Key result
Global non-rheumatic VHD care quality averages ~87, showing gender parity but lagging in low-SDI regions.
Why the study?
With increasing NRVHD incidence and prevalence, understanding quality of care and healthcare access was needed to inform healthcare planning.
Observational
Yes
Global quality of care for non-rheumatic valvular heart diseases is generally acceptable with minimal gender disparity, but significant inequities exist based on sociodemographic index.
Acceptable global NRVHD care quality with minimal gender gap; leaves open SDI disparities for targeted research.
BACKGROUND: With an increase in the incidence and prevalence of non-rheumatic valvular heart diseases (NRVHDs), having a proper understanding of the disease current status in terms of quality of care and healthcare access can considerably affect further planning for the healthcare system. OBJECTIVE: In this study, we aimed to evaluate and compare the quality and equity of care concerning NRVHDs in terms of gender and sociodemographic index (SDI) using a newly proposed index. METHODS: We obtained the primary measures (e.g. incidence) from the Global Burden of Disease (GBD) data about NRVHD from 1990 to 2017 to calculate the subsequent secondary indices (e.g. mortality-to-incidence ratio) with close association to quality of care. Then, using principal component analysis (PCA), quality of care index (QCI) was calculated as a novel index from the secondary indices, rescaled to 0-100. QCI was calculated for all age groups and both genders, globally, regionally and nationally between 1990 and 2017. RESULTS: Globally, the QCI for NRVHDs in 2017 was 87.3, and it appears that gender inequity was unremarkable (gender disparity ratio = 1.00, female QCI: 90.2, male QCI: 89.7) in 2017 similar to the past three decades. Among WHO world regions, the Western Pacific Region and Eastern Mediterranean Region showed the highest (90.1) and lowest (74.0) QCI scores. Regarding SDI, the high-middle-SDI quintile with a QCI of 89.4 and the low-SDI quintile with a QCI of 77.8 were the two extremes of healthcare quality in 2017. CONCLUSION: Although global status regarding the NRVHD's quality of care is acceptable, higher attention is required for lower SDI countries.
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Nejad et al. (2022) conducted an observational in Non-rheumatic valvular heart diseases (NRVHDs). Quality of care index (QCI) evaluation vs. Sociodemographic index (SDI) and gender was evaluated on Quality of care index (QCI) score (0-100). The global quality of care index for non-rheumatic valvular heart diseases was 87.3 in 2017, with unremarkable gender inequity (female 90.2 vs male 89.7) but lower scores in low-SDI regions.
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