Avoidable mortality in Europe (1980-1997): a comparison of trends

Treurniet, Henriëtte

doi:10.1136/jech.2002.006452

Cited by 52 publications

(38 citation statements)

References 18 publications

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“…Countries of Visegrad region had different patterns: Hungary, Slovakia and Poland showed above-average amenable mortality and experienced low improvements, while Czech Republic had lowest amenable mortality across these countries and nevertheless achieved the highest progress. Similarly, more than average decline was found in the Czech Republic during the period from 1980 to 1997 (20).…”

Section: Association Of Amenable Mortality With Life Expectancymentioning

confidence: 98%

Mortality amenable to health care in European Union countries and its limitations

Jarčuška

Janíčko

Barták

et al. 2017

Cent Eur J Public Health

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SUMMARYAim: The concept of amenable mortality is intended to assess health care system performance. It is defined as "premature deaths that should not occur in the presence of timely and effective health care". The purpose of paper is to analyse differences in amenable mortality across European Union countries and to determine the associations between amenable mortality and life expectancy at birth.Methods: This is a cross-country and time trend analysis. Data on deaths by cause, and five-year age groups were obtained from the World Health Organization database for the 20 European Union countries, throughout the period from 2002 to 2013. The rates of amenable mortality were expressed by the age-standardised death rates per 100,000 inhabitants. We applied the method of direct standardisation using the European Standard Population.Results: Throughout the explored period, the statistically significant variations of the age-standardised death rates in a relation to the European Union average fluctuated from 78.7 per 100,000 inhabitants (95% CI 72.4-84.9) in France to 374.3 per 100,000 inhabitants (95% CI 350.8-397.7) in Latvia. The leading causes of amenable mortality were ischaemic heart disease, cerebrovascular diseases, and colorectal cancer that accounted for, respectively, 42.2%, 19.5%, and 11.3% of overall amenable mortality. As expected, statistically significant strong negative relationship (R 2 = 0.95; ρ = −0.98) between amenable mortality and life expectancy at birth was proved by linear regression. The concept has several limitations relating to the selection of causes of death and setting age threshold over time, not consideration actually available health care resources in each country, as well as differences in the prevalence of diseases among countries.Conclusions: We found an explicit divide in amenable mortality rates between more developed countries of Western, Northern and Southern Europe, and less developed countries of Central and Eastern Europe. Increasing of amenable mortality may suggest deterioration in health care system performance.

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Section: Association Of Amenable Mortality With Life Expectancymentioning

confidence: 98%

Mortality amenable to health care in European Union countries and its limitations

Jarčuška

Janíčko

Barták

et al. 2017

Cent Eur J Public Health

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“…The development of anxiety and depressive disorders is also related to the surrounding socioeconomic reality in the studied period in Bulgaria. People who suppress their aggression towards others very often develop psychological conditions and psychosomatic disorders such as hypertension, AMI, or diabetes [12] or redirect the impulse of aggression towards themselves, resulting in problems such as suicide, masochism, and unhealthy habits [25]. These unhealthy habits, such as smoking, unhealthy diet, sedentary life, alcohol abuse, are proven risk factors for vascular and heart diseases [26].…”

Section: Discussionmentioning

confidence: 99%

Psychosomatic correlates of coronary heart disease during the socio-economic crisis of post-communist Bulgaria

Karaslavova¹,

Dyakova

Todorova

et al. 2009

Open Medicine

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AbstractPost-communist Bulgaria has experienced the full impact of a socioeconomic disaster. Under prolonged and powerful stress the human body may exhaust its adaptive potential and a variety of pathophysiological symptoms may occur. The cardiovascular system is most vulnerable to stress. The aim of this study is to analyze the role of psychological factors correlating with Acute Myocardial Infarction (AMI) during the transition period in post-communist Bulgaria. A case-control epidemiological study was performed. 306 cases of acute myocardial infarction (AMI) and 210 controls were studied. Analysis of patients’ records was made and a direct face-to-face interview was carried out. The study covers a 15-year transition period lasting from 1989 until 2005. The interview questions are based on W. Zung’s standardized self-evaluation tests of anxiety and depression (Self Rating Depression Scale — SDS, 1965, SAS-Self Rating Anxiety Scale, 1976) and on a test of aggression, as a part of the Minnesota Multiphase personality inventory, adapted from A.A. Krilov and F. Korozi’s FPI test. Average levels of anxiety and depression appear to be higher among patients suffering from coronary heart diseases than in control group members. Levels of aggression do not show a direct correlation with coronary heart disease. Both groups demonstrate symptoms of psychological disturbances caused, most probably, by the socio-economic instability of the transition period. In conclusion, certain socioeconomic factors significantly increase the level of anxiety and depression in the respondents. The AMI patients are considerably more anxious and depressed than the controls. The results provide evidence that high levels of anxiety and depression may correlate to and be interpreted as a potential risk factor for coronary heart disease.

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“…Así, la disminución de la mortalidad evitable en el tiempo y su impacto sobre el crecimiento de la Esperanza de Vida (EV) es mayor que los de la mortalidad considerada no evitable o la general 5,8,9 y la distribución geográfica de la ME se ha relacionado con la de las diferencias en la situación socioeconómica y/o del desarrollo del sistema sanitario [8][9][10][11] . Además este indicador tiene, entre otras ventajas, su visibilidad, la disponibilidad de datos armonizados para su cálculo, como son las estadísticas de mortalidad y la facilidad de interpretación.…”

Section: Introductionunclassified

“…Tal como han señalado algunos autores, entre las limitaciones más importantes para su utilización destaca la falta de comparabilidad entre las distintas listas de causas de mortalidad evitable utilizadas 5,10 . Para superar este escollo, un grupo de profesionales con ejercicio en los diversos ámbitos sanitarios de influencia de la ME (clínica, epidemiología, producción de estadísticas e indicadores de salud y planificación de servicios sanitarios) desarrollaron una lista de ME actualizada, basándose en un proceso de consenso, en el contexto de un proyecto de investigación de la red de centros de investigación cooperativa, RCESP 20 .…”

Section: Introductionunclassified

Medida del resultado de las intervenciones sanitarias en España: una aproximación mediante el análisis temporal y espacial de la mortalidad evitable entre 1986-2001

Magarolas¹,

Marcano²,

Ramírez³

et al. 2006

Rev. Esp. Salud Publica

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Avoidable mortality in Europe (1980-1997): a comparison of trends

Cited by 52 publications

References 18 publications

Mortality amenable to health care in European Union countries and its limitations

Mortality amenable to health care in European Union countries and its limitations

Psychosomatic correlates of coronary heart disease during the socio-economic crisis of post-communist Bulgaria

Medida del resultado de las intervenciones sanitarias en España: una aproximación mediante el análisis temporal y espacial de la mortalidad evitable entre 1986-2001

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