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Amenable mortality in the EU-has the crisis changed its course?
M Karanikolos1, J P Mackenbach2, E Nolte1
1European Observatory on Health Systems and Policies, London School of Hygiene and Tropical Medicine, London, UK.
European Journal of Public Health
|July 9, 2018
Summary
The global financial crisis led to increases in amenable mortality in Greece, Estonia, and Slovenia, particularly for females. While other mortality declined, these specific increases highlight potential health system performance impacts.
Area of Science:
- Public Health
- Health Economics
- Epidemiology
Background:
- Examining the impact of the global financial crisis on European health systems.
- Investigating trends in amenable and other mortality across 28 EU countries since 2000.
Purpose of the Study:
- To assess the effect of the global financial crisis on amenable mortality trends in Europe.
- To identify specific countries and demographic groups affected by post-crisis mortality changes.
Main Methods:
- Utilizing WHO mortality data for 28 EU countries.
- Calculating age-standardized death rates for amenable and other causes.
- Employing joinpoint regression to analyze pre- and post-crisis mortality trends.
Main Results:
- Amenable mortality declined overall in the EU but increased in Greece (males and females), Estonia (females), and Slovenia (females) after the crisis.
- Increases in amenable mortality were linked to infectious diseases in Estonia, Slovenia, and Greece.
- Other mortality continued to decline across these populations.
Conclusions:
- Amenable mortality showed evidence of increase in Greece, and among females in Estonia and Slovenia, post-financial crisis.
- Most European countries did not exhibit significant changes in amenable mortality trends attributable to the crisis.
- The findings suggest a varied impact of economic downturns on population health outcomes across Europe.
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