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[Avoidable mortality-a new indicator version for prevention reporting].

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Summary

A new, updated version of the avoidable mortality indicator for German health reporting is proposed. This updated list is reliable and suitable for regional health analysis, showing higher rates in men.

Keywords:
Avoidable mortalityCauses of death statisticsHealth reportingOECD-Eurostat listPrevention

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Area of Science:

  • Public Health
  • Health Services Research
  • Mortality Statistics

Background:

  • "Avoidable mortality" is a key health reporting indicator aggregating specific causes of death.
  • Current German versions of this indicator are outdated.
  • A new, updated version is proposed for improved health reporting.

Purpose of the Study:

  • To evaluate the feasibility and reliability of a new, European-level "avoidable mortality" list for German health reporting.
  • To assess the applicability of the OECD Eurostat list at a regional level in Bavaria.
  • To analyze temporal and regional variations in avoidable mortality data.

Main Methods:

  • Utilized official statistics from Bavaria (2016-2018) to examine the OECD Eurostat list.
  • Analyzed data for variability over time and across Bavarian administrative districts.
  • Investigated potential systematic errors due to regional coding differences or temporal changes.

Main Results:

  • The OECD Eurostat list is implementable regionally with minor adjustments.
  • In Bavaria (2018), age-standardized avoidable mortality was ~23 deaths/10,000 inhabitants, with preventable deaths exceeding treatable ones.
  • Men exhibit a higher avoidable mortality rate (30/10,000) compared to women (16/10,000).

Conclusions:

  • The proposed new version demonstrates reliability, free from significant random fluctuations or systematic methodological errors.
  • The updated indicator is recommended for application in German health reporting.
  • Regional findings align with existing regional health studies, supporting its validity.