of injury, age-standardised DALY rates declined with increasing SDI, although road injury, interpersonal violence and self-harm did not follow this pattern. Particularly for self-harm opposing patterns were observed in regions with similar SDI levels. For road injuries, this effect was less pronounced. Conclusions: The overall global pattern is that of declining injury burden with increasing SDI. However, not all injuries follow this pattern, which suggests multiple underlying mechanisms influencing injury DALYs. There is a need for a detailed understanding of these patterns to help to inform national and global efforts to address injury-related health outcomes across the development spectrum. Â© 2020 Author(s).
Published: 2019
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2. Past, present, and future of global health financing : A review of development assistance, government, out-of-pocket, and other private spending on health for 195 countries, 1995-2050

Author: Chang, A. Y., Cowling, K., Micah, A. E., Chapin, A., Chen, C. S., Ikilezi, G., Sadat, N., Tsakalos, G., Wu, J., Younker, T., Zhao, Y., Zlavog, B. S., Abbafati, C., Ahmed, A. E., Alam, K., Alipour, V., Aljunid, S. M., Almalki, M. J., Alvis-Guzman, N., Ammar, W., Andrei, C. L., Anjomshoa, M., Antonio, C. A. T., Arabloo, J., Aremu, O., Ausloos, M., Avila-Burgos, L., Awasthi, A., Ayanore, M. A., Azari, S., Azzopardi-Muscat, N., Bagherzadeh, M., BÃ€rnighausen, T. W., Baune, B. T., Bayati, M., Belay, Y. B., Belay, Y. A., Belete, H., Berbada, D. A., Berman, A. E., Beuran, M., Bijani, A., Busse, R., Cahuana-Hurtado, L., CÃ¡mera, L. A., CatalÃ¡-LÃ³pez, F., Chauhan, B. G., Constantin, M. -M, Crowe, C. S., Cucu, A., Dalal, Koustuv, De Neve, J. -W, Deiparine, S., Demeke, F. M., Do, H. P., Dubey, M., Tantawi, M. E., Eskandarieh, S., Esmaeili, R., Fakhar, M., Fazaeli, A. A., Fischer, F., Foigt, N. A., Fukumoto, T., Fullman, N., Galan, A., Gamkrelidze, A., Gezae, K. E., Ghajar, A., Ghashghaee, A., Goginashvili, K., Haakenstad, A., Bidgoli, H. H., Hamidi, S., Harb, H. L., Hasanpoor, E., Hassen, H. Y., Hay, S. I., Hendrie, D., Henok, A., Heredia-Pi, I., Herteliu, C., Hoang, C. L., Hole, M. K., Rad, E. H., Hossain, N., Hosseinzadeh, M., Hostiuc, S., Ilesanmi, O. S., Irvani, S. S. N., Jakovljevic, M., Jalali, A., James, S. L., Jonas, J. B., JÃŒrisson, M., Kadel, R., Matin, B. K., Kasaeian, A., Kasaye, H. K., Kassaw, M. W., Karyani, A. K., Khabiri, R., Khan, J., Khan, M. N., Khang, Y. -H, Kisa, A., Kissimova-Skarbek, K., Kohler, S., Koyanagi, A., Krohn, K. J., Leung, R., Lim, L. -L, Lorkowski, S., Majeed, A., Malekzadeh, R., Mansourian, M., Mantovani, L. G., Massenburg, B. B., Mckee, M., Mehta, V., Meretoja, A., Meretoja, T. J., Kostova, N. M., Miller, T. R., Mirrakhimov, E. M., Mohajer, B., Darwesh, A. M., Mohammed, S., Mohebi, F., Mokdad, A. H., Morrison, S. D., Mousavi, S. M., Muthupandian, S., Nagarajan, A. J., Nangia, V., Negoi, I., Nguyen, C. T., Nguyen, H. L. T., Nguyen, S. H., Nosratnejad, S., Oladimeji, O., Olgiati, S., Olusanya, J. O., Onwujekwe, O. E., Otstavnov, S. S., Pana, A., Pereira, D. M., Piroozi, B., Prada, S. I., Qorbani, M., Rabiee, M., Rabiee, N., Rafiei, A., Rahim, F., Rahimi-Movaghar, V., Ram, U., Ranabhat, C. L., Ranta, A., Rawaf, D. L., Rawaf, S., Rezaei, S., Roro, E. M., Rostami, A., Rubino, S., Salahshoor, M., Samy, A. M., Sanabria, J., Santos, J. V., Milicevic, M. M. S., Jose, B. P. S., Savic, M., Schwendicke, F., Sepanlou, S. G., Sepehrimanesh, M., Sheikh, A., Shrime, M. G., Sisay, S., Soltani, S., Soofi, M., Srinivasan, V., TabarÃ©s-Seisdedos, R., Torre, A., Tovani-Palone, M. R., Tran, B. X., Tran, K. B., Undurraga, E. A., Valdez, P. R., Van Boven, J. F. M., Vargas, V., Veisani, Y., Violante, F. S., Vladimirov, S. K., Vlassov, V., Vollmer, S., Vu, G. T., Wolfe, C. D. A., Yonemoto, N., Younis, M. Z., Yousefifard, M., Zaman, S. B., Zangeneh, A., Zegeye, E. A., Ziapour, A., Chew, A., Murray, C. J. L., Dieleman, J. L., Network, Global Burden of Disease Health Financing Collaborator, Chang, A. Y., Cowling, K., Micah, A. E., Chapin, A., Chen, C. S., Ikilezi, G., Sadat, N., Tsakalos, G., Wu, J., Younker, T., Zhao, Y., Zlavog, B. S., Abbafati, C., Ahmed, A. E., Alam, K., Alipour, V., Aljunid, S. M., Almalki, M. J., Alvis-Guzman, N., Ammar, W., Andrei, C. L., Anjomshoa, M., Antonio, C. A. T., Arabloo, J., Aremu, O., Ausloos, M., Avila-Burgos, L., Awasthi, A., Ayanore, M. A., Azari, S., Azzopardi-Muscat, N., Bagherzadeh, M., BÃ€rnighausen, T. W., Baune, B. T., Bayati, M., Belay, Y. B., Belay, Y. A., Belete, H., Berbada, D. A., Berman, A. E., Beuran, M., Bijani, A., Busse, R., Cahuana-Hurtado, L., CÃ¡mera, L. A., CatalÃ¡-LÃ³pez, F., Chauhan, B. G., Constantin, M. -M, Crowe, C. S., Cucu, A., Dalal, Koustuv, De Neve, J. -W, Deiparine, S., Demeke, F. M., Do, H. P., Dubey, M., Tantawi, M. E., Eskandarieh, S., Esmaeili, R., Fakhar, M., Fazaeli, A. A., Fischer, F., Foigt, N. A., Fukumoto, T., Fullman, N., Galan, A., Gamkrelidze, A., Gezae, K. E., Ghajar, A., Ghashghaee, A., Goginashvili, K., Haakenstad, A., Bidgoli, H. H., Hamidi, S., Harb, H. L., Hasanpoor, E., Hassen, H. Y., Hay, S. I., Hendrie, D., Henok, A., Heredia-Pi, I., Herteliu, C., Hoang, C. L., Hole, M. K., Rad, E. H., Hossain, N., Hosseinzadeh, M., Hostiuc, S., Ilesanmi, O. S., Irvani, S. S. N., Jakovljevic, M., Jalali, A., James, S. L., Jonas, J. B., JÃŒrisson, M., Kadel, R., Matin, B. K., Kasaeian, A., Kasaye, H. K., Kassaw, M. W., Karyani, A. K., Khabiri, R., Khan, J., Khan, M. N., Khang, Y. -H, Kisa, A., Kissimova-Skarbek, K., Kohler, S., Koyanagi, A., Krohn, K. J., Leung, R., Lim, L. -L, Lorkowski, S., Majeed, A., Malekzadeh, R., Mansourian, M., Mantovani, L. G., Massenburg, B. B., Mckee, M., Mehta, V., Meretoja, A., Meretoja, T. J., Kostova, N. M., Miller, T. R., Mirrakhimov, E. M., Mohajer, B., Darwesh, A. M., Mohammed, S., Mohebi, F., Mokdad, A. H., Morrison, S. D., Mousavi, S. M., Muthupandian, S., Nagarajan, A. J., Nangia, V., Negoi, I., Nguyen, C. T., Nguyen, H. L. T., Nguyen, S. H., Nosratnejad, S., Oladimeji, O., Olgiati, S., Olusanya, J. O., Onwujekwe, O. E., Otstavnov, S. S., Pana, A., Pereira, D. M., Piroozi, B., Prada, S. I., Qorbani, M., Rabiee, M., Rabiee, N., Rafiei, A., Rahim, F., Rahimi-Movaghar, V., Ram, U., Ranabhat, C. L., Ranta, A., Rawaf, D. L., Rawaf, S., Rezaei, S., Roro, E. M., Rostami, A., Rubino, S., Salahshoor, M., Samy, A. M., Sanabria, J., Santos, J. V., Milicevic, M. M. S., Jose, B. P. S., Savic, M., Schwendicke, F., Sepanlou, S. G., Sepehrimanesh, M., Sheikh, A., Shrime, M. G., Sisay, S., Soltani, S., Soofi, M., Srinivasan, V., TabarÃ©s-Seisdedos, R., Torre, A., Tovani-Palone, M. R., Tran, B. X., Tran, K. B., Undurraga, E. A., Valdez, P. R., Van Boven, J. F. M., Vargas, V., Veisani, Y., Violante, F. S., Vladimirov, S. K., Vlassov, V., Vollmer, S., Vu, G. T., Wolfe, C. D. A., Yonemoto, N., Younis, M. Z., Yousefifard, M., Zaman, S. B., Zangeneh, A., Zegeye, E. A., Ziapour, A., Chew, A., Murray, C. J. L., Dieleman, J. L., and Network, Global Burden of Disease Health Financing Collaborator
Abstract: Background: Comprehensive and comparable estimates of health spending in each country are a key input for health policy and planning, and are necessary to support the achievement of national and international health goals. Previous studies have tracked past and projected future health spending until 2040 and shown that, with economic development, countries tend to spend more on health per capita, with a decreasing share of spending from development assistance and out-of-pocket sources. We aimed to characterise the past, present, and predicted future of global health spending, with an emphasis on equity in spending across countries. Methods: We estimated domestic health spending for 195 countries and territories from 1995 to 2016, split into three categories-government, out-of-pocket, and prepaid private health spending-and estimated development assistance for health (DAH) from 1990 to 2018. We estimated future scenarios of health spending using an ensemble of linear mixed-effects models with time series specifications to project domestic health spending from 2017 through 2050 and DAH from 2019 through 2050. Data were extracted from a broad set of sources tracking health spending and revenue, and were standardised and converted to inflation-adjusted 2018 US dollars. Incomplete or low-quality data were modelled and uncertainty was estimated, leading to a complete data series of total, government, prepaid private, and out-of-pocket health spending, and DAH. Estimates are reported in 2018 US dollars, 2018 purchasing-power parity-adjusted dollars, and as a percentage of gross domestic product. We used demographic decomposition methods to assess a set of factors associated with changes in government health spending between 1995 and 2016 and to examine evidence to support the theory of the health financing transition. We projected two alternative future scenarios based on higher government health spending to assess the potential ability of governments to generate more reso
Published: 2019
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3. Global, regional, and national age-sex-specific mortality and life expectancy, 1950-2017: A systematic analysis for the Global Burden of Disease Study 2017

