Jump to ContentJump to Main Navigation
Show Summary Details
More options …

Public Health Forum

Forschung - Lehre - Praxis

Ed. by Huber, Monika / Blättner, Beate / Hollederer, Alfons / Kuntz, Benjamin / Loss , Julika / Plaumann, Martina / Pundt, Johanne / Räbiger, Jutta / Reschauer, Georg / Schott, Thomas / Siegel, Achim / Spallek, Jacob / Steinhauser, Tanja / Walter, Ulla / Wildner, Manfred / Wolfram, Nicole

4 Issues per year

CiteScore 2016: 0.05

SCImago Journal Rank (SJR) 2016: 0.112
Source Normalized Impact per Paper (SNIP) 2016: 0.059

See all formats and pricing
More options …
Volume 20, Issue 3 (Oct 2012)


Variations in amenable mortality: a comparison of sixteen high-income nations

Ellen Nolte
  • Ellen Nolte, MPH PhDDirector Health and Healthcare Policy ProgrammeRAND EuropeWestbrook Centre, Milton RoadCambridge CB4 1YGUnited Kingdom
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Martin McKee
Published Online: 2015-01-09 | DOI: https://doi.org/10.1016/j.phf.2012.06.011


There has been growing interest in the comparison of health system performance within and between countries. Yet, identifying practical and understandable ways to make these comparisons remains challenging. Health systems are complex, with multiple functions, so any framework must use a range of indicators to capture their different aspects. A fundamental issue relates to how to attribute population health outcomes to activities in the health system. Amenable mortality has been suggested as one way to address this.


Vergleichende Analysen der Leistungsfähigkeit von Gesundheitssystemen verschiedener Nationen sind von wachsender Bedeutung. Gesundheitssysteme sind komplex und sie erfüllen verschiedene Funktionen. Ansätze zur Messung der Leistungsfähigkeit von Gesundheitssystemen müssen diese Vielschichtigkeit berücksichtigen. Die Attribution populationsbezogener Gesundheitsmerkmale zu Aktivitäten in der gesundheitlichen Versorgung bleibt hingegen schwierig. Ein möglicher Ansatz ist die Messung der ‘vermeidbaren Sterblichkeit’ als Indikator für Qualität der gesundheitlichen Versorgung.

Keywords: amenable mortality; healthcare quality and performance; international comparison

Schlüsselwörter: vermeidbare Sterblichkeit; Qualität der gesundheitlichen Versorgung; internationaler Vergleich


  • Charlton et al., 1983

    Charlton, J.; Hartley, R.; Silver, R.; Holland, W.: Geographical variation in mortality from conditions amenable to medical intervention in England and Wales, Lancet, i, 1983, S. 691–696

  • Ford et al., 2007

    Ford, E.; Ajani, U.; Croft, J.; Critchley, J.; Labarthe, D.; Kottke, T.: Explaining the decrease in U.S. deaths from coronary disease, 1980-2000, New Engl J Med, 356, 2007, S. 2388–2398

  • Holland, 1988

    Holland, W. (Hrsg.): European Community atlas of ‘avoidable death’, 1988, Oxford University Press, Oxford

  • Mackenbach, 1996

    Mackenbach, J.: The contribution of medical care to mortality decline: McKeown revisited, J Clin Epidemiol, 19, 1996, S. 1207–1213

  • Nolte and McKee, 2004

    Nolte, E.; McKee, M.: Does healthcare save lives?, Avoidable mortality revisited, 2004, The Nuffield Trust, London

  • Nolte and McKee, 2008

    Nolte, E.; McKee, M.: Measuring the health of nations: updating an earlier analysis, Health Affairs, 27, 2008, S. 58–71

  • Nolte and McKee, 2011

    Nolte, E.; McKee, M.: Variations in amenable mortality – trends in 16 high-income nations, Health Policy, 103, 2011, S. 47–52

  • Rutstein et al., 1976

    Rutstein, D.; Berenberg, W.; Chalmers, T.; Child, C.; Fishman, A.; Perrin, E.: Measuring the quality of medical care, N Engl J Med, 294, 1976, S. 582–588

About the article

Published Online: 2015-01-09

Published in Print: 2012-10-01

Citation Information: Public Health Forum, ISSN (Online) 1876-4851, ISSN (Print) 0944-5587, DOI: https://doi.org/10.1016/j.phf.2012.06.011.

Export Citation

© 2015 by Walter de Gruyter Berlin/Boston. Copyright Clearance Center

Citing Articles

Here you can find all Crossref-listed publications in which this article is cited. If you would like to receive automatic email messages as soon as this article is cited in other publications, simply activate the “Citation Alert” on the top of this page.

Karen Flint Stipp
Social Work in Public Health, 2015, Volume 30, Number 4, Page 360

Comments (0)

Please log in or register to comment.
Log in