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Declining Amenable Mortality: Time Trend (2000-2013) and Geographic Area Analysis.
Maria Michela Gianino1, Jacopo Lenzi2, Aida Muça1
1Department of Public Health Sciences and Pediatrics, Università di Torino, Torino, Italy.
Health Services Research
|October 6, 2016
Summary
Amenable mortality rates declined across OECD countries by 2013, though the pace slowed. European regions showed the steepest decreases in amenable deaths, highlighting geographic variations in health outcomes.
Area of Science:
- Public Health
- Health Services Research
- Epidemiology
Background:
- Amenable mortality, deaths preventable with timely and effective healthcare, is a key indicator of healthcare system performance.
- Trends in amenable mortality vary significantly across developed nations, necessitating updated analyses.
Purpose of the Study:
- To provide an updated assessment of amenable mortality trends in 32 OECD countries up to 2013.
- To analyze the temporal changes in amenable mortality from 2000 to 2013.
- To investigate the association between geographic regions and amenable mortality trajectories.
Main Methods:
- Utilized secondary data from the World Health Organization Mortality Database (2000-2013).
- Calculated age-standardized amenable mortality rates (SDRs) per 100,000 population (ages 0-74).
- Employed mixed-effects polynomial regression to analyze time trends and regional associations.
Main Results:
- The OECD experienced an average annual decrease of 3.6/100,000 in amenable mortality, but this trend slowed over time.
- Eastern and Atlantic European countries exhibited the most significant declines (-6.1 and -4.7, respectively).
- Latin American countries showed the slowest decline (-1.7), with notable variations across all countries for cancer and cardiovascular disease amenable deaths.
Conclusions:
- Amenable mortality SDRs continued to decline through 2013 in OECD countries.
- The rate of decline has changed, showing a slowdown compared to previous periods.
- Significant geographic disparities persist in the trends of amenable mortality.
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