Global, regional, and national burden and quality of care index in children and adolescents: A systematic analysis for the global burden of disease study 1990-2017

TY - JOUR

T1 - Global, regional, and national burden and quality of care index in children and adolescents: A systematic analysis for the global burden of disease study 1990-2017

AU - Hanifiha, Melika

AU - Ghanbari, Ali

AU - Keykhaei, Mohammad

AU - Saeedi Moghaddam, Sahar

AU - Rezaei, Negar

AU - Pasha Zanous, Maryam

AU - Yoosefi, Moein

AU - Ghasemi, Erfan

AU - Rezaei, Nazila

AU - Shahin, Sarvenaz

AU - Rashidi, Mohammad-Mahdi

AU - Ghamari, Azin

AU - Haghshenas, Rosa

AU - Kompani, Farzad

AU - Farzadfar, Farshad

PY - 2022

Y1 - 2022

N2 - PURPOSE: To express a global view of care quality in major causes of mortality and morbidity in children and adolescences.METHODS: We used primary epidemiologic indicators from the Global Burden of Disease 1990-2017 database. We have created four secondary indices from six primary indices in order to assess the care quality parameters. We conducted a principal component analysis on incidence, prevalence, mortality, Years of Life Lost (YLLs), Years Lived with Disability (YLDs), and Disability Adjusted Life Years (DALYs) to create an index presented by quality-of-care index (QCI) to compare different countries.RESULTS: The global QCI scores of respiratory infection, enteric infection, leukemia, foreign body aspiration, asthma, epilepsy, diabetes mellitus, dermatitis, road injury, and neonatal disorders have improved remarkably. These causes showed equal distribution of qualified care for both sexes. The global trend of QCI score for mental health showed a steady pattern during the same time and disparities favoring females was evident. The quality of care for these causes was notably higher in developed areas.CONCLUSIONS: The global QCI revealed a universal growth in major causes of death and morbidity in <20y during 28 years. Quality of care is an associate of the level of country's development. Despite effective interventions, inequities still remain. Implementation of policies to invest in quality improvement and inequality elimination is needed.

AB - PURPOSE: To express a global view of care quality in major causes of mortality and morbidity in children and adolescences.METHODS: We used primary epidemiologic indicators from the Global Burden of Disease 1990-2017 database. We have created four secondary indices from six primary indices in order to assess the care quality parameters. We conducted a principal component analysis on incidence, prevalence, mortality, Years of Life Lost (YLLs), Years Lived with Disability (YLDs), and Disability Adjusted Life Years (DALYs) to create an index presented by quality-of-care index (QCI) to compare different countries.RESULTS: The global QCI scores of respiratory infection, enteric infection, leukemia, foreign body aspiration, asthma, epilepsy, diabetes mellitus, dermatitis, road injury, and neonatal disorders have improved remarkably. These causes showed equal distribution of qualified care for both sexes. The global trend of QCI score for mental health showed a steady pattern during the same time and disparities favoring females was evident. The quality of care for these causes was notably higher in developed areas.CONCLUSIONS: The global QCI revealed a universal growth in major causes of death and morbidity in <20y during 28 years. Quality of care is an associate of the level of country's development. Despite effective interventions, inequities still remain. Implementation of policies to invest in quality improvement and inequality elimination is needed.

KW - Adolescent

KW - Child

KW - Female

KW - Global Burden of Disease

KW - Global Health

KW - Humans

KW - Incidence

KW - Infant, Newborn

KW - Male

KW - Quality of Health Care

KW - Quality-Adjusted Life Years

U2 - 10.1371/journal.pone.0267596

DO - 10.1371/journal.pone.0267596

M3 - SCORING: Journal article

C2 - 35472096

VL - 17

SP - e0267596

JO - PLOS ONE

JF - PLOS ONE

SN - 1932-6203

IS - 4

ER -