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The evolving pattern of avoidable mortality in Russia.

Evgueni M Andreev1, Ellen Nolte, Vladimir M Shkolnikov

  • 1Laboratory of Analysis and Prognosis of Population Mortality, Centre of Demography and Human Ecology, Institute of Economic Forecasting, Russian Academy of Sciences, 47 Nakhimovsky Prospect, 117418 Moscow, Russian Federation.

International Journal of Epidemiology
|June 5, 2003
PubMed
Summary

Russian life expectancy lags Western Europe by over 12 years. This gap is significantly influenced by treatable medical conditions, indicating a need for improved healthcare system effectiveness and equity in Russia.

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Area of Science:

  • Public Health
  • Comparative Health Systems
  • Mortality Analysis

Background:

  • Russia's life expectancy is over 12 years lower than Western Europe's.
  • This study investigates the role of medical care in this disparity.
  • Comparative analysis includes Estonia, Latvia, Lithuania, and the UK.

Purpose of the Study:

  • To examine mortality patterns amenable to medical care in Russia versus European nations.
  • To quantify the contribution of treatable and preventable causes to life expectancy gaps.
  • To assess the potential impact of improved healthcare outcomes on Russian life expectancy.

Main Methods:

  • Standardized death rates from treatable and preventable causes were analyzed.
  • Life expectancy differences between Russia and the UK were decomposed by age, sex, and cause of death (1965-2000).

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Main Results:

  • Death rates from treatable causes remained stable in Russia/Baltics while falling in the UK.
  • The life expectancy gap between Russia and the UK widened significantly from 1965 to 1999.
  • Treatable causes accounted for a substantial portion of this widening gap, particularly in men.

Conclusions:

  • The Soviet healthcare system has underperformed compared to Western systems over three decades.
  • There is a critical need to reform the Russian healthcare system for effective and equitable care.
  • Improving healthcare outcomes in Russia could significantly increase life expectancy.