Author: Dicker, D. Nguyen, G. Abate, D. Abate, K.H. Abay, S.M. Abbafati, C. Abbasi, N. Abbastabar, H. Abd-Allah, F. Abdela, J. Abdelalim, A. Abdel-Rahman, O. Abdi, A. Abdollahpour, I. Abdulkader, R.S. Abdurahman, A.A. Abebe, H.T. Abebe, M. Abebe, Z. Abebo, T.A. Aboyans, V. Abraha, H.N. Abrham, A.R. Abu-Raddad, L.J. Abu-Rmeileh, N.M.E. Accrombessi, M.M.K. Acharya, P. Adebayo, O.M. Adedeji, I.A. Adedoyin, R.A. Adekanmbi, V. Adetokunboh, O.O. Adhena, B.M. Adhikari, T.B. Adib, M.G. Adou, A.K. Adsuar, J.C. Afarideh, M. Afshin, A. Agarwal, G. Aggarwal, R. Aghayan, S.A. Agrawal, S. Agrawal, A. Ahmadi, M. Ahmadi, A. Ahmadieh, H. Ahmed, M.L.C.B. Ahmed, S. Ahmed, M.B. Aichour, A.N. Aichour, I. Aichour, M.T.E. Akanda, A.S. Akbari, M.E. Akibu, M. Akinyemi, R.O. Akinyemiju, T. Akseer, N. Alahdab, F. Al-Aly, Z. Alam, K. Alebel, A. Aleman, A.V. Alene, K.A. Al-Eyadhy, A. Ali, R. Alijanzadeh, M. Alizadeh-Navaei, R. Aljunid, S.M. Alkerwi, A. Alla, F. Allebeck, P. Allen, C.A. Alonso, J. Al-Raddadi, R.M. Alsharif, U. Altirkawi, K. Alvis-Guzman, N. Amare, A.T. Amini, E. Ammar, W. Amoako, Y.A. Anber, N.H. Andrei, C.L. Androudi, S. Animut, M.D. Anjomshoa, M. Anlay, D.Z. Ansari, H. Ansariadi, A. Ansha, M.G. Antonio, C.A.T. Appiah, S.C.Y. Aremu, O. Areri, H.A. Ã„rnlÃ¶v, J. Arora, M. Artaman, A. Aryal, K.K. Asadi-Lari, M. Asayesh, H. Asfaw, E.T. Asgedom, S.W. Assadi, R. Ataro, Z. Atey, T.M.M. Athari, S.S. Atique, S. Atre, S.R. Atteraya, M.S. Attia, E.F. Ausloos, M. Avila-Burgos, L. Avokpaho, E.F.G.A. Awasthi, A. Awuah, B. Ayala Quintanilla, B.P. Ayele, H.T. Ayele, Y. Ayer, R. Ayuk, T.B. Azzopardi, P.S. Azzopardi-Muscat, N. Badali, H. Badawi, A. Balakrishnan, K. Bali, A.G. Banach, M. Banstola, A. Barac, A. Barboza, M.A. Barquera, S. Barrero, L.H. Basaleem, H. Bassat, Q. Basu, A. Basu, S. Baune, B.T. Bazargan-Hejazi, S. Bedi, N. Beghi, E. Behzadifar, M. Behzadifar, M. BÃ©jot, Y. Bekele, B.B. Belachew, A.B. Belay, A.G. Belay, E. Belay, S.A. Belay, Y.A. Bell, M.L. Bello, A.K. Bennett, D.A. 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Eggen, A.E. El Bcheraoui, C. El Sayed Zaki, M. Elfaramawi, M. El-Khatib, Z. Ellingsen, C.L. Elyazar, I.R.F. Enayati, A. Endries, A.Y.Y. Er, B. Ermakov, S.P. Eshrati, B. Eskandarieh, S. Esmaeili, R. Esteghamati, A. Esteghamati, S. Fakhar, M. Fakhim, H. Farag, T. Faramarzi, M. Fareed, M. Farhadi, F. Farid, T.A. E SÃ¡ Farinha, C.S. Farioli, A. Faro, A. Farvid, M.S. Farzadfar, F. Farzaei, M.H. Fazeli, M.S. Feigin, V.L. Feigl, A.B. Feizy, F. Fentahun, N. Fereshtehnejad, S.-M. Fernandes, E. Fernandes, J.C. Feyissa, G.T. Fijabi, D.O. Filip, I. Finegold, S. Fischer, F. Flor, L.S. Foigt, N.A. Ford, J.A. Foreman, K.J. Fornari, C. Frank, T.D. Franklin, R.C. Fukumoto, T. Fuller, J.E. Fullman, N. FÃ¼rst, T. Furtado, J.M. Futran, N.D. Galan, A. Gallus, S. Gambashidze, K. Gamkrelidze, A. Gankpe, F.G. Garcia-Basteiro, A.L. Garcia-Gordillo, M.A. Gebre, T. Gebre, A.K. Gebregergs, G.B. Gebrehiwot, T.T. Gebremedhin, A.T. Gelano, T.F. Gelaw, Y.A. Geleijnse, J.M. Genova-Maleras, R. Gessner, B.D. Getachew, S. Gething, P.W. Gezae, K.E. Ghadami, M.R. Ghadimi, R. Ghasemi Falavarjani, K. Ghasemi-Kasman, M. Ghiasvand, H. Ghimire, M. Ghoshal, A.G. Gill, P.S. Gill, T.K. Gillum, R.F. Giussani, G. Goenka, S. Goli, S. Gomez, R.S. Gomez-Cabrera, M.C. GÃ³mez-DantÃ©s, H. Gona, P.N. Goodridge, A. Gopalani, S.V. Goto, A. Goulart, A.C. Goulart, B.N.G. Grada, A. Grosso, G. Gugnani, H.C. Guimaraes, A.L.S. Guo, Y. Gupta, P.C. Gupta, R. Gupta, R. Gupta, T. Gyawali, B. Haagsma, J.A. Hachinski, V. Hafezi-Nejad, N. Hagos, T.B. Hailegiyorgis, T.T. Hailu, G.B. Haj-Mirzaian, A. Haj-Mirzaian, A. Hamadeh, R.R. Hamidi, S. Handal, A.J. Hankey, G.J. Harb, H.L. Harikrishnan, S. Haririan, H. Haro, J.M. Hasan, M. Hassankhani, H. Hassen, H.Y. Havmoeller, R. Hay, R.J. Hay, S.I. He, Y. Hedayatizadeh-Omran, A. Hegazy, M.I. Heibati, B. Heidari, M. Hendrie, D. Henok, A. Henry, N.J. Heredia-Pi, I. Herteliu, C. Heydarpour, F. Heydarpour, P. Heydarpour, S. Hibstu, D.T. Hoek, H.W. Hole, M.K. Homaie Rad, E. Hoogar, P. Horino, M. Hosgood, H.D. Hosseini, S.M. Hosseinzadeh, M. Hostiuc, S. Hostiuc, M. Hotez, P.J. Hoy, D.G. Hsairi, M. Htet, A.S. Hu, G. Huang, J.J. Husseini, A. Hussen, M.M. Hutfless, S. Iburg, K.M. Igumbor, E.U. Ikeda, C.T. Ilesanmi, O.S. Iqbal, U. Irvani, S.S.N. Isehunwa, O.O. Islam, S.M.S. Islami, F. Jahangiry, L. Jahanmehr, N. Jain, R. Jain, S.K. Jakovljevic, M. James, S.L. Javanbakht, M. Jayaraman, S. Jayatilleke, A.U. Jee, S.H. Jeemon, P. Jha, R.P. Jha, V. Ji, J.S. Johnson, S.C. Jonas, J.B. Joshi, A. Jozwiak, J.J. Jungari, S.B. JÃ¼risson, M. Madhanraj, K. Kabir, Z. Kadel, R. Kahsay, A. Kahssay, M. Kalani, R. Kapil, U. Karami, M. Karami Matin, B. Karch, A. Karema, C. Karimi, N. Karimi, S.M. Karimi-Sari, H. Kasaeian, A. Kassa, G.M. Kassa, T.D. Kassa, Z.Y. Kassebaum, N.J. Katibeh, M. Katikireddi, S.V. Kaul, A. Kawakami, N. Kazemeini, H. Kazemi, Z. Kazemi Karyani, A. Prakash, K.C. Kebede, S. Keiyoro, P.N. Kemp, G.R. Kengne, A.P. Keren, A. Kereselidze, M. Khader, Y.S. Khafaie, M.A. Khajavi, A. Khalid, N. Khalil, I.A. Khan, E.A. Khan, G. Khan, M.S. Khan, M.A. Khang, Y.-H. Khanna, T. Khater, M.M. Khatony, A. Khazaie, H. Khoja, A.T. Khosravi, A. Khosravi, M.H. Khubchandani, J. Kiadaliri, A.A. Kibret, G.D.D. Kim, C.-I. Kim, D. Kim, J.Y. Kim, Y.-E. Kimokoti, R.W. Kinfu, Y. Kinra, S. Kisa, A. Kissimova-Skarbek, K. Kissoon, N. KivimÃ¤ki, M. Kleber, M.E. Knibbs, L.D. Knudsen, A.K.S. Kochhar, S. Kokubo, Y. Kolola, T. Kopec, J.A. Kosek, M.N. Kosen, S. Koul, P.A. Koyanagi, A. Kravchenko, M.A. Krishan, K. Krishnaswami, S. Kuate Defo, B. Kucuk Bicer, B. Kudom, A.A. Kuipers, E.J. Kulikoff, X.R. Kumar, G.A. Kumar, M. Kumar, P. Kumsa, F.A. Kutz, M.J. Lad, S.D. Lafranconi, A. Lal, D.K. Lalloo, R. Lam, H. Lami, F.H. Lan, Q. Langan, S.M. Lansingh, V.C. Lansky, S. Larson, H.J. Laryea, D.O. Lassi, Z.S. Latifi, A. Lavados, P.M. Laxmaiah, A. Lazarus, J.V. Lebedev, G. Lee, P.H. Leigh, J. Leshargie, C.T. Leta, S. Levi, M. Li, S. Li, Y. Li, X. Liang, J. Liang, X. Liben, M.L. Lim, L.-L. Lim, S.S. Limenih, M.A. Linn, S. Liu, S. Liu, Y. Lodha, R. Logroscino, G. Lonsdale, C. Lorch, S.A. Lorkowski, S. Lotufo, P.A. Lozano, R. Lucas, T.C.D. Lunevicius, R. Lyons, R.A. Ma, S. Mabika, C. Macarayan, E.R.K. Mackay, M.T. Maddison, E.R. Maddison, R. Madotto, F. Magdy Abd El Razek, H. Magdy Abd El Razek, M. Maghavani, D.P. Majdan, M. Majdzadeh, R. Majeed, A. Malekzadeh, R. Malik, M.A. Malta, D.C. Mamun, A.A. Manamo, W.A. Manda, A.-L. Mansournia, M.A. Mantovani, L.G. Mapoma, C.C. Marami, D. Maravilla, J.C. Marcenes, W. Marina, S. Martinez-Raga, J. Martins, S.C.O. Martins-Melo, F.R. MÃ¤rz, W. Marzan, M.B. Mashamba-Thompson, T.P. Masiye, F. Massenburg, B.B. Maulik, P.K. Mazidi, M. McGrath, J.J. McKee, M. Mehata, S. Mehendale, S.M. Mehndiratta, M.M. Mehrotra, R. Mehta, K.M. Mehta, V. Mekonen, T. Mekonnen, T.C. Meles, H.G. Meles, K.G. Melese, A. Melku, M. Memiah, P.T.N. Memish, Z.A. Mendoza, W. Mengistu, D.T. Mengistu, G. Mensah, G.A. Mereta, S.T. Meretoja, A. Meretoja, T.J. Mestrovic, T. Mezgebe, H.B. Miangotar, Y. Miazgowski, B. Miazgowski, T. Miller, T.R. Mini, G.K. Mirica, A. Mirrakhimov, E.M. Misganaw, A.T. Moazen, B. Moges, N.A. Mohammad, K.A. Mohammadi, M. Mohammadifard, N. Mohammadi-Khanaposhtani, M. Mohammadnia-Afrouzi, M. Mohammed, S. Mohammed, M.A. Mohan, V. Mokdad, A.H. Molokhia, M. Monasta, L. Moradi, G. Moradi, M. Moradi-Lakeh, M. Moradinazar, M. Moraga, P. Morawska, L. Moreno VelÃ¡squez, I. Morgado-Da-costa, J. Morrison, S.D. Mosapour, A. Moschos, M.M. Mousavi, S.M. Muche, A.A. Muchie, K.F. Mueller, U.O. Mukhopadhyay, S. Mullany, E.C. Muller, K. Murhekar, M. Murphy, T.B. Murthy, G.V.S. Murthy, S. Musa, J. Musa, K.I. Mustafa, G. Muthupandian, S. Nachega, J.B. Nagel, G. Naghavi, M. Naheed, A. Nahvijou, A. Naik, G. Nair, S. Najafi, F. Nangia, V. Nansseu, J.R. Nascimento, B.R. Nawaz, H. Ncama, B.P. Neamati, N. Negoi, I. Negoi, R.I. Neupane, S. Newton, C.R.J. Ngalesoni, F.N. Ngunjiri, J.W. Nguyen, H.T. Nguyen, H.T. Nguyen, L.H. Nguyen, M. Nguyen, T.H. Ningrum, D.N.A. Nirayo, Y.L. Nisar, M.I. Nixon, M.R. Nolutshungu, N. Nomura, S. Norheim, O.F. Noroozi, M. Norrving, B. Noubiap, J.J. Nouri, H.R. Nourollahpour Shiadeh, M. Nowroozi, M.R. Nsoesie, E.O. Nyasulu, P.S. Ofori-Asenso, R. Ogah, O.S. Ogbo, F.A. Oh, I.-H. Okoro, A. Oladimeji, O. Olagunju, A.T. Olagunju, T.O. Olivares, P.R. Olusanya, B.O. Olusanya, J.O. Ong, S.K. Opio, J.N. Oren, E. Ortiz, J.R. Ortiz, A. Ota, E. Otstavnov, S.S. Ã˜verland, S. Owolabi, M.O. Oyekale, A.S. Mahesh, P.A. Pacella, R. Pakhale, S. Pakhare, A.P. Pana, A. Panda, B.K. Panda-Jonas, S. Pandey, A.R. Pandian, J.D. Parisi, A. Park, E.-K. Parry, C.D.H. Parsian, H. Patel, S. Patle, A. Patten, S.B. Patton, G.C. Paudel, D. Pearce, N. Peprah, E.K. Pereira, A. Pereira, D.M. Perez, K.M. Perico, N. Pervaiz, A. Pesudovs, K. Petri, W.A. Petzold, M. Phillips, M.R. Pigott, D.M. Pillay, J.D. Pirsaheb, M. Pishgar, F. Plass, D. Polinder, S. Pond, C.D. Popova, S. Postma, M.J. Pourmalek, F. Pourshams, A. Poustchi, H. Prabhakaran, D. Prakash, V. Prakash, S. Prasad, N. Qorbani, M. Quistberg, D.A. Radfar, A. Rafay, A. Rafiei, A. Rahim, F. Rahimi, K. Rahimi-Movaghar, A. Rahimi-Movaghar, V. Rahman, M. Ur Rahman, M.H. Rahman, M.A. Ur Rahman, S. Rai, R.K. Rajati, F. Rajsic, S. Raju, S.B. Ram, U. Ranabhat, C.L. Ranjan, P. Ranta, A. Rasella, D. Rawaf, D.L. Rawaf, S. Ray, S.E. Razo-GarcÃa, C. Rego, M.A.S. Rehm, J. Reiner, R.C. Reinig, N. Reis, C. Remuzzi, G. Renzaho, A.M.N. Resnikoff, S. Rezaei, S. Rezaeian, S. Rezai, M.S. Riahi, S.M. Ribeiro, A.L.P. Riojas, H. Rios-Blancas, M.J. Roba, K.T. Robinson, S.R. Roever, L. Ronfani, L. Roshandel, G. Roshchin, D.O. Rostami, A. Rothenbacher, D. Rubagotti, E. Ruhago, G.M. Saadat, S. Sabde, Y.D. Sachdev, P.S. Saddik, B. Sadeghi, E. Saeedi Moghaddam, S. Safari, H. Safari, Y. Safari-Faramani, R. Safdarian, M. Safi, S. Safiri, S. Sagar, R. Sahebkar, A. Sahraian, M.A. Sajadi, H.S. Salahshoor, M. Salam, N. Salama, J.S. Salamati, P. Saldanha, R.F. Salimi, Y. Salimzadeh, H. Salz, I. Sambala, E.Z. Samy, A.M. Sanabria, J. Sanchez-NiÃ±o, M.D. Santos, I.S. Santos, J.V. Santric Milicevic, M.M. Sao Jose, B.P. Sardana, M. Sarker, A.R. Sarrafzadegan, N. Sartorius, B. Sarvi, S. Sathian, B. Satpathy, M. Savic, M. Sawant, A.R. Sawhney, M. Saxena, S. Sayyah, M. Scaria, V. Schaeffner, E. Schelonka, K. Schmidt, M.I. Schneider, I.J.C. SchÃ¶ttker, B. Schutte, A.E. Schwebel, D.C. Schwendicke, F. Scott, J.G. Sekerija, M. Sepanlou, S.G. ServÃ¡n-Mori, E. Shabaninejad, H. Shackelford, K.A. Shafieesabet, A. Shaheen, A.A. Shaikh, M.A. Shakir, R.A. Shams-Beyranvand, M. Shamsi, M. Shamsizadeh, M. Sharafi, H. Sharafi, K. Sharif, M. Sharif-Alhoseini, M. Sharma, M. Sharma, J. Sharma, R. She, J. Sheikh, A. Sheth, K.N. Shi, P. Shibuya, K. Shifa, G.T. Shiferaw, M.S. Shigematsu, M. Shiri, R. Shirkoohi, R. Shiue, I. Shokraneh, F. Shrime, M.G. Shukla, S.R. Si, S. Siabani, S. Siddiqi, T.J. Sigfusdottir, I.D. Sigurvinsdottir, R. Silpakit, N. Silva, D.A.S. Silva, J.P. Silveira, D.G.A. Singam, N.S.V. Singh, J.A. Singh, V. Sinha, A.P. Sinha, D.N. Sitas, F. Skirbekk, V. Sliwa, K. Soares Filho, A.M. Sobaih, B.H. Sobhani, S. Soofi, M. Soriano, J.B. Soyiri, I.N. Sposato, L.A. Sreeramareddy, C.T. Srinivasan, V. Srivastava, R.K. Starodubov, V.I. Stathopoulou, V. Steel, N. Stein, D.J. Steiner, C. Stewart, L.G. Stokes, M.A. Sudaryanto, A. Sufiyan, M.B. Sulo, G. Sunguya, B.F. Sur, P.J. Sutradhar, I. Sykes, B.L. Sylaja, P.N. Sylte, D.O. Szoeke, C.E.I. TabarÃ©s-Seisdedos, R. Tabuchi, T. Tadakamadla, S.K. Takahashi, K. Tandon, N. Tassew, A.A. Tassew, S.G. Tavakkoli, M. Taveira, N. Tawye, N.Y. Tehrani-Banihashemi, A. Tekalign, T.G. Tekle, M.G. Temesgen, H. Temsah, M.-H. Temsah, O. Terkawi, A.S. Teshale, M.Y. Tessema, B. Teweldemedhin, M. Thakur, J.S. Thankappan, K.R. Thirunavukkarasu, S. Thomas, L.A. Thomas, N. Thrift, A.G. Tilahun, B. To, Q.G. Tobe-Gai, R. Tonelli, M. Topor-Madry, R. Topouzis, F. Torre, A.E. Tortajada-GirbÃ©s, M. Tovani-Palone, M.R. Towbin, J.A. Tran, B.X. Tran, K.B. Tripathi, S. Tripathy, S.P. Truelsen, T.C. Truong, N.T. Tsadik, A.G. Tsilimparis, N. Tudor Car, L. Tuzcu, E.M. Tyrovolas, S. Ukwaja, K.N. Ullah, I. Usman, M.S. Uthman, O.A. Uzun, S.B. Vaduganathan, M. Vaezi, A. Vaidya, G. Valdez, P.R. Varavikova, E. Varughese, S. Vasankari, T.J. Vasconcelos, A.M.N. Venketasubramanian, N. Vidavalur, R. Villafaina, S. Violante, F.S. Vladimirov, S.K. Vlassov, V. Vollset, S.E. Vos, T. Vosoughi, K. Vujcic, I.S. Wagner, G.R. Wagnew, F.W.S. Waheed, Y. Wang, Y. Wang, Y.-P. Wassie, M.M. Weiderpass, E. Weintraub, R.G. Weiss, D.J. Weiss, J. Weldegebreal, F. Weldegwergs, K.G. Werdecker, A. Westerman, R. Whiteford, H.A. Widecka, J. Widecka, K. Wijeratne, T. Winkler, A.S. Wiysonge, C.S. Wolfe, C.D.A. Wondemagegn, S.A. Wu, S. Wyper, G.M.A. Xu, G. Yadav, R. Yakob, B. Yamada, T. Yan, L.L. Yano, Y. Yaseri, M. Yasin, Y.J. Ye, P. Yearwood, J.A. YentÃ¼r, G.K. Yeshaneh, A. Yimer, E.M. Yip, P. Yisma, E. Yonemoto, N. Yoon, S.-J. York, H.W. Yotebieng, M. Younis, M.Z. Yousefifard, M. Yu, C. Zachariah, G. Zadnik, V. Zafar, S. Zaidi, Z. Zaman, S.B. Zamani, M. Zare, Z. Zeeb, H. Zeleke, M.M. Zenebe, Z.M. Zerfu, T.A. Zhang, K. Zhang, X. Zhou, M. Zhu, J. Zodpey, S. Zucker, I. Zuhlke, L.J.J. Lopez, A.D. Gakidou, E. Murray, C.J.L. GBD 2017 Mortality Collaborators
Abstract: Background: Assessments of age-specifc mortality and life expectancy have been done by the UN Population Division, Department of Economics and Social Afairs (UNPOP), the United States Census Bureau, WHO, and as part of previous iterations of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD). Previous iterations of the GBD used population estimates from UNPOP, which were not derived in a way that was internally consistent with the estimates of the numbers of deaths in the GBD. The present iteration of the GBD, GBD 2017, improves on previous assessments and provides timely estimates of the mortality experience of populations globally. Methods: The GBD uses all available data to produce estimates of mortality rates between 1950 and 2017 for 23 age groups, both sexes, and 918 locations, including 195 countries and territories and subnational locations for 16 countries. Data used include vital registration systems, sample registration systems, household surveys (complete birth histories, summary birth histories, sibling histories), censuses (summary birth histories, household deaths), and Demographic Surveillance Sites. In total, this analysis used 8259 data sources. Estimates of the probability of death between birth and the age of 5 years and between ages 15 and 60 years are generated and then input into a model life table system to produce complete life tables for all locations and years. Fatal discontinuities and mortality due to HIV/AIDS are analysed separately and then incorporated into the estimation. We analyse the relationship between age-specifc mortality and development status using the Socio-demographic Index, a composite measure based on fertility under the age of 25 years, education, and income. There are four main methodological improvements in GBD 2017 compared with GBD 2016: 622 additional data sources have been incorporated; new estimates of population, generated by the GBD study, are used; statistical methods used in diferent components of the analysis have been further standardised and improved; and the analysis has been extended backwards in time by two decades to start in 1950. Findings: Globally, 18·7% (95% uncertainty interval 18·4-19·0) of deaths were registered in 1950 and that proportion has been steadily increasing since, with 58·8% (58·2-59·3) of all deaths being registered in 2015. At the global level, between 1950 and 2017, life expectancy increased from 48·1 years (46·5-49·6) to 70·5 years (70·1-70·8) for men and from 52·9 years (51·7-54·0) to 75·6 years (75·3-75·9) for women. Despite this overall progress, there remains substantial variation in life expectancy at birth in 2017, which ranges from 49·1 years (46·5-51·7) for men in the Central African Republic to 87·6 years (86·9-88·1) among women in Singapore. The greatest progress across age groups was for children younger than 5 years; under-5 mortality dropped from 216·0 deaths (196·3-238·1) per 1000 livebirths in 1950 to 38·9 deaths (35·6-42·83) per 1000 livebirths in 2017, with huge reductions across countries. Nevertheless, there were still 5·4 million (5·2-5·6) deaths among children younger than 5 years in the world in 2017. Progress has been less pronounced and more variable for adults, especially for adult males, who had stagnant or increasing mortality rates in several countries. The gap between male and female life expectancy between 1950 and 2017, while relatively stable at the global level, shows distinctive patterns across super-regions and has consistently been the largest in central Europe, eastern Europe, and central Asia, and smallest in south Asia. Performance was also variable across countries and time in observed mortality rates compared with those expected on the basis of development. Interpretation: This analysis of age-sex-specifc mortality shows that there are remarkably complex patterns in population mortality across countries. The fndings of this study highlight global successes, such as the large decline in under-5 mortality, which refects signifcant local, national, and global commitment and investment over several decades. However, they also bring attention to mortality patterns that are a cause for concern, particularly among adult men and, to a lesser extent, women, whose mortality rates have stagnated in many countries over the time period of this study, and in some cases are increasing. © 2018 The Author(s).
Published: 2018

4. Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2016 : A systematic analysis for the Global Burden of Disease Study 2016

Author: Hay, S. I., Abajobir, A. A., Abate, K. H., Abbafati, C., Abbas, K. M., Abd-Allah, F., Abdulle, A. M., Abebo, T. A., Abera, S. F., Aboyans, V., Abu-Raddad, L. J., Ackerman, I. N., Adedeji, I. A., Adetokunboh, O., Afshin, A., Aggarwal, R., Agrawal, S., Agrawal, A., Kiadaliri, A. A., Ahmed, M. B., Aichour, A. N., Aichour, I., Aichour, M. T. E., Aiyar, S., Akinyemiju, T. F., Akseer, N., Al Lami, F. H., Alahdab, F., Al-Aly, Z., Alam, K., Alam, N., Alam, T., Alasfoor, D., Alene, K. A., Ali, R., Alizadeh-Navaei, R., Alkaabi, J. M., Alkerwi, A., Alla, F., Allebeck, P., Allen, C., Al-Maskari, F., Almazroa, M. A., Al-Raddadi, R., Alsharif, U., Alsowaidi, S., Althouse, B. M., Altirkawi, K. A., Alvis-Guzman, N., Amare, A. T., Amini, E., Ammar, W., Amoako, Y. A., Ansha, M. G., Antonio, C. A. T., Anwari, P., ÃrnlÃ¶v, J., Arora, M., Artaman, A., Aryal, K. K., Asgedom, S. W., Atey, T. M., Atnafu, N. T., Avila-Burgos, L., Arthur Avokpaho, E. F. G., Awasthi, A., Awasthi, S., Quintanilla, B. P. A., Azarpazhooh, M. R., Azzopardi, P., Babalola, T. K., Bacha, U., Badawi, A., Balakrishnan, K., Bannick, M. S., Barac, A., Barker-Collo, S. L., BÃ€rnighausen, T., Barquera, S., Barrero, L. H., Basu, S., Battista, R., Battle, K. E., Baune, B. T., Bazargan-Hejazi, S., Beardsley, J., Bedi, N., BÃ©jot, Y., Bekele, B. B., Bell, M. L., Bennett, D. A., Bennett, J. R., Bensenor, I. M., Benson, J., Berhane, A., Berhe, D. F., BernabÃ©, E., Betsu, B. D., Beuran, M., Beyene, A. S., Bhansali, A., Bhatt, S., Bhutta, Z. A., Biadgilign, S., Bienhof, K., Bikbov, B., Birungi, C., Biryukov, S., Bisanzio, D., Bizuayehu, H. M., Blyth, F. M., Boneya, D. J., Bose, D., Bou-Orm, I. R., Bourne, R. R. A., Brainin, M., Brayne, C. E. G., Brazinova, A., Breitborde, N. J. K., Briant, P. S., Britton, G., Brugha, T. S., Buchbinder, R., Bulto, L. N. B., Bumgarner, B., Butt, Z. A., Cahuana-Hurtado, L., Cameron, E., Campos-Nonato, I. R., Carabin, H., CÃ¡rdenas, R., Carpenter, D. O., Carrero, J. J., Carter, A., Carvalho, F., Casey, D., CastaÃ±eda-Orjuela, C. A., Rivas, J. C., Castle, C. D., CatalÃ¡-LÃ³pez, F., Chang, J. -C, Charlson, F. J., Chaturvedi, P., Chen, H., Chibalabala, M., Chibueze, C. E., Chisumpa, V. H., Chitheer, A. A., Chowdhury, R., Christopher, D. J., Ciobanu, L. G., Cirillo, M., Colombara, D., Cooper, L. T., Cooper, C., Cortesi, P. A., Cortinovis, M., Criqui, M. H., Cromwell, E. A., Cross, M., Crump, J. A., Dadi, A. F., Dalal, Koustuv, Damasceno, A., Dandona, L., Dandona, R., Das Neves, J., Davitoiu, D. V., Davletov, K., De Courten, B., De Leo, D., De Steur, H., Degenhardt, L., Deiparine, S., Dellavalle, R. P., Deribe, K., Deribew, A., Das Jarlais, D. C., Dey, S., Dharmaratne, S. D., Dhillon, P. K., Dicker, D., Djalalinia, S., Do, H. P., Dokova, K., Doku, D. T., Dorsey, E. R., Dos Santos, K. P. B., Driscoll, T. R., Dubey, M., Duncan, B. B., Ebel, B. E., Echko, M., El-Khatib, Z. Z., Enayati, A., Endries, A. Y., Ermakov, S. P., Erskine, H. E., Eshetie, S., Eshrati, B., Esteghamati, A., Estep, K., Fanuel, F. B. B., Farag, T., Farinha, C. S. E. S., Faro, A., Farzadfar, F., Fazeli, M. S., Feigin, V. L., Feigl, A. B., Fereshtehnejad, S. -M, Fernandes, J. C., Ferrari, A. J., Feyissa, T. R., Filip, I., Fischer, F., Fitzmaurice, C., Flaxman, A. D., Foigt, N., Foreman, K. J., Franklin, R. C., Frostad, J. J., Fullman, N., FÃŒrst, T., Furtado, J. M., Futran, N. D., Gakidou, E., Garcia-Basteiro, A. L., Gebre, T., Gebregergs, G. B., Gebrehiwot, T. T., Geleijnse, J. M., Geleto, A., Gemechu, B. L., Gesesew, H. A., Gething, P. W., Ghajar, A., Gibney, K. B., Gillum, R. F., Ginawi, I. A. M., Gishu, M. D., Giussani, G., Godwin, W. W., Goel, K., Goenka, S., Goldberg, E. M., Gona, P. N., Goodridge, A., Gopalani, S. V., Gosselin, R. A., Gotay, C. C., Goto, A., Goulart, A. C., Graetz, N., Gugnani, H. C., Gupta, R., Gupta, P. C., Gupta, T., Gupta, V., GutiÃ©rrez, R. A., Hachinski, V., Hafezi-Nejad, N., Hailu, A. D., Hailu, G. B., Hamadeh, R. R., Hamidi, S., Hammami, M., Handal, A. J., Hankey, G. J., Hao, Y., Harb, H. L., Hareri, H. A., Haro, J. M., Harun, K. M., Harvey, J., Hassanvand, M. S., Havmoeller, R., Hay, R. J., Hedayati, M. T., Hendrie, D., Henry, N. J., Heredia-Pi, I. B., Heydarpour, P., Hoek, H. W., Hofman, H. J., Horino, M., Horita, N., Hosgood, H. D., Hostiuc, S., Hotez, P. J., Hoy, D. G., Htet, A. S., Hu, G., Huang, J. J., Huynh, C., Iburg, K. M., Igumbor, E. U., Ikeda, C., Irvine, C. M. S., Jacobsen, K. H., Jahanmehr, N., Jakovljevic, M. B., James, P., Jassal, S. K., Javanbakht, M., Jayaraman, S. P., Jeemon, P., Jensen, P. N., Jha, V., Jiang, G., John, D., Johnson, C. O., Johnson, S. C., Jonas, J. B., JÃŒrisson, M., Kabir, Z., Kadel, R., Kahsay, A., Kamal, R., Kar, C., Karam, N. E., Karch, A., Karema, C. K., Karimi, S. M., Karimkhani, C., Kasaeian, A., Kassa, G. M., Kassebaum, N. J., Kassaw, N. A., Kastor, A., Katikireddi, S. V., Kaul, A., Kawakami, N., Keiyoro, P. N., Kemmer, L., Kengne, A. P., Keren, A., Kesavachandran, C. N., Khader, Y. S., Khalil, I. A., Khan, E. A., Khang, Y. -H, Khoja, A. T., Khosravi, A., Khubchandani, J., Kieling, C., Kim, Y. J., Kim, D., Kimokoti, R. W., Kinfu, Y., Kisa, A., Kissimova-Skarbek, K. A., Kissoon, N., Kivimaki, M., Knudsen, A. K., Kokubo, Y., Kolte, D., Kopec, J. A., Kosen, S., Kotsakis, G. A., Koul, P. A., Koyanagi, A., Kravchenko, M., Krohn, K. J., Defo, B. K., Bicer, B. K., Kumar, G. A., Kumar, P., Kyu, H. H., Lager, A. C. J., Lal, D. K., Lalloo, R., Lallukka, T., Lambert, N., Lan, Q., Lansingh, V. C., Larsson, A., Leasher, J. L., Lee, P. H., Leigh, J., Leshargie, C. T., Leung, J., Leung, R., Levi, M., Li, Y., Liang, X., Liben, M. L., Lim, S. S., Linn, S., Liu, A., Liu, P. Y., Liu, S., Liu, Y., Lodha, R., Logroscino, G., Looker, K. J., Lopez, A. D., Lorkowski, S., Lotufo, P. A., Lozano, R., Lucas, T. C. D., Lunevicius, R., Lyons, R. A., Macarayan, E. R. K., Maddison, E. R., Magdy Abd El Razek, H., Magdy Abd El Razek, M., Magis-Rodriguez, C., Mahdavi, M., Majdan, M., Majdzadeh, R., Majeed, A., Malekzadeh, R., Malhotra, R., Malta, D. C., Mamun, A. A., Manguerra, H., Manhertz, T., Mantovani, L. G., Mapoma, C. C., March, L. M., Marczak, L. B., Martinez-Raga, J., Martins, P. H. V., Martins-Melo, F. R., Martopullo, I., MÃ€rz, W., Mathur, M. R., Mazidi, M., McAlinden, C., McGaughey, M., McGrath, J. J., McKee, M., Mehata, S., Meier, T., Meles, K. G., Memiah, P., Memish, Z. A., Mendoza, W., Mengesha, M. M., Mengistie, M. A., Mengistu, D. T., Mensah, G. A., Meretoja, A., Meretoja, T. J., Mezgebe, H. B., Micha, R., Millear, A., Miller, T. R., Minnig, S., Mirarefn, M., Mirrakhimov, E. M., Misganaw, A., Mishra, S. R., Mitchell, P. B., Mohammad, K. A., Mohammadi, A., Mohammed, S., Mohammed, K. E., Mohammed, M. S. K., Mohan, M. B. V., Mokdad, A. H., Mollenkopf, S. K., Monasta, L., MontaÃ±ez Hernandez, J. C., Montico, M., Moradi-Lakeh, M., Moraga, P., Morawska, L., Mori, R., Morrison, S. D., Moses, M., Mountjoy-Venning, C., Mruts, K. B., Mueller, U. O., Muller, K., Mudoch, M. E., Murthy, S., Murthy, G. V. S., Musa, K. I., Nachega, J. B., Nagel, G., Naghavi, M., Naheed, A., Naidoo, K. S., Nangia, V., Nasher, J. T., Natarajan, G., Negasa, D. E., Negoi, I., Negoi, R. I., Newton, C. R., Ngunjiri, J. W., Nguyen, C. T., Nguyen, Q. L., Nguyen, G., Nguyen, T. H., Nguyen, M., Nichols, E., Ningrum, D. N. A., Nong, V. M., Norheim, O. F., Norrving, B., Noubiap, J. J. N., Nyandwi, A., Obermeyer, C. M., O’Donnell, M. J., Ogbo, F. A., Oh, I. -H, Okoro, A., Oladimeji, O., Olagunju, A. T., Olagunju, T. O., Olsen, H. E., Olusanya, B. O., Olusanya, J. O., Ong, K., Opio, J. N., Oren, E., Ortiz, A., Osborne, R. H., Osgood-Zimmerman, A., Osman, M., Ota, E., Owolabi, M. O., Pa, M., Pacella, R. E., Panda, B. K., Pandian, J. D., Papachristou, C., Park, E. -K, Parry, C. D., Parsaeian, M., Patil, S. T., Patten, S. B., Patton, G. C., Paudel, D., Paulson, K., Pearce, N., Pereira, D. M., Perez, K. M., Perico, N., Pesudovs, K., Peterson, C. B., Petri, W. A., Petzold, M., Phillips, M. R., Phipps, G., Pigott, D. M., Pillay, J. D., Pinho, C., Piradov, M. A., Plass, D., Pletcher, M. A., Popova, S., Poulton, R. G., Pourmalek, F., Prabhakaran, D., Prasad, N., Purcell, C., Purwar, M., Qorbani, M., Rabiee, R. H. S., Radfar, A., Rafay, A., Rahimi, K., Rahimi-Movaghar, A., Rahimi-Movaghar, V., Rahman, M., Rahman, M. A., Rahman, M. H. U., Rai, R. K., Rajsic, S., Ram, U., Ranabhat, C. L., Rangaswamy, T., Rankin, Z., Rao, P. V., Rao, P. C., Rawaf, S., Ray, S. E., Reiner, R. C., Reinig, N., Reitsma, M., Remuzzi, G., Renzaho, A. M. N., Resnikof, S., Rezaei, S., Ribeiro, A. L., Roba, H. S., Robinson, S. R., Rojas-Rueda, D., Rokni, M. B., Ronfani, L., Roshandel, G., Roth, G. A., Rothenbacher, D., Roy, A., Rubagotti, E., Ruhago, G. M., Saadat, S., Safdarian, M., Safri, S., Sagar, R., Sahathevan, R., Sahraian, M. A., Salama, J., Saleh, M. M., Salomon, J. A., Salvi, S. S., Samy, A. M., Sanabria, J. R., Sanchez-NiÃ±o, M. D., Santomauro, D., Santos, J. V., Santos, I. S., Santric Milicevic, M. M., Sartorius, B., Satpathy, M., Sawhney, M., Saxena, S., Schelonka, K., Schmidt, M. I., Schneider, I. J. C., SchÃ¶ttker, B., Schutte, A. E., Schwebel, D. C., Schwendicke, F., Seedat, S., Sepanlou, S. G., Servan-Mori, E. E., Shaheen, A., Shaikh, M. A., Shamsipour, M., Shariful Islam, S. M., Sharma, R., Sharma, J., She, J., Shi, P., Shibuya, K., Shields, C., Shiferaw, M. S., Shigematsu, M., Shiri, R., Shirkoohi, R., Shirude, S., Shishani, K., Shoman, H., Siabani, S., Sibai, A. M., Sigfusdottir, I. D., Silberberg, D. H., Silva, J. P., Silva, D. A. S., Silveira, D. G. A., Singh, J. A., Singh, V., Singh, O. P., Singh, N. P., Sinha, D. N., Skiadaresi, E., Skirbekk, V., Slepak, E. L., Smith, D. L., Smith, M., Sobaih, B. H. A., Sobngwi, E., Soljak, M., Sorensen, R. J. D., Sousa, T. C. M., Sposato, L. A., Sreeramareddy, C. T., Srinivasan, V., Stanaway, J. D., Stathopoulou, V., Steel, N., Stein, D. J., Steiner, C., Steinke, S., Stokes, M. A., Stovner, L. J., Strub, B., Subart, M., Sufyan, M. B., Abdulkader, R. S., Sunguya, B. F., Sur, P. J., Swaminathan, S., Sykes, B. L., Sylte, D., Szoeke, C. E. I., TabarÃ©s-Seisdedos, R., Tadakamadla, S. K., Tafere, G. R., Takala, J. S., Tandon, N., Tanne, D., Tarekegn, Y. L., Tavakkoli, M., Taveira, N., Taylor, H. R., Tegegne, T. K., Tehrani-Banihashemi, A., Tekelab, T., Temam Shifa, G., Terkawi, A. S., Tesfaye, D. J., Tesssema, B., Thakur, J. S., Thamsuwan, O., Theadom, A. M., Theis, A. M., Thomas, K. E., Thomas, N., Thompson, R., Thrift, A. G., Tobe-Gai, R., Tobollik, M., Tonelli, M., Topor-Madry, R., Tortajada, M., Touvier, M., Traebert, J., Tran, B. X., Troeger, C., Truelsen, T., Tsoi, D., Tuzcu, E. M., Tymeson, H., Tyrovolas, S., Ukwaja, K. N., Undurraga, E. A., Uneke, C. J., Updike, R., Uthman, O. A., Uzochukwu, B. S. C., Van Boven, J. F. M., Varughese, S., Vasankari, T., Veerman, L. J., Venkatesh, S., Venketasubramanian, N., Vidavalur, R., Vijayakumar, L., Violante, F. S., Vishnu, A., Vladimirov, S. K., Vlassov, V. V., Vollset, S. E., Vos, T., Wadilo, F., Wakayo, T., Wallin, M. T., Wang, Y. -P, Weichenthal, S., Weiderpass, E., Weintraub, R. G., Weiss, D. J., Werdecker, A., Westerman, R., Whiteford, H. A., Wijeratne, T., Williams, H. C., Wiysonge, C. S., Woldeyes, B. G., Wolfe, C. D. A., Woodbrook, R., Woolf, A. D., Workicho, A., Xavier, D., Xu, G., Yadgir, S., Yaghoubi, M., Yakob, B., Yan, L. L., Yano, Y., Ye, P., Yihdego, M. G., Yimam, H. H., Yip, P., Yonemoto, N., Yoon, S. -J, Yotebieng, M., Younis, M. Z., Yu, C., Zaidi, Z., Zaki, M. E. S., Zegeye, E. A., Zenebe, Z. M., Zhang, X., Zheng, Y., Zhou, M., Zipkin, B., Zodpey, S., Zoeckler, L., Zuhlke, L. J., Murray, C. J. L., Adedji, I. A., Murdoch, M. E., Bryane, C. E. G., DALYs, G B D 2 0 1 6, Collaborators, H A L E, Hay, S. I., Abajobir, A. A., Abate, K. H., Abbafati, C., Abbas, K. M., Abd-Allah, F., Abdulle, A. M., Abebo, T. A., Abera, S. F., Aboyans, V., Abu-Raddad, L. J., Ackerman, I. N., Adedeji, I. A., Adetokunboh, O., Afshin, A., Aggarwal, R., Agrawal, S., Agrawal, A., Kiadaliri, A. A., Ahmed, M. B., Aichour, A. N., Aichour, I., Aichour, M. T. E., Aiyar, S., Akinyemiju, T. F., Akseer, N., Al Lami, F. H., Alahdab, F., Al-Aly, Z., Alam, K., Alam, N., Alam, T., Alasfoor, D., Alene, K. A., Ali, R., Alizadeh-Navaei, R., Alkaabi, J. M., Alkerwi, A., Alla, F., Allebeck, P., Allen, C., Al-Maskari, F., Almazroa, M. A., Al-Raddadi, R., Alsharif, U., Alsowaidi, S., Althouse, B. M., Altirkawi, K. A., Alvis-Guzman, N., Amare, A. T., Amini, E., Ammar, W., Amoako, Y. A., Ansha, M. G., Antonio, C. A. T., Anwari, P., ÃrnlÃ¶v, J., Arora, M., Artaman, A., Aryal, K. K., Asgedom, S. W., Atey, T. M., Atnafu, N. T., Avila-Burgos, L., Arthur