Explore the vast range of titles available.

National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor estimates generated through the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) to improve and expand the quantification of personal health-care access and quality for 195 countries and territories from 1990 to 2015. We mapped the most widely used list of causes amenable to personal health care developed by Nolte and McKee to 32 GBD causes. We accounted for variations in cause of death certification and misclassifications through the extensive data standardisation processes and redistribution algorithms developed for GBD. To isolate the effects of personal health-care access and quality, we risk-standardised cause-specific mortality rates for each geography-year by removing the joint effects of local environmental and behavioural risks, and adding back the global levels of risk exposure as estimated for GBD 2015. We employed principal component analysis to create a single, interpretable summary measure–the Healthcare Quality and Access (HAQ) Index–on a scale of 0 to 100. The HAQ Index showed strong convergence validity as compared with other health-system indicators, including health expenditure per capita (r=0·88), an index of 11 universal health coverage interventions (r=0·83), and human resources for health per 1000 (r=0·77). We used free disposal hull analysis with bootstrapping to produce a frontier based on the relationship between the HAQ Index and the Socio-demographic Index (SDI), a measure of overall development consisting of income per capita, average years of education, and total fertility rates. This frontier allowed us to better quantify the maximum levels of personal health-care access and quality achieved across the development spectrum, and pinpoint geographies where gaps between observed and potential levels have narrowed or widened over time. Between 1990 and 2015, nearly all countries and territories saw their HAQ Index values improve; nonetheless, the difference between the highest and lowest observed HAQ Index was larger in 2015 than in 1990, ranging from 28·6 to 94·6. Of 195 geographies, 167 had statistically significant increases in HAQ Index levels since 1990, with South Korea, Turkey, Peru, China, and the Maldives recording among the largest gains by 2015. Performance on the HAQ Index and individual causes showed distinct patterns by region and level of development, yet substantial heterogeneities emerged for several causes, including cancers in highest-SDI countries; chronic kidney disease, diabetes, diarrhoeal diseases, and lower respiratory infections among middle-SDI countries; and measles and tetanus among lowest-SDI countries. While the global HAQ Index average rose from 40·7 (95% uncertainty interval, 39·0–42·8) in 1990 to 53·7 (52·2–55·4) in 2015, far less progress occurred in narrowing the gap between observed HAQ Index values and maximum levels achieved; at the global level, the difference between the observed and frontier HAQ Index only decreased from 21·2 in 1990 to 20·1 in 2015. If every country and territory had achieved the highest observed HAQ Index by their corresponding level of SDI, the global average would have been 73·8 in 2015. Several countries, particularly in eastern and western sub-Saharan Africa, reached HAQ Index values similar to or beyond their development levels, whereas others, namely in southern sub-Saharan Africa, the Middle East, and south Asia, lagged behind what geographies of similar development attained between 1990 and 2015. This novel extension of the GBD Study shows the untapped potential for personal health-care access and quality improvement across the development spectrum. Amid substantive advances in personal health care at the national level, heterogeneous patterns for individual causes in given countries or territories suggest that few places have consistently achieved optimal health-care access and quality across health-system functions and therapeutic areas. This is especially evident in middle-SDI countries, many of which have recently undergone or are currently experiencing epidemiological transitions. The HAQ Index, if paired with other measures of health-system characteristics such as intervention coverage, could provide a robust avenue for tracking progress on universal health coverage and identifying local priorities for strengthening personal health-care quality and access throughout the world. Bill & Melinda Gates Foundation.

\"If the inquiry finds that there were people who knew about this and allowed this to happen, we the victims might find some peace in knowing that at last, after all these years, something has been done and someone has been held accountable.\" \"For some people it's a bit of a journey to complete healing,\" she said. She said \"the abuse won't ever go away\", \"can never be undone\" and \"will never be completely over\".

He said he understood that the two victims \"didn't want to go to police\", adding they were now adults and it was \"their call, not mine\". He also said it is \"well-known\" most diocese have \"secret files on priests\". The inquiry yesterday heard [Michael Malone] \"inherited\" a brief case which contained \"secret files\" on the region's priests.

Ms O'[Hearn] said she personally had dealings with 28 of [Denis McAlinden]'s victims who were assaulted between 1949 and 1986. The inquiry, by Commissioner Margaret Cunneen in the Newcastle Supreme Court, is examining how church leaders and police handled child sexual abuse allegations against McAlinden and fellow Hunter Valley priest James Fletcher. Ms O'Hearn said that as the diocese's healing support coordinator during the past five years she still received complaints from victims of both priests who had come forward from parts of NSW, other Australian states and New Zealand.

Fr Lucas said he was a barrister before being ordained a priest in 1979. He wrote media columns and was a spokesman for the Sydney archdiocese before and while helping, in the 1990s, to write the Catholic church's protocol for dealing with criminal behaviour involving church representatives. Fr Lucas said in 1993 he spoke to a woman who complained of being sexually assaulted as a child by Fr [Denis McAlinden] and then obtained admissions of the abuse from Fr McAlinden. Fr Lucas said his primary concern was to stop pedophile priests offending and he didn't care about the reputation of individual priests or scandal that their actions may cause the church.

\"So any additional production through the summer requires new hiring,\" he said during an event at Wayne State University here. \"I am not saying mass hiring but significant hiring. \"Two of every three Big Three jobs in the United States will be located in Michigan\" by 2015, [Sean McAlinden] said. McAlinden said the UAW is likely to push either for higher entry-level wages or faster and more substantial wage increases for entry-level workers after they are hired.

Newcastle police have confirmed they have launched a formal investigation into allegations the Maitland-Newcastle diocese of the Catholic Church covered up the crimes of Hunter Valley priest Denis McAlinden.

\"We'll be submitting that to the public prosecutor to see whether anyone contained within that investigation has committed any offences, whether anyone has deliberately covered up any sort of serious offences against victims.\" \"There've been a lot of people spoken to by Strike Force Lantle and everyone within that investigation who has been spoken to has been dealt with as a person who is assisting us with our inquiries.\" \"There are people within the investigation who have obviously taken their right to silence and that's everyone's right.

NSW police are preparing to give the state's Director of Public Prosecutions a brief of evidence on an alleged child sex cover-up in the Catholic Church.

\"The approach of the Diocese and Lucas in not reporting to police was motivated, at least in part, by a desire to avoid scandal being associated with the Church. This approach distorted what should have been the primary concern at all times - the protection of children who might be abused by [Denis McAlinden],\" Commissioner [Cunneen] said. \"[Brian Lucas] as well as others clearly knew what Fr Denis McAlinden was up to for a long, long time,\" Peter Gogarty, who was abused by Fr [James Fletcher], said. \"He didn't do anything with that information about McAlinden other than report it to the bishop, [Leo Clarke], and deliberately, by his own evidence, deliberately did not take any notes or keep any record of his knowledge or interviews, so that that information could not be used later on by police. So it's a fairly damning finding really.\"