健康预期寿命指标的国际应用概述

Analysis of the international application of healthy life expectancy

健康预期寿命是在预期寿命的基础上进一步识别健康部分,将评价关口从死亡前移至全生命周期,在世界范围内得到越来越多的关注,同时也已成为我国重大战略规划的核心指标之一。健康预期寿命作为健康测量的综合性指标具有复杂性和多维性,不同社会文化背景对于健康的理解和测量维度的选择存在差异,总体看来,尽管高收入国家选择纳入国民健康规划的指标不同,但无活动受限健康预期寿命是目前应用最广泛的指标。本文对国际上健康预期寿命的概念与应用情况进行梳理,借鉴国际实践经验,为建立符合我国国情的健康预期寿命指标体系提供参考。

Healthy life expectancy is based on life expectancy to further identify the healthy component,moving the assessment threshold from the mortality to the whole life cycle,receiving more and more attention worldwide.Nowadays,it has become one of the core indicators of national major strategy and plan.As a comprehensive indicator of health measurement,healthy life expectancy is complicated and multi-dimensional.Different social and cultural backgrounds have different understandings of health and choose different measurement dimensions.Overall,although high-income countries have different choices in their national health plan,healthy life expectancy without activity restriction is by far the most widely used indicator.This paper reviewed the concept and application of healthy life expectancy systematically,drawing on international practical experience to provide reference for the establishment of a healthy life expectancy indicator system in line with the Chinese national conditions.