Avokpaho, E. F. G., Awasthi, A., Awasthi, S., Quintanilla, B. P. A., Azarpazhooh, M. R., Azzopardi, P., Babalola, T. K., Bacha, U., Badawi, A., Balakrishnan, K., Bannick, M. S., Barac, A., Barker-Collo, S. L., BÃ€rnighausen, T., Barquera, S., Barrero, L. H., Basu, S., Battista, R., Battle, K. E., Baune, B. T., Bazargan-Hejazi, S., Beardsley, J., Bedi, N., BÃ©jot, Y., Bekele, B. B., Bell, M. L., Bennett, D. A., Bennett, J. R., Bensenor, I. M., Benson, J., Berhane, A., Berhe, D. F., BernabÃ©, E., Betsu, B. D., Beuran, M., Beyene, A. S., Bhansali, A., Bhatt, S., Bhutta, Z. A., Biadgilign, S., Bienhof, K., Bikbov, B., Birungi, C., Biryukov, S., Bisanzio, D., Bizuayehu, H. M., Blyth, F. M., Boneya, D. J., Bose, D., Bou-Orm, I. R., Bourne, R. R. A., Brainin, M., Brayne, C. E. G., Brazinova, A., Breitborde, N. J. K., Briant, P. S., Britton, G., Brugha, T. S., Buchbinder, R., Bulto, L. N. B., Bumgarner, B., Butt, Z. A., Cahuana-Hurtado, L., Cameron, E., Campos-Nonato, I. R., Carabin, H., CÃ¡rdenas, R., Carpenter, D. O., Carrero, J. J., Carter, A., Carvalho, F., Casey, D., CastaÃ±eda-Orjuela, C. A., Rivas, J. C., Castle, C. D., CatalÃ¡-LÃ³pez, F., Chang, J. -C, Charlson, F. J., Chaturvedi, P., Chen, H., Chibalabala, M., Chibueze, C. E., Chisumpa, V. H., Chitheer, A. A., Chowdhury, R., Christopher, D. J., Ciobanu, L. G., Cirillo, M., Colombara, D., Cooper, L. T., Cooper, C., Cortesi, P. A., Cortinovis, M., Criqui, M. H., Cromwell, E. A., Cross, M., Crump, J. A., Dadi, A. F., Dalal, Koustuv, Damasceno, A., Dandona, L., Dandona, R., Das Neves, J., Davitoiu, D. V., Davletov, K., De Courten, B., De Leo, D., De Steur, H., Degenhardt, L., Deiparine, S., Dellavalle, R. P., Deribe, K., Deribew, A., Das Jarlais, D. C., Dey, S., Dharmaratne, S. D., Dhillon, P. K., Dicker, D., Djalalinia, S., Do, H. P., Dokova, K., Doku, D. T., Dorsey, E. R., Dos Santos, K. P. B., Driscoll, T. R., Dubey, M., Duncan, B. B., Ebel, B. E., Echko, M., El-Khatib, Z. Z., Enayati, A., Endries, A. Y., Ermakov, S. P., Erskine, H. E., Eshetie, S., Eshrati, B., Esteghamati, A., Estep, K., Fanuel, F. B. B., Farag, T., Farinha, C. S. E. S., Faro, A., Farzadfar, F., Fazeli, M. S., Feigin, V. L., Feigl, A. B., Fereshtehnejad, S. -M, Fernandes, J. C., Ferrari, A. J., Feyissa, T. R., Filip, I., Fischer, F., Fitzmaurice, C., Flaxman, A. D., Foigt, N., Foreman, K. J., Franklin, R. C., Frostad, J. J., Fullman, N., FÃŒrst, T., Furtado, J. M., Futran, N. D., Gakidou, E., Garcia-Basteiro, A. L., Gebre, T., Gebregergs, G. B., Gebrehiwot, T. T., Geleijnse, J. M., Geleto, A., Gemechu, B. L., Gesesew, H. A., Gething, P. W., Ghajar, A., Gibney, K. B., Gillum, R. F., Ginawi, I. A. M., Gishu, M. D., Giussani, G., Godwin, W. W., Goel, K., Goenka, S., Goldberg, E. M., Gona, P. N., Goodridge, A., Gopalani, S. V., Gosselin, R. A., Gotay, C. C., Goto, A., Goulart, A. C., Graetz, N., Gugnani, H. C., Gupta, R., Gupta, P. C., Gupta, T., Gupta, V., GutiÃ©rrez, R. A., Hachinski, V., Hafezi-Nejad, N., Hailu, A. D., Hailu, G. B., Hamadeh, R. R., Hamidi, S., Hammami, M., Handal, A. J., Hankey, G. J., Hao, Y., Harb, H. L., Hareri, H. A., Haro, J. M., Harun, K. M., Harvey, J., Hassanvand, M. S., Havmoeller, R., Hay, R. J., Hedayati, M. T., Hendrie, D., Henry, N. J., Heredia-Pi, I. B., Heydarpour, P., Hoek, H. W., Hofman, H. J., Horino, M., Horita, N., Hosgood, H. D., Hostiuc, S., Hotez, P. J., Hoy, D. G., Htet, A. S., Hu, G., Huang, J. J., Huynh, C., Iburg, K. M., Igumbor, E. U., Ikeda, C., Irvine, C. M. S., Jacobsen, K. H., Jahanmehr, N., Jakovljevic, M. B., James, P., Jassal, S. K., Javanbakht, M., Jayaraman, S. P., Jeemon, P., Jensen, P. N., Jha, V., Jiang, G., John, D., Johnson, C. O., Johnson, S. C., Jonas, J. B., JÃŒrisson, M., Kabir, Z., Kadel, R., Kahsay, A., Kamal, R., Kar, C., Karam, N. E., Karch, A., Karema, C. K., Karimi, S. M., Karimkhani, C., Kasaeian, A., Kassa, G. M., Kassebaum, N. J., Kassaw, N. A., Kastor, A., Katikireddi, S. V., Kaul, A., Kawakami, N., Keiyoro, P. N., Kemmer, L., Kengne, A. P., Keren, A., Kesavachandran, C. N., Khader, Y. S., Khalil, I. A., Khan, E. A., Khang, Y. -H, Khoja, A. T., Khosravi, A., Khubchandani, J., Kieling, C., Kim, Y. J., Kim, D., Kimokoti, R. W., Kinfu, Y., Kisa, A., Kissimova-Skarbek, K. A., Kissoon, N., Kivimaki, M., Knudsen, A. K., Kokubo, Y., Kolte, D., Kopec, J. A., Kosen, S., Kotsakis, G. A., Koul, P. A., Koyanagi, A., Kravchenko, M., Krohn, K. J., Defo, B. K., Bicer, B. K., Kumar, G. A., Kumar, P., Kyu, H. H., Lager, A. C. J., Lal, D. K., Lalloo, R., Lallukka, T., Lambert, N., Lan, Q., Lansingh, V. C., Larsson, A., Leasher, J. L., Lee, P. H., Leigh, J., Leshargie, C. T., Leung, J., Leung, R., Levi, M., Li, Y., Liang, X., Liben, M. L., Lim, S. S., Linn, S., Liu, A., Liu, P. Y., Liu, S., Liu, Y., Lodha, R., Logroscino, G., Looker, K. J., Lopez, A. D., Lorkowski, S., Lotufo, P. A., Lozano, R., Lucas, T. C. D., Lunevicius, R., Lyons, R. A., Macarayan, E. R. K., Maddison, E. R., Magdy Abd El Razek, H., Magdy Abd El Razek, M., Magis-Rodriguez, C., Mahdavi, M., Majdan, M., Majdzadeh, R., Majeed, A., Malekzadeh, R., Malhotra, R., Malta, D. C., Mamun, A. A., Manguerra, H., Manhertz, T., Mantovani, L. G., Mapoma, C. C., March, L. M., Marczak, L. B., Martinez-Raga, J., Martins, P. H. V., Martins-Melo, F. R., Martopullo, I., MÃ€rz, W., Mathur, M. R., Mazidi, M., McAlinden, C., McGaughey, M., McGrath, J. J., McKee, M., Mehata, S., Meier, T., Meles, K. G., Memiah, P., Memish, Z. A., Mendoza, W., Mengesha, M. M., Mengistie, M. A., Mengistu, D. T., Mensah, G. A., Meretoja, A., Meretoja, T. J., Mezgebe, H. B., Micha, R., Millear, A., Miller, T. R., Minnig, S., Mirarefn, M., Mirrakhimov, E. M., Misganaw, A., Mishra, S. R., Mitchell, P. B., Mohammad, K. A., Mohammadi, A., Mohammed, S., Mohammed, K. E., Mohammed, M. S. K., Mohan, M. B. V., Mokdad, A. H., Mollenkopf, S. K., Monasta, L., MontaÃ±ez Hernandez, J. C., Montico, M., Moradi-Lakeh, M., Moraga, P., Morawska, L., Mori, R., Morrison, S. D., Moses, M., Mountjoy-Venning, C., Mruts, K. B., Mueller, U. O., Muller, K., Mudoch, M. E., Murthy, S., Murthy, G. V. S., Musa, K. I., Nachega, J. B., Nagel, G., Naghavi, M., Naheed, A., Naidoo, K. S., Nangia, V., Nasher, J. T., Natarajan, G., Negasa, D. E., Negoi, I., Negoi, R. I., Newton, C. R., Ngunjiri, J. W., Nguyen, C. T., Nguyen, Q. L., Nguyen, G., Nguyen, T. H., Nguyen, M., Nichols, E., Ningrum, D. N. A., Nong, V. M., Norheim, O. F., Norrving, B., Noubiap, J. J. N., Nyandwi, A., Obermeyer, C. M., O’Donnell, M. J., Ogbo, F. A., Oh, I. -H, Okoro, A., Oladimeji, O., Olagunju, A. T., Olagunju, T. O., Olsen, H. E., Olusanya, B. O., Olusanya, J. O., Ong, K., Opio, J. N., Oren, E., Ortiz, A., Osborne, R. H., Osgood-Zimmerman, A., Osman, M., Ota, E., Owolabi, M. O., Pa, M., Pacella, R. E., Panda, B. K., Pandian, J. D., Papachristou, C., Park, E. -K, Parry, C. D., Parsaeian, M., Patil, S. T., Patten, S. B., Patton, G. C., Paudel, D., Paulson, K., Pearce, N., Pereira, D. M., Perez, K. M., Perico, N., Pesudovs, K., Peterson, C. B., Petri, W. A., Petzold, M., Phillips, M. R., Phipps, G., Pigott, D. M., Pillay, J. D., Pinho, C., Piradov, M. A., Plass, D., Pletcher, M. A., Popova, S., Poulton, R. G., Pourmalek, F., Prabhakaran, D., Prasad, N., Purcell, C., Purwar, M., Qorbani, M., Rabiee, R. H. S., Radfar, A., Rafay, A., Rahimi, K., Rahimi-Movaghar, A., Rahimi-Movaghar, V., Rahman, M., Rahman, M. A., Rahman, M. H. U., Rai, R. K., Rajsic, S., Ram, U., Ranabhat, C. L., Rangaswamy, T., Rankin, Z., Rao, P. V., Rao, P. C., Rawaf, S., Ray, S. E., Reiner, R. C., Reinig, N., Reitsma, M., Remuzzi, G., Renzaho, A. M. N., Resnikof, S., Rezaei, S., Ribeiro, A. L., Roba, H. S., Robinson, S. R., Rojas-Rueda, D., Rokni, M. B., Ronfani, L., Roshandel, G., Roth, G. A., Rothenbacher, D., Roy, A., Rubagotti, E., Ruhago, G. M., Saadat, S., Safdarian, M., Safri, S., Sagar, R., Sahathevan, R., Sahraian, M. A., Salama, J., Saleh, M. M., Salomon, J. A., Salvi, S. S., Samy, A. M., Sanabria, J. R., Sanchez-NiÃ±o, M. D., Santomauro, D., Santos, J. V., Santos, I. S., Santric Milicevic, M. M., Sartorius, B., Satpathy, M., Sawhney, M., Saxena, S., Schelonka, K., Schmidt, M. I., Schneider, I. J. C., SchÃ¶ttker, B., Schutte, A. E., Schwebel, D. C., Schwendicke, F., Seedat, S., Sepanlou, S. G., Servan-Mori, E. E., Shaheen, A., Shaikh, M. A., Shamsipour, M., Shariful Islam, S. M., Sharma, R., Sharma, J., She, J., Shi, P., Shibuya, K., Shields, C., Shiferaw, M. S., Shigematsu, M., Shiri, R., Shirkoohi, R., Shirude, S., Shishani, K., Shoman, H., Siabani, S., Sibai, A. M., Sigfusdottir, I. D., Silberberg, D. H., Silva, J. P., Silva, D. A. S., Silveira, D. G. A., Singh, J. A., Singh, V., Singh, O. P., Singh, N. P., Sinha, D. N., Skiadaresi, E., Skirbekk, V., Slepak, E. L., Smith, D. L., Smith, M., Sobaih, B. H. A., Sobngwi, E., Soljak, M., Sorensen, R. J. D., Sousa, T. C. M., Sposato, L. A., Sreeramareddy, C. T., Srinivasan, V., Stanaway, J. D., Stathopoulou, V., Steel, N., Stein, D. J., Steiner, C., Steinke, S., Stokes, M. A., Stovner, L. J., Strub, B., Subart, M., Sufyan, M. B., Abdulkader, R. S., Sunguya, B. F., Sur, P. J., Swaminathan, S., Sykes, B. L., Sylte, D., Szoeke, C. E. I., TabarÃ©s-Seisdedos, R., Tadakamadla, S. K., Tafere, G. R., Takala, J. S., Tandon, N., Tanne, D., Tarekegn, Y. L., Tavakkoli, M., Taveira, N., Taylor, H. R., Tegegne, T. K., Tehrani-Banihashemi, A., Tekelab, T., Temam Shifa, G., Terkawi, A. S., Tesfaye, D. J., Tesssema, B., Thakur, J. S., Thamsuwan, O., Theadom, A. M., Theis, A. M., Thomas, K. E., Thomas, N., Thompson, R., Thrift, A. G., Tobe-Gai, R., Tobollik, M., Tonelli, M., Topor-Madry, R., Tortajada, M., Touvier, M., Traebert, J., Tran, B. X., Troeger, C., Truelsen, T., Tsoi, D., Tuzcu, E. M., Tymeson, H., Tyrovolas, S., Ukwaja, K. N., Undurraga, E. A., Uneke, C. J., Updike, R., Uthman, O. A., Uzochukwu, B. S. C., Van Boven, J. F. M., Varughese, S., Vasankari, T., Veerman, L. J., Venkatesh, S., Venketasubramanian, N., Vidavalur, R., Vijayakumar, L., Violante, F. S., Vishnu, A., Vladimirov, S. K., Vlassov, V. V., Vollset, S. E., Vos, T., Wadilo, F., Wakayo, T., Wallin, M. T., Wang, Y. -P, Weichenthal, S., Weiderpass, E., Weintraub, R. G., Weiss, D. J., Werdecker, A., Westerman, R., Whiteford, H. A., Wijeratne, T., Williams, H. C., Wiysonge, C. S., Woldeyes, B. G., Wolfe, C. D. A., Woodbrook, R., Woolf, A. D., Workicho, A., Xavier, D., Xu, G., Yadgir, S., Yaghoubi, M., Yakob, B., Yan, L. L., Yano, Y., Ye, P., Yihdego, M. G., Yimam, H. H., Yip, P., Yonemoto, N., Yoon, S. -J, Yotebieng, M., Younis, M. Z., Yu, C., Zaidi, Z., Zaki, M. E. S., Zegeye, E. A., Zenebe, Z. M., Zhang, X., Zheng, Y., Zhou, M., Zipkin, B., Zodpey, S., Zoeckler, L., Zuhlke, L. J., Murray, C. J. L., Adedji, I. A., Murdoch, M. E., Bryane, C. E. G., DALYs, G B D 2 0 1 6, and Collaborators, H A L E
Abstract: Background: Measurement of changes in health across locations is useful to compare and contrast changing epidemiological patterns against health system performance and identify specific needs for resource allocation in research, policy development, and programme decision making. Using the Global Burden of Diseases, Injuries, and Risk Factors Study 2016, we drew from two widely used summary measures to monitor such changes in population health: disability-adjusted life-years (DALYs) and healthy life expectancy (HALE). We used these measures to track trends and benchmark progress compared with expected trends on the basis of the Socio-demographic Index (SDI). Methods: We used results from the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 for all-cause mortality, cause-specific mortality, and non-fatal disease burden to derive HALE and DALYs by sex for 195 countries and territories from 1990 to 2016. We calculated DALYs by summing years of life lost and years of life lived with disability for each location, age group, sex, and year. We estimated HALE using age-specific death rates and years of life lived with disability per capita. We explored how DALYs and HALE difered from expected trends when compared with the SDI: the geometric mean of income per person, educational attainment in the population older than age 15 years, and total fertility rate. Findings: The highest globally observed HALE at birth for both women and men was in Singapore, at 75Â·2 years (95% uncertainty interval 71Â·9-78Â·6) for females and 72Â·0 years (68Â·8-75Â·1) for males. The lowest for females was in the Central African Republic (45Â·6 years [42Â·0-49Â·5]) and for males was in Lesotho (41Â·5 years [39Â·0-44Â·0]). From 1990 to 2016, global HALE increased by an average of 6Â·24 years (5Â·97-6Â·48) for both sexes combined. Global HALE increased by 6Â·04 years (5Â·74-6Â·27) for males and 6Â·49 years (6Â·08-6Â·77) for females, whereas HALE at age 65 years increased by 1Â·78 years, cited By 723
Published: 2017
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5. Healthcare access and quality index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990-2015 : A novel analysis from the global burden of disease study 2015

