By National Research Council, Division on Earth and Life Studies, Institute of Medicine, National Cancer Policy Board, Helen Gelband, Thomas J. Smith, Kathleen M. Foley, June R. Lunney
Nationwide bills for therapy within the months and days previous dying are huge, immense. yet we don't recognize no matter if that money is deciding to buy high quality care or optimizing the standard of lifetime of these demise, or no matter if the placement is recuperating or worse over the years. the data that exists “describing demise” at a countrywide point – although a few of it's very informative – is fragmentary. This document recommends how you can fill the knowledge gaps by way of larger use of present nationally-representative information, and during a few new measures, specifically, a brand new, ongoing nationwide Mortality Followback Survey. the purpose is to permit us to benchmark the place we're this day as a society, and what pursuits we will be able to set to reduce discomfort and soreness and maximize the standard of lifetime of we all who will die within the years yet to come.
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Additional resources for Describing Death in America
Sample text
Although the primary purpose of the census is to identify demographic trends, two questions about disability were included in the Census 2000 long form that provide a general picture of physical impairment within the population. In approximately one out of six households, the respondent was asked about the presence of a long-lasting condition that limited basic physical activities such as walking, climbing stairs, reaching, lifting, or carrying. A 38 DESCRIBING DEATH IN AMERICA second question addressed difficulty learning, remembering, concentrating, dressing, bathing or getting around inside the home.
Although there is no formal agreement to use this standard certificate, the National Center for Health Statistics has an agreement with the states through the Vital Statistics Cooperative Program to provide data in specified formats consistent with the standard certificate. The death certificate assigns physicians, medical examiners, and coroners the responsibility for documenting the cause of death through a system that acknowledges the possibility of multiple causes. The disease, injury or complication that caused death (not the mode of dying such as a cardiac arrest) is noted on line “a” as the immediate cause of death.
The MEPS HC collects data continuously at both the person and household levels through an overlapping panel design. Two calendar years of information are collected from each household in a series of five rounds of data collection over a two-year period. In 1996, the first year of the redesigned survey, data were collected on approximately 10,000 families and 24,000 individuals in 195 communities (a sample drawn from the NHIS). The redesigned survey has the potential to be linked to the National Death Index, but to date this linkage has not been achieved because the accrued sample is too small to yield a large number of decedents.