不同的卫生系统 - 不同的死亡率结果? 德语系欧洲地区可避免死亡率的区域差异,1992-2019年
Michael Mühlichen1, Mathias Lerch2, Markus Sauerberg1
1Federal Institute for Population Research (BIB), Friedrich-Ebert-Allee 4, 65185, Wiesbaden, Germany.
Social science & medicine (1982)
|June 25, 2023
概括
卫生系统显著影响过早死亡率,可避免的死亡人数在德语地区各不相同. 瑞士地区的死亡率较低,凸显了卫生政策有效性的差异.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 相对有效性研究研究比较
背景情况:
- 鉴于文化因素,评估卫生系统对早产死亡的影响是复杂的.
- 德语地区 (奥地利,德国,瑞士,南蒂罗尔) 提供了一个独特的"自然实验",因为他们有共同的文化,但不同的卫生政策.
研究的目的:
- 评估不同卫生系统对德语地区死亡率差异的影响.
- 分析不同地区适应性和可预防性死亡率的变化.
主要方法:
- 利用可避免死亡率的概念,将75岁以下的死亡原因汇总起来.
- 计算了标准化的死亡率,并为奥地利,德国,意大利和瑞士地区 (1992-2019) 构建了原因删除寿命表.
主要成果:
- 确定了可接受和可预防的死亡率的显著北南和东西梯度,有利于西南地区.
- 与邻近的德国南部地区相比,瑞士地区的死亡率较低.
- 消除可避免的死亡减少了空间不平等的预期寿命30% (男性) 和28% (女性) 在2017/2019.
结论:
- 在确保及时医疗保健和预防风险行为方面,卫生政策的效率需要在德国各地区进行改进,特别是在东部,西部,北部和奥地利东部.
- 在德语地区,可避免的死亡率仍然存在显著的区域差异.
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