![]() The concept of years of potential life lost (YPLL) involves estimating the average time a person would have lived had he or she not died prematurely. Variation in access to care and care delivery across communities contributes to disparities related to race, ethnicity, sex, and socioeconomic status. Measures of quality for most of these conditions are tracked in the NHQDR. ![]() This section of the report highlights two areas of disease burden that have major impact on the health system of the United States: years of potential life lost and leading causes of death. The healthcare system aims to mitigate the effects of burden caused by the leading causes of morbidity and mortality. The National Institutes of Health defines disease burden as the impact of a health problem, as measured by prevalence, incidence, mortality, morbidity, extent of disability, financial cost, or other indicators. Overview of Disease Burden in the United States For example, Healthy People 2030 includes 5 domains (shown in the diagram below) and 78 social determinants of health objectives for federal programs and interventions. It also requires coordination between the healthcare sector and other sectors for social welfare, education, and economic development. Improving care requires facility administrators and providers to work together to expand access, enhance quality, and reduce disparities. In addition, social determinants of health, such as education, income, and residence location can affect access to care and quality of care. The receipt of appropriate high-quality services and counseling about healthy lifestyles can facilitate the maintenance of well-being and functioning. The goal is to provide high-quality healthcare that is culturally and linguistically sensitive, patient centered, timely, affordable, well coordinated, and safe. The NHQDR tracks care delivered by providers in many types of healthcare settings.
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