Author: Barber, R. M., Fullman, N., Sorensen, R. J. D., Bollyky, T., McKee, M., Nolte, E., Abajobir, A. A., Abate, K. H., Abbafati, C., Abbas, K. M., Abd-Allah, F., Abdulle, A. M., Abdurahman, A. A., Abera, S. F., Abraham, B., Abreha, G. F., Adane, K., Adelekan, A. L., Adetifa, I. M. O., Afshin, A., Agarwal, A., Agarwal, S. K., Agarwal, S., Agrawal, A., Ahmad Kiadaliri, A., Ahmadi, A., Ahmed, K. Y., Ahmed, M. B., Akinyemi, R. O., Akinyemiju, T. F., Akseer, N., Al-Aly, Z., Alam, K., Alam, N., Alam, S. S., Alemu, Z. A., Alene, K. A., Alexander, L., Ali, R., Ali, S. D., Alizadeh-Navaei, R., Alkerwi, A., Alla, F., Allebeck, P., Allen, C., Al-Raddadi, R., Alsharif, U., Altirkawi, K. A., Alvarez Martin, E., Alvis-Guzman, N., Amare, A. T., Amini, E., Ammar, W., Amo-Adjei, J., Amoako, Y. A., Anderson, B. O., Androudi, S., Ansari, H., Ansha, M. G., Antonio, C. A. T., ÃrnlÃ¶v, J., Artaman, A., Asayesh, H., Assadi, R., Astatkie, A., Atey, T. M., Atique, S., Atnafu, N. T., Atre, S. R., Avila-Burgos, L., Avokpaho, E. F. G. A., Ayala Quintanilla, B. P., Awasthi, A., Ayele, N. N., Azzopardi, P., Ba Saleem, H. O., BÃ€rnighausen, T., Bacha, U., Badawi, A., Banerjee, A., Barac, A., Barboza, M. A., Barker-Collo, S. L., Barrero, L. H., Basu, S., Baune, B. T., Baye, K., Bayou, Y. T., Bazargan-Hejazi, S., Bedi, N., Beghi, E., BÃ©jot, Y., Bello, A. K., Bennett, D. A., Bensenor, I. M., Berhane, A., BernabÃ©, E., Bernal, O. A., Beyene, A. S., Beyene, T. J., Bhutta, Z. A., Biadgilign, S., Bikbov, B., Birlik, S. M., Birungi, C., Biryukov, S., Bisanzio, D., Bizuayehu, H. M., Bose, D., Brainin, M., Brauer, M., Brazinova, A., Breitborde, N. J. K., Brenner, H., Butt, Z. A., CÃ¡rdenas, R., Cahuana-Hurtado, L., Campos-Nonato, I. R., Car, J., Carrero, J. J., Casey, D., Caso, V., CastaÃ±eda-Orjuela, C. A., Castillo Rivas, J., CatalÃ¡-LÃ³pez, F., Cecilio, P., Cercy, K., Charlson, F. J., Chen, A. Z., Chew, A., Chibalabala, M., Chibueze, C. E., Chisumpa, V. H., Chitheer, A. A., Chowdhury, R., Christensen, H., Christopher, D. J., Ciobanu, L. G., Cirillo, M., Coggeshall, M. S., Cooper, L. T., Cortinovis, M., Crump, J. A., Dalal, Koustuv, Danawi, H., Dandona, L., Dandona, R., Dargan, P. I., Das Neves, J., Davey, G., Davitoiu, D. V., Davletov, K., De Leo, D., Del Gobbo, L. C., Del Pozo-Cruz, B., Dellavalle, R. P., Deribe, K., Deribew, A., Des Jarlais, D. C., Dey, S., Dharmaratne, S. D., Dicker, D., Ding, E. L., Dokova, K., Dorsey, E. R., Doyle, K. E., Dubey, M., Ehrenkranz, R., Ellingsen, C. L., Elyazar, I., Enayati, A., Ermakov, S. P., Eshrati, B., Esteghamati, A., Estep, K., FÃŒrst, T., Faghmous, I. D. A., Fanuel, F. B. B., Faraon, E. J. A., Farid, T. A., Farinha, C. S. E. S., Faro, A., Farvid, M. S., Farzadfar, F., Feigin, V. L., Feigl, A. B., Fereshtehnejad, S. -M, Fernandes, J. G., Fernandes, J. C., Feyissa, T. R., Fischer, F., Fitzmaurice, C., Fleming, T. D., Foigt, N., Foreman, K. J., Forouzanfar, M. H., Franklin, R. C., Frostad, J., Ghiwot, T. T., Gakidou, E., Gambashidze, K., Gamkrelidze, A., Gao, W., Garcia-Basteiro, A. L., Gebre, T., Gebremedhin, A. T., Gebremichael, M. W., Gebru, A. A., Gelaye, A. A., Geleijnse, J. M., Genova-Maleras, R., Gibney, K. B., Giref, A. Z., Gishu, M. D., Giussani, G., Godwin, W. W., Gold, A., Goldberg, E. M., Gona, P. N., Goodridge, A., Gopalani, S. V., Goto, A., Graetz, N., Greaves, F., Griswold, M., Guban, P. I., Gugnani, H. C., Gupta, P. C., Gupta, R., Gupta, T., Gupta, V., Habtewold, T. D., Hafezi-Nejad, N., Haile, D., Hailu, A. D., Hailu, G. B., Hakuzimana, A., Hamadeh, R. R., Hambisa, M. T., Hamidi, S., Hammami, M., Hankey, G. J., Hao, Y., Harb, H. L., Hareri, H. A., Haro, J. M., Hassanvand, M. S., Havmoeller, R., Hay, R. J., Hay, S. I., Hendrie, D., Heredia-Pi, I. B., Hoek, H. W., Horino, M., Horita, N., Hosgood, H. D., Htet, A. S., Hu, G., Huang, H., Huang, J. J., Huntley, B. M., Huynh, C., Iburg, K. M., Ileanu, B. V., Innos, K., Irenso, A. A., Jahanmehr, N., Jakovljevic, M. 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W., Nguyen, G., Ningrum, D. N. A., Nolte, S., Nomura, M., Norheim, O. F., Norrving, B., Noubiap, J. J. N., Obermeyer, C. M., Ogbo, F. A., Oh, I. -H, Okoro, A., Oladimeji, O., Olagunju, A. T., Olivares, P. R., Olsen, H. E., Olusanya, B. O., Olusanya, J. O., Opio, J. N., Oren, E., Ortiz, A., Osborne, R. H., Osman, M., Owolabi, M. O., Mahesh, P. A., Pain, A. W., Pakhale, S., Palomares Castillo, E., Pana, A., Papachristou, C., Parsaeian, M., Patel, T., Patton, G. C., Paudel, D., Paul, V. K., Pearce, N., Pereira, D. M., Perez-Padilla, R., Perez-Ruiz, F., Perico, N., Pesudovs, K., Petzold, M., Phillips, M. R., Pigott, D. M., Pillay, J. D., Pinho, C., Polinder, S., Pond, C. D., Prakash, V., Purwar, M., Qorbani, M., Quistberg, D. A., Radfar, A., Rafay, A., Rahimi, K., Rahimi-Movaghar, V., Rahman, M., Rahman, M. H. U., Rai, R. K., Ram, U., Rana, S. M., Rankin, Z., Rao, P. V., Rao, P. C., Rawaf, S., Rego, M. A. S., Reitsma, M., Remuzzi, G., Renzaho, A. M. N. N., Resnikoff, S., Rezaei, S., Rezai, M. S., Ribeiro, A. L., Roba, H. S., Rokni, M. B., Ronfani, L., Roshandel, G., Roth, G. A., Rothenbacher, D., Roy, N. K., Sachdev, P. S., Sackey, B. B., Saeedi, M. Y., Safiri, S., Sagar, R., Sahraian, M. A., Saleh, M. M., Salomon, J. A., Samy, A. M., Sanabria, J. R., Sanchez-NiÃ±o, M. D., Sandar, L., Santos, I. S., Santos, J. V., Santric Milicevic, M. M., Sarmiento-Suarez, R., Sartorius, B., Satpathy, M., Savic, M., Sawhney, M., Saylan, M. I., SchÃ¶ttker, B., Schutte, A. E., Schwebel, D. C., Seedat, S., Seid, A. M., Seifu, C. N., Sepanlou, S. G., Serdar, B., Servan-Mori, E. E., Setegn, T., Shackelford, K. A., Shaheen, A., Shahraz, S., Shaikh, M. A., Shakh-Nazarova, M., Shamsipour, M., Shariful Islam, S. M., Sharma, J., Sharma, R., She, J., Sheikhbahaei, S., Shen, J., Shi, P., Shigematsu, M., Shin, M. -J, Shiri, R., Shoman, H., Shrime, M. G., Sibamo, E. L. S., Sigfusdottir, I. D., Silva, D. A. S., Silveira, D. G. A., Sindi, S., Singh, A., Singh, J. A., Singh, O. P., Singh, P. K., Singh, V., Sinke, A. H., Sinshaw, A. E., Skirbekk, V., Sliwa, K., Smith, A., Sobngwi, E., Soneji, S., Soriano, J. B., Sousa, T. C. M., Sposato, L. A., Sreeramareddy, C. T., Stathopoulou, V., Steel, N., Steiner, C., Steinke, S., Stokes, M. A., Stranges, S., Strong, M., Stroumpoulis, K., Sturua, L., Sufiyan, M. B., Suliankatchi, R. A., Sun, J., Sur, P., Swaminathan, S., Sykes, B. L., TabarÃ©s-Seisdedos, R., Tabb, K. M., Taffere, G. R., Talongwa, R. T., Tarajia, M., Tavakkoli, M., Taveira, N., Teeple, S., Tegegne, T. K., Tehrani-Banihashemi, A., Tekelab, T., Tekle, D. Y., Temam Shifa, G., Terkawi, A. S., Tesema, A. G., Thakur, J. S., Thomson, A. J., Tillmann, T., Tiruye, T. Y., Tobe-Gai, R., Tonelli, M., Topor-Madry, R., Tortajada, M., Troeger, C., Truelsen, T., Tura, A. K., Uchendu, U. S., Ukwaja, K. N., Undurraga, E. A., Uneke, C. J., Uthman, O. A., Van Boven, J. F. M., Van Dingenen, R., Varughese, S., Vasankari, T., Venketasubramanian, N., Violante, F. S., Vladimirov, S. K., Vlassov, V. V., Vollset, S. E., Vos, T., Wagner, J. A., Wakayo, T., Waller, S. G., Walson, J. L., Wang, H., Wang, Y. -P, Watkins, D. A., Weiderpass, E., Weintraub, R. G., Wen, C. -P, Werdecker, A., Wesana, J., Westerman, R., Whiteford, H. A., Wilkinson, J. D., Wiysonge, C. S., Woldeyes, B. G., Wolfe, C. D. A., Won, S., Workicho, A., Workie, S. B., Wubshet, M., Xavier, D., Xu, G., Yadav, A. K., Yaghoubi, M., Yakob, B., Yan, L. L., Yano, Y., Yaseri, M., Yimam, H. H., Yip, P., Yonemoto, N., Yoon, S. -J, Younis, M. Z., Yu, C., Zaidi, Z., El Sayed Zaki, M., Zambrana-Torrelio, C., Zapata, T., Zenebe, Z. M., Zodpey, S., Zoeckler, L., Zuhlke, L. J., Murray, C. J. L., Access, GBD 2015 Healthcare, and Collaborators, Quality
Abstract: Background National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor estimates generated through the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) to improve and expand the quantification of personal health-care access and quality for 195 countries and territories from 1990 to 2015. Methods We mapped the most widely used list of causes amenable to personal health care developed by Nolte and McKee to 32 GBD causes. We accounted for variations in cause of death certification and misclassifications through the extensive data standardisation processes and redistribution algorithms developed for GBD. To isolate the effects of personal health-care access and quality, we risk-standardised cause-specific mortality rates for each geography-year by removing the joint effects of local environmental and behavioural risks, and adding back the global levels of risk exposure as estimated for GBD 2015. We employed principal component analysis to create a single, interpretable summary measure-the Healthcare Quality and Access (HAQ) Index-on a scale of 0 to 100. The HAQ Index showed strong convergence validity as compared with other health-system indicators, including health expenditure per capita (r=0Â·88), an index of 11 universal health coverage interventions (r=0Â·83), and human resources for health per 1000 (r=0Â·77). We used free disposal hull analysis with bootstrapping to produce a frontier based on the relationship between the HAQ Index and the Socio-demographic Index (SDI), a measure of overall development consisting of income per capita, average years of education, and total ferti
Published: 2017
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6. Future and potential spending on health 2015-40 : Development assistance for health, and government, prepaid private, and out-of-pocket health spending in 184 countries

