Quantifying burden of disease to support public health policy in Belgium: opportunities and constraints

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• 作者：Brecht Devleesschauwer (18) (19)
  Charline Maertens de Noordhout (18)
  G Suzanne A Smit (19)
  Luc Duchateau (20)
  Pierre Dorny (19) (21)
  Claudia Stein (22)
  Herman Van Oyen (23)
  Niko Speybroeck (18)
  
  18. Institute of Health and Society (IRSS) ; Faculty of Public Health ; Universit茅 catholique de Louvain ; Brussels ; Belgium
  19. Department of Virology ; Parasitology and Immunology ; Faculty of Veterinary Medicine ; Ghent University ; Salisburylaan 133 ; 9820 ; Merelbeke ; Belgium
  20. Department of Comparative Physiology and Biometrics ; Faculty of Veterinary Medicine ; Ghent University ; Merelbeke ; Belgium
  21. Department of Biomedical Sciences ; Institute of Tropical Medicine ; Antwerp ; Belgium
  22. Division of Information ; Evidence ; Research ; and Innovation ; World Health Organization Regional Office for Europe ; Copenhagen ; Denmark
  23. Department of Public Health and Surveillance ; Scientific Institute of Public Health ; Brussels ; Belgium
  
• 关键词：Belgium ; Disease burden ; Disability ; adjusted life years ; Health policy
• 刊名：BMC Public Health
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：425 KB
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  39. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/14/1196/prepub
  
• 刊物主题：Public Health; Medicine/Public Health, general; Epidemiology; Environmental Health; Biostatistics; Vaccine;
• 出版者：BioMed Central
• ISSN：1471-2458

文摘

Background To support public health policy, information on the burden of disease is essential. In recent years, the Disability-Adjusted Life Year (DALY) has emerged as the most important summary measure of public health. DALYs quantify the number of healthy life years lost due to morbidity and mortality, and thereby facilitate the comparison of the relative impact of diseases and risk factors and the monitoring of public health over time. Discussion Evidence on the disease burden in Belgium, expressed as DALYs, is available from international and national efforts. Non-communicable diseases and injuries dominate the overall disease burden, while dietary risks, tobacco smoking, and high body-mass index are the major risk factors for ill health. Notwithstanding these efforts, if DALYs were to be used for guiding health policy, a more systematic approach is required. By integrating DALYs in the current data generating systems, comparable estimates, rooted in recent local data, can be produced. This might however be hampered by several restrictions, such as limited harmonization, timeliness, inclusiveness and accessibility of current databases. Summary Routine quantification of disease burden in terms of DALYs would provide a significant added value to evidence-based public health policy in Belgium, although some hurdles need to be cleared.