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[Avoidable mortality in Belgium].

P C Humblet1, R Lagasse, G F Moens

  • 1Laboratoire d'Epidémiologie et de Médecine Sociale, Université Libre de Bruxelles, Belgique.

Social Science & Medicine (1982)
|January 1, 1987
PubMed
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This study examined avoidable mortality rates in Belgian districts from 1974-1978. Wallonia consistently showed higher rates than Flanders, even after accounting for socio-economic factors.

Area of Science:

  • Public Health
  • Health Services Research
  • Epidemiology

Background:

  • Avoidable mortality is a key indicator for assessing healthcare service effectiveness.
  • Geographical disparities in health outcomes are a significant public health concern.

Purpose of the Study:

  • To analyze avoidable mortality rates across 43 Belgian districts between 1974 and 1978.
  • To compare health service outcomes between Flanders and Wallonia using specific mortality rates.
  • To investigate geographical heterogeneity in health outcomes and its persistence.

Main Methods:

  • Correspondence factor analysis was employed to compare Flanders and Wallonia.
  • Standardized Mortality Ratios (SMR) for avoidable mortality were calculated.
  • Factorial scores were used to index geographical variations, adjusting for socio-economic differences.

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Main Results:

  • Flanders exhibited lower SMR of avoidable mortality, while Wallonia demonstrated persistently high rates.
  • Geographical heterogeneity in mortality indices was observed across districts.
  • Variations in consultation rates and medical procedures persisted after socio-economic adjustments.

Conclusions:

  • Significant and persistent geographical disparities in avoidable mortality exist between Flanders and Wallonia.
  • Healthcare service utilization patterns (consultation rates, procedures) contribute to these disparities, independent of socio-economic status.