Author: Dieleman, J. L., Campbell, M., Chapin, A., Eldrenkamp, E., Fan, V. Y., Haakenstad, A., Kates, J., Li, Z., Matyasz, T., Micah, A., Reynolds, A., Sadat, N., Schneider, M. T., Sorensen, R., Abbas, K. M., Abera, S. F., Ahmad Kiadaliri, A., Ahmed, M. B., Alam, K., Alizadeh-Navaei, R., Alkerwi, A., Amini, E., Ammar, W., Antonio, C. A. T., Atey, T. M., Avila-Burgos, L., Awasthi, A., Barac, A., Berheto, T. M., Beyene, A. S., Beyene, T. J., Birungi, C., Bizuayehu, H. M., Breitborde, N. J. K., Cahuana-Hurtado, L., Castro, R. E., CatalÃ¡-LÃ³pez, F., Dalal, Koustuv, Dandona, L., Dharmaratne, R. D. S. D., Dubey, M., Faro, A., Feigl, A. B., Fischer, F., Fitchett, J. R. A., Foigt, N., Giref, A. Z., Gupta, R., Hamidi, S., Harb, H. L., Hay, S. I., Hendrie, D., Horino, M., JÃŒrisson, M., Jakovljevic, M. B., Javanbakht, M., John, D., Jonas, J. B., Karimi, S. M., Khang, Y. -H, Khubchandani, J., Kim, Y. J., Kinge, J. M., Krohn, K. J., Kumar, G. A., Leung, R., Magdy Abd El Razek, H., Magdy Abd El Razek, M., Majeed, A., Malekzadeh, R., Malta, D. C., Meretoja, A., Miller, T. R., Mirrakhimov, E. M., Mohammed, S., Molla, G., Nangia, V., Olgiati, S., Owolabi, M. O., Patel, T., Paternina Caicedo, A. J., Pereira, D. M., Perelman, J., Polinder, S., Rafay, A., Rahimi-Movaghar, V., Rai, R. K., Ram, U., Ranabhat, C. L., Roba, H. S., Savic, M., Sepanlou, S. G., Te Ao, B. J., Tesema, A. G., Thomson, A. J., Tobe-Gai, R., Topor-Madry, R., Undurraga, E. A., Vargas, V., Vasankari, T., Violante, F. S., Wijeratne, T., Xu, G., Yonemoto, N., Younis, M. Z., Yu, C., Zaidi, Z., El Sayed Zaki, M., Murray, C. J. L., Network, Global Burden of Disease Health Financing Collaborator, Dieleman, J. L., Campbell, M., Chapin, A., Eldrenkamp, E., Fan, V. Y., Haakenstad, A., Kates, J., Li, Z., Matyasz, T., Micah, A., Reynolds, A., Sadat, N., Schneider, M. T., Sorensen, R., Abbas, K. M., Abera, S. F., Ahmad Kiadaliri, A., Ahmed, M. B., Alam, K., Alizadeh-Navaei, R., Alkerwi, A., Amini, E., Ammar, W., Antonio, C. A. T., Atey, T. M., Avila-Burgos, L., Awasthi, A., Barac, A., Berheto, T. M., Beyene, A. S., Beyene, T. J., Birungi, C., Bizuayehu, H. M., Breitborde, N. J. K., Cahuana-Hurtado, L., Castro, R. E., CatalÃ¡-LÃ³pez, F., Dalal, Koustuv, Dandona, L., Dharmaratne, R. D. S. D., Dubey, M., Faro, A., Feigl, A. B., Fischer, F., Fitchett, J. R. A., Foigt, N., Giref, A. Z., Gupta, R., Hamidi, S., Harb, H. L., Hay, S. I., Hendrie, D., Horino, M., JÃŒrisson, M., Jakovljevic, M. B., Javanbakht, M., John, D., Jonas, J. B., Karimi, S. M., Khang, Y. -H, Khubchandani, J., Kim, Y. J., Kinge, J. M., Krohn, K. J., Kumar, G. A., Leung, R., Magdy Abd El Razek, H., Magdy Abd El Razek, M., Majeed, A., Malekzadeh, R., Malta, D. C., Meretoja, A., Miller, T. R., Mirrakhimov, E. M., Mohammed, S., Molla, G., Nangia, V., Olgiati, S., Owolabi, M. O., Patel, T., Paternina Caicedo, A. J., Pereira, D. M., Perelman, J., Polinder, S., Rafay, A., Rahimi-Movaghar, V., Rai, R. K., Ram, U., Ranabhat, C. L., Roba, H. S., Savic, M., Sepanlou, S. G., Te Ao, B. J., Tesema, A. G., Thomson, A. J., Tobe-Gai, R., Topor-Madry, R., Undurraga, E. A., Vargas, V., Vasankari, T., Violante, F. S., Wijeratne, T., Xu, G., Yonemoto, N., Younis, M. Z., Yu, C., Zaidi, Z., El Sayed Zaki, M., Murray, C. J. L., and Network, Global Burden of Disease Health Financing Collaborator
Abstract: Background: The amount of resources, particularly prepaid resources, available for health can affect access to health care and health outcomes. Although health spending tends to increase with economic development, tremendous variation exists among health financing systems. Estimates of future spending can be beneficial for policy makers and planners, and can identify financing gaps. In this study, we estimate future gross domestic product (GDP), all-sector government spending, and health spending disaggregated by source, and we compare expected future spending to potential future spending. Methods: We extracted GDP, government spending in 184 countries from 1980-2015, and health spend data from 1995-2014. We used a series of ensemble models to estimate future GDP, all-sector government spending, development assistance for health, and government, out-of-pocket, and prepaid private health spending through 2040. We used frontier analyses to identify patterns exhibited by the countries that dedicate the most funding to health, and used these frontiers to estimate potential health spending for each low-income or middle-income country. All estimates are inflation and purchasing power adjusted. Findings: We estimated that global spending on health will increase from US$9.21 trillion in 2014 to $24.24 trillion (uncertainty interval [UI] 20.47-29.72) in 2040. We expect per capita health spending to increase fastest in upper-middle-income countries, at 5.3% (UI 4.1-6.8) per year. This growth is driven by continued growth in GDP, government spending, and government health spending. Lower-middle income countries are expected to grow at 4.2% (3.8-4.9). High-income countries are expected to grow at 2.1% (UI 1.8-2.4) and low-income countries are expected to grow at 1.8% (1.0-2.8). Despite this growth, health spending per capita in low-income countries is expected to remain low, at $154 (UI 133-181) per capita in 2030 and $195 (157-258) per capita in 2040. Increases in national hea
Published: 2017
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7. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016 : A systematic analysis for the Global Burden of Disease Study 2016

