Shanghai’s Track Record in Population Health Status: What Can Explain It?; Comment on “Shanghai Rising: Health Improvements as Measured by Avoidable Mortality Since 2000”

Document Type: Commentary

Author

Woodrow Wilson School of Public and International Affairs, Princeton University, Princeton, NJ, USA

Abstract

Health reforms that emphasize public health and improvements in primary care can be cost-effective measures to achieve health improvements, especially in developing countries that face severe resource constraints. In their paper “Shanghai rising: health improvements as measured by avoidable mortality since 2000,” Gusmano et al suggest that Shanghai’s health policy-makers have been successful in reducing avoidable mortality among Shanghai’s 14.9 million (2010) registered residents through these policy measures. It is a plausible hypothesis, but the data the authors cite also would be compatible with alternative hypotheses, as the comparison they make with trends in amenable mortality-rate (AM) in large cities in other parts of the world suggests.

Keywords

Main Subjects


  1. Cheng TM. Vietnam’s health care system emphasizes prevention and pursues universal coverage. Health Aff (Millwood). 2014;33(11):2057-2063. doi:10.1377/hlthaff.2014.1141
  2. World Health Organization (WHO). The World Health Report 2008: Primary Health Care (Now More Than Ever). Geneva: WHO; 2008.
  3. Gusmano MK, Rodwin VG, Wang C, Weisz D, Luo L, Hua F. Shanghai rising: health improvements as measured by avoidable mortality since 2000. Int J Health Policy Manag. 2014;4(1):7-12. doi:10.15171/ijhpm.2015.07
  4. People's Daily Online. Shanghai leads the nation in per capita disposable income. http://en.people.cn/200705/16/eng20070516_375144.html. Updated May 16, 2007. Accessed April 13, 2015.
  5. China Daily. Shanghai tops China’s disposable income list. http://www.china.org.cn/business/2015-02/27/content_34905504.htm. Accessed April 13, 2015. Published February 27, 2015.
  6. Office for National Statistics. Avoidable Mortality in England and Wales, 2011. Statistical Bulletin, Office for National Statistics. UK; 2011.
  7. Bajekal M, Sholes S, Love H, et al. Analysing recent socio-economic trends in coronary disease mortality in England, 2000-2007: a population modelling study. PLOS Med. 2012;9(6):e1001237. doi:10.1371/journal.pmed.1001237
  8. Peng J, Zhang SN, Lu W, Chen AT. Public health in China: the Shanghai CDC perspective. Am J Public Health. 2003;93(12):1991-1993. doi:10.2105/ajph.93.12.1991
  9. Nolte E, McKee CM. In amenable mortality--deaths avoidable through health care--progress in the US lags that of three European countries. Health Aff (Millwood). 2012;31(9):2114-2122. doi:10.1377/hlthaff.2011.0851
  10. McKinsey & Company. What health systems can learn from Kaiser Permanente: an interview with Hal. http://www.mckinsey.com/insights/health_systems_and_services/what_health_systems_can_learn_from_kaiser_permanente_an_interview_with_hal_wolf. Accessed April 14, 2015. Published July 2009.