Author: Vos, T., Abajobir, A. A., Abbafati, C., Abbas, K. M., Abate, K. H., Abd-Allah, F., Abdulle, A. M., Abebo, T. A., Abera, S. F., Aboyans, V., Abu-Raddad, L. J., Ackerman, I. N., Adamu, A. A., Adetokunboh, O., Afarideh, M., Afshin, A., Agarwal, S. K., Aggarwal, R., Agrawal, A., Agrawal, S., Ahmad Kiadaliri, A., Ahmadieh, H., Ahmed, M. B., Aichour, A. N., Aichour, I., Aichour, M. T. E., Aiyar, S., Akinyemi, R. O., Akseer, N., Al Lami, F. H., Alahdab, F., Al-Aly, Z., Alam, K., Alam, N., Alam, T., Alasfoor, D., Alene, K. A., Ali, R., Alizadeh-Navaei, R., Alkerwi, A., Alla, F., Allebeck, P., Allen, C., Al-Maskari, F., Al-Raddadi, R., Alsharif, U., Alsowaidi, S., Altirkawi, K. A., Amare, A. T., Amini, E., Ammar, W., Amoako, Y. A., Andersen, H. H., Antonio, C. A. T., Anwari, P., ÃrnlÃ¶v, J., Artaman, A., Aryal, K. K., Asayesh, H., Asgedom, S. W., Assadi, R., Atey, T. M., Atnafu, N. T., Atre, S. R., Avila-Burgos, L., Avokpaho, E. F. G. A., Awasthi, A., Ayala Quintanilla, B. P., Ba Saleem, H. O., Bacha, U., Badawi, A., Balakrishnan, K., Banerjee, A., Bannick, M. S., Barac, A., Barber, R. M., Barker-Collo, S. L., BÃ€rnighausen, T., Barquera, S., Barregard, L., Barrero, L. H., Basu, S., Battista, B., Battle, K. E., Baune, B. T., Bazargan-Hejazi, S., Beardsley, J., Bedi, N., Beghi, E., BÃ©jot, Y., Bekele, B. B., Bell, M. L., Bennett, D. A., Bensenor, I. M., Benson, J., Berhane, A., Berhe, D. F., BernabÃ©, E., Betsu, B. D., Beuran, M., Beyene, A. S., Bhala, N., Bhansali, A., Bhatt, S., Bhutta, Z. A., Biadgilign, S., Bienhoff, K., Bikbov, B., Birungi, C., Biryukov, S., Bisanzio, D., Bizuayehu, H. M., Boneya, D. J., Boufous, S., Bourne, R. R. A., Brazinova, A., Brugha, T. S., Buchbinder, R., Bulto, L. N. B., Bumgarner, B. R., Butt, Z. A., Cahuana-Hurtado, L., Cameron, E., Car, M., Carabin, H., Carapetis, J. R., CÃ¡rdenas, R., Carpenter, D. O., Carrero, J. J., Carter, A., Carvalho, F., Casey, D. C., Caso, V., CastaÃ±eda-Orjuela, C. A., Castle, C. D., CatalÃ¡-LÃ³pez, F., Chang, H. -Y, Chang, J. -C, Charlson, F. J., Chen, H., Chibalabala, M., Chibueze, C. E., Chisumpa, V. H., Chitheer, A. A., Christopher, D. J., Ciobanu, L. G., Cirillo, M., Colombara, D., Cooper, C., Cortesi, P. A., Criqui, M. H., Crump, J. A., Dadi, A. F., Dalal, Koustuv, Dandona, L., Dandona, R., Das Neves, J., Davitoiu, D. V., De Courten, B., De Leo, D., Degenhardt, L., Deiparine, S., Dellavalle, R. P., Deribe, K., Des Jarlais, D. C., Dey, S., Dharmaratne, S. D., Dhillon, P. K., Dicker, D., Ding, E. L., Djalalinia, S., Do, H. P., Dorsey, E. R., Dos Santos, K. P. B., Douwes-Schultz, D., Doyle, K. E., Driscoll, T. R., Dubey, M., Duncan, B. B., El-Khatib, Z. Z., Ellerstrand, J., Enayati, A., Endries, A. Y., Ermakov, S. P., Erskine, H. E., Eshrati, B., Eskandarieh, S., Esteghamati, A., Estep, K., Fanuel, F. B. B., Farinha, C. S. E. S., Faro, A., Farzadfar, F., Fazeli, M. S., Feigin, V. L., Fereshtehnejad, S. -M, Fernandes, J. C., Ferrari, A. J., Feyissa, T. R., Filip, I., Fischer, F., Fitzmaurice, C., Flaxman, A. D., Flor, L. S., Foigt, N., Foreman, K. J., Franklin, R. C., Fullman, N., FÃŒrst, T., Furtado, J. M., Futran, N. D., Gakidou, E., Ganji, M., Garcia-Basteiro, A. L., Gebre, T., Gebrehiwot, T. T., Geleto, A., Gemechu, B. L., Gesesew, H. A., Gething, P. W., Ghajar, A., Gibney, K. B., Gill, P. S., Gillum, R. F., Ginawi, I. A. M., Giref, A. Z., Gishu, M. D., Giussani, G., Godwin, W. W., Gold, A. L., Goldberg, E. M., Gona, P. N., Goodridge, A., Gopalani, S. V., Goto, A., Goulart, A. C., Griswold, M., Gugnani, H. C., Gupta, R., Gupta, T., Gupta, V., Hafezi-Nejad, N., Hailu, A. D., Hailu, G. B., Hamadeh, R. R., Hamidi, S., Handal, A. J., Hankey, G. J., Hao, Y., Harb, H. L., Hareri, H. A., Haro, J. M., Harvey, J., Hassanvand, M. S., Havmoeller, R., Hawley, C., Hay, R. J., Hay, S. I., Henry, N. J., Heredia-Pi, I. B., Heydarpour, P., Hoek, H. W., Hoffman, H. J., Horita, N., Hosgood, H. D., Hostiuc, S., Hotez, P. J., Hoy, D. G., Htet, A. S., Hu, G., Huang, H., Huynh, C., Iburg, K. M., Igumbor, E. U., Ikeda, C., Irvine, C. M. S., Jacobsen, K. H., Jahanmehr, N., Jakovljevic, M. B., Jassal, S. K., Javanbakht, M., Jayaraman, S. P., Jeemon, P., Jensen, P. N., Jha, V., Jiang, G., John, D., Johnson, C. O., Johnson, S. C., Jonas, J. B., JÃŒrisson, M., Kabir, Z., Kadel, R., Kahsay, A., Kamal, R., Kan, H., Karam, N. E., Karch, A., Karema, C. K., Kasaeian, A., Kassa, G. M., Kassaw, N. A., Kassebaum, N. J., Kastor, A., Katikireddi, S. V., Kaul, A., Kawakami, N., Keiyoro, P. N., Kengne, A. P., Keren, A., Khader, Y. S., Khalil, I. A., Khan, E. A., Khang, Y. -H, Khosravi, A., Khubchandani, J., Kieling, C., Kim, D., Kim, P., Kim, Y. J., Kimokoti, R. W., Kinfu, Y., Kisa, A., Kissimova-Skarbek, K. A., Kivimaki, M., Knudsen, A. K., Kokubo, Y., Kolte, D., Kopec, J. A., Kosen, S., Koul, P. A., Koyanagi, A., Kravchenko, M., Krishnaswami, S., Krohn, K. J., Kuate Defo, B., Kucuk Bicer, B., Kumar, G. A., Kumar, P., Kumar, S., Kyu, H. H., Lal, D. K., Lalloo, R., Lambert, N., Lan, Q., Larsson, A., Lavados, P. M., Leasher, J. L., Lee, J. -T, Lee, P. H., Leigh, J., Leshargie, C. T., Leung, J., Leung, R., Levi, M., Li, Y., Li Kappe, D., Liang, X., Liben, M. L., Lim, S. S., Linn, S., Liu, A., Liu, P. Y., Liu, S., Liu, Y., Lodha, R., Logroscino, G., London, S. J., Looker, K. J., Lopez, A. D., Lorkowski, S., Lotufo, P. A., Low, N., Lozano, R., Lucas, T. C. D., Macarayan, E. R. K., Magdy Abd El Razek, H., Magdy Abd El Razek, M., Mahdavi, M., Majdan, M., Majdzadeh, R., Majeed, A., Malekzadeh, R., Malhotra, R., Malta, D. C., Mamun, A. A., Manguerra, H., Manhertz, T., Mantilla, A., Mantovani, L. G., Mapoma, C. C., Marczak, L. B., Martinez-Raga, J., Martins-Melo, F. R., Martopullo, I., MÃ€rz, W., Mathur, M. R., Mazidi, M., McAlinden, C., McGaughey, M., McGrath, J. J., McKee, M., McNellan, C., Mehata, S., Mehndiratta, M. M., Mekonnen, T. C., Memiah, P., Memish, Z. A., Mendoza, W., Mengistie, M. A., Mengistu, D. T., Mensah, G. 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G., Werdecker, A., Westerman, R., Whiteford, H. A., Wijeratne, T., Wiysonge, C. S., Wolfe, C. D. A., Woodbrook, R., Woolf, A. D., Workicho, A., Wulf Hanson, S., Xavier, D., Xu, G., Yadgir, S., Yaghoubi, M., Yakob, B., Yan, L. L., Yano, Y., Ye, P., Yimam, H. H., Yip, P., Yonemoto, N., Yoon, S. -J, Yotebieng, M., Younis, M. Z., Zaidi, Z., Zaki, M. E. S., Zegeye, E. A., Zenebe, Z. M., Zhang, X., Zhou, M., Zipkin, B., Zodpey, S., Zuhlke, L. J., Murray, C. J. L., Disease, G B D 2 0 1 6, Incidence, Injury, and Collaborators, Prevalence
Abstract: Background As mortality rates decline, life expectancy increases, and populations age, non-fatal outcomes of diseases and injuries are becoming a larger component of the global burden of disease. The Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) provides a comprehensive assessment of prevalence, incidence, and years lived with disability (YLDs) for 328 causes in 195 countries and territories from 1990 to 2016. Methods We estimated prevalence and incidence for 328 diseases and injuries and 2982 sequelae, their non-fatal consequences. We used DisMod-MR 2.1, a Bayesian meta-regression tool, as the main method of estimation, ensuring consistency between incidence, prevalence, remission, and cause of death rates for each condition. For some causes, we used alternative modelling strategies if incidence or prevalence needed to be derived from other data. YLDs were estimated as the product of prevalence and a disability weight for all mutually exclusive sequelae, corrected for comorbidity and aggregated to cause level. We updated the Socio-demographic Index (SDI), a summary indicator of income per capita, years of schooling, and total fertility rate. GBD 2016 complies with the Guidelines for Accurate and Transparent Health Estimates Reporting (GATHER). Findings Globally, low back pain, migraine, age-related and other hearing loss, iron-deficiency anaemia, and major depressive disorder were the five leading causes of YLDs in 2016, contributing 57Â·6 million (95% uncertainty interval [UI] 40Â·8-75Â·9 million [7Â·2%, 6Â·0-8Â·3]), 45Â·1 million (29Â·0-62Â·8 million [5Â·6%, 4Â·0-7Â·2]), 36Â·3 million (25Â·3-50Â·9 million [4Â·5%, 3Â·8-5Â·3]), 34Â·7 million (23Â·0-49Â·6 million [4Â·3%, 3Â·5-5Â·2]), and 34Â·1 million (23Â·5-46Â·0 million [4Â·2%, 3Â·2-5Â·3]) of total YLDs, respectively. Age-standardised rates of YLDs for all causes combined decreased between 1990 and 2016 by 2Â·7% (95% UI 2Â·3-3Â·1). Despite mostly stagnant age-standardised rates, the a
Published: 2017
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8. Evolution and patterns of global health financing 1995-2014 : Development assistance for health, and government, prepaid private, and out-of-pocket health spending in 184 countries

Author: Dieleman, J., Campbell, M., Chapin, A., Eldrenkamp, E., Fan, V. Y., Haakenstad, A., Kates, J., Liu, Y., Matyasz, T., Micah, A., Reynolds, A., Sadat, N., Schneider, M. T., Sorensen, R., Evans, T., Evans, D., Kurowski, C., Tandon, A., Abbas, K. M., Abera, S. F., Ahmad Kiadaliri, A., Ahmed, K. Y., Ahmed, M. B., Alam, K., Alizadeh-Navaei, R., Alkerwi, A., Amini, E., Ammar, W., Amrock, S. M., Antonio, C. A. T., Atey, T. M., Avila-Burgos, L., Awasthi, A., Barac, A., Bernal, O. A., Beyene, A. S., Beyene, T. J., Birungi, C., Bizuayehu, H. M., Breitborde, N. J. K., Cahuana-Hurtado, L., Castro, R. E., CatalÃ¡-LÃ³pez, F., Dalal, Koustuv, Dandona, L., Dandona, R., De Jager, P., Dharmaratne, S. D., Dubey, M., Farinha, C. S. E. S., Faro, A., Feigl, A. B., Fischer, F., Fitchett, J. R. A., Foigt, N., Giref, A. Z., Gupta, R., Hamidi, S., Harb, H. L., Hay, S. I., Hendrie, D., Horino, M., JÃŒrisson, M., Jakovljevic, M. B., Javanbakht, M., John, D., Jonas, J. B., Karimi, S. M., Khang, Y. -H, Khubchandani, J., Kim, Y. J., Kinge, J. M., Krohn, K. J., Kumar, G. A., Magdy Abd El Razek, H., Magdy Abd El Razek, M., Majeed, A., Malekzadeh, R., Masiye, F., Meier, T., Meretoja, A., Miller, T. R., Mirrakhimov, E. M., Mohammed, S., Nangia, V., Olgiati, S., Osman, A. S., Owolabi, M. O., Patel, T., Paternina Caicedo, A. J., Pereira, D. M., Perelman, J., Polinder, S., Rafay, A., Rahimi-Movaghar, V., Rai, R. K., Ram, U., Ranabhat, C. L., Roba, H. S., Salama, J., Savic, M., Sepanlou, S. G., Shrime, M. G., Talongwa, R. T., Te Ao, B. J., Tediosi, F., Tesema, A. G., Thomson, A. J., Tobe-Gai, R., Topor-Madry, R., Undurraga, E. A., Vasankari, T., Violante, F. S., Werdecker, A., Wijeratne, T., Xu, G., Yonemoto, N., Younis, M. Z., Yu, C., Zaidi, Z., El Sayed Zaki, M., Murray, C. J. L., Network, Global Burden of Disease Health Financing Collaborator, Dieleman, J., Campbell, M., Chapin, A., Eldrenkamp, E., Fan, V. Y., Haakenstad, A., Kates, J., Liu, Y., Matyasz, T., Micah, A., Reynolds, A., Sadat, N., Schneider, M. T., Sorensen, R., Evans, T., Evans, D., Kurowski, C., Tandon, A., Abbas, K. M., Abera, S. F., Ahmad Kiadaliri, A., Ahmed, K. Y., Ahmed, M. B., Alam, K., Alizadeh-Navaei, R., Alkerwi, A., Amini, E., Ammar, W., Amrock, S. M., Antonio, C. A. T., Atey, T. M., Avila-Burgos, L., Awasthi, A., Barac, A., Bernal, O. A., Beyene, A. S., Beyene, T. J., Birungi, C., Bizuayehu, H. M., Breitborde, N. J. K., Cahuana-Hurtado, L., Castro, R. E., CatalÃ¡-LÃ³pez, F., Dalal, Koustuv, Dandona, L., Dandona, R., De Jager, P., Dharmaratne, S. D., Dubey, M., Farinha, C. S. E. S., Faro, A., Feigl, A. B., Fischer, F., Fitchett, J. R. A., Foigt, N., Giref, A. Z., Gupta, R., Hamidi, S., Harb, H. L., Hay, S. I., Hendrie, D., Horino, M., JÃŒrisson, M., Jakovljevic, M. B., Javanbakht, M., John, D., Jonas, J. B., Karimi, S. M., Khang, Y. -H, Khubchandani, J., Kim, Y. J., Kinge, J. M., Krohn, K. J., Kumar, G. A., Magdy Abd El Razek, H., Magdy Abd El Razek, M., Majeed, A., Malekzadeh, R., Masiye, F., Meier, T., Meretoja, A., Miller, T. R., Mirrakhimov, E. M., Mohammed, S., Nangia, V., Olgiati, S., Osman, A. S., Owolabi, M. O., Patel, T., Paternina Caicedo, A. J., Pereira, D. M., Perelman, J., Polinder, S., Rafay, A., Rahimi-Movaghar, V., Rai, R. K., Ram, U., Ranabhat, C. L., Roba, H. S., Salama, J., Savic, M., Sepanlou, S. G., Shrime, M. G., Talongwa, R. T., Te Ao, B. J., Tediosi, F., Tesema, A. G., Thomson, A. J., Tobe-Gai, R., Topor-Madry, R., Undurraga, E. A., Vasankari, T., Violante, F. S., Werdecker, A., Wijeratne, T., Xu, G., Yonemoto, N., Younis, M. Z., Yu, C., Zaidi, Z., El Sayed Zaki, M., Murray, C. J. L., and Network, Global Burden of Disease Health Financing Collaborator
Abstract: Background: An adequate amount of prepaid resources for health is important to ensure access to health services and for the pursuit of universal health coverage. Previous studies on global health financing have described the relationship between economic development and health financing. In this study, we further explore global health financing trends and examine how the sources of funds used, types of services purchased, and development assistance for health disbursed change with economic development. We also identify countries that deviate from the trends. Methods: We estimated national health spending by type of care and by source, including development assistance for health, based on a diverse set of data including programme reports, budget data, national estimates, and 964 National Health Accounts. These data represent health spending for 184 countries from 1995 through 2014. We converted these data into a common inflation-adjusted and purchasing power-adjusted currency, and used non-linear regression methods to model the relationship between health financing, time, and economic development. Findings: Between 1995 and 2014, economic development was positively associated with total health spending and a shift away from a reliance on development assistance and out-of-pocket (OOP) towards government spending. The largest absolute increase in spending was in high-income countries, which increased to purchasing power-adjusted $5221 per capita based on an annual growth rate of 3.0%. The largest health spending growth rates were in upper-middle-income (5.9) and lower-middle-income groups (5.0), which both increased spending at more than 5% per year, and spent $914 and $267 per capita in 2014, respectively. Spending in low-income countries grew nearly as fast, at 4.6%, and health spending increased from $51 to $120 per capita. In 2014, 59.2% of all health spending was financed by the government, although in low-income and lower-middle-income countries, 29.1% and 58.0%
Published: 2017
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8 results on '"CatalÃ¡-LÃ³pez, F."'

1. Burden of injury along the development spectrum : Associations between the Socio-demographic Index and disability-adjusted life year estimates from the Global Burden of Disease Study 2017

2. Past, present, and future of global health financing : A review of development assistance, government, out-of-pocket, and other private spending on health for 195 countries, 1995-2050

3. Global, regional, and national age-sex-specific mortality and life expectancy, 1950-2017: A systematic analysis for the Global Burden of Disease Study 2017

4. Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2016 : A systematic analysis for the Global Burden of Disease Study 2016

5. Healthcare access and quality index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990-2015 : A novel analysis from the global burden of disease study 2015

6. Future and potential spending on health 2015-40 : Development assistance for health, and government, prepaid private, and out-of-pocket health spending in 184 countries

7. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016 : A systematic analysis for the Global Burden of Disease Study 2016

8. Evolution and patterns of global health financing 1995-2014 : Development assistance for health, and government, prepaid private, and out-of-pocket health spending in 184 countries

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