Trends of amenable deaths due to healthcare within the European Union countries. Exploring the association with the economic crisis and education

The study of premature deaths from causes that are generally preventable given the current availability of healthcare – called amenable deaths due to healthcare – provides information on the quality of services. However, they are not only impacted by healthcare characteristics: other factors are als...

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Autores principales:	Claudia Costa, Paula Santana
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Amenable deaths due to healthcare Health determinants Education European Union regions NUTS 2 Spatial inequalities Public aspects of medicine RA1-1270 Social sciences (General) H1-99
Acceso en línea:	https://doaj.org/article/82c555fbeac94849ab614fc939852540
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spelling	oai:doaj.org-article:82c555fbeac94849ab614fc9398525402021-12-04T04:35:20ZTrends of amenable deaths due to healthcare within the European Union countries. Exploring the association with the economic crisis and education2352-827310.1016/j.ssmph.2021.100982https://doaj.org/article/82c555fbeac94849ab614fc9398525402021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352827321002573https://doaj.org/toc/2352-8273The study of premature deaths from causes that are generally preventable given the current availability of healthcare – called amenable deaths due to healthcare – provides information on the quality of services. However, they are not only impacted by healthcare characteristics: other factors are also likely to influence. Therefore, identifying the association between amenable deaths due to healthcare and health determinants, such as education, might be the key to preventing these deaths in the future. Still unclear however, is how this works and how amenable deaths due to healthcare are distributed and evolve within the European Union (EU) below the national level. We therefore studied the geographical and temporal patterns of amenable deaths due to healthcare in the 259 EU regions from 1999 to 2016, including the 2007–2008 financial crisis and the post-2008 economic downturn, and identified whether any association with education exists.A cross-sectional ecological study was carried out. Using a hierarchical Bayesian model, we estimated the average smoothed Standardized Mortality Ratios (sSMR). A regression model was also applied to measure the relative risks (RR) at 95% credible intervals for cause-specific mortality association with education.Results show that amenable deaths due to healthcare decreased globally. Nevertheless, the decrease is not the same across all regions, and inequalities within countries do persist, with lower mortality ratios seen in regions from Central European countries and higher mortality ratios in regions from Eastern European countries. Also, the evolution trend reveals that after the financial crisis, the number of these deaths increased in regions across almost all EU countries. Moreover, educational disparities in mortality emerged, and a statistical association was found between amenable deaths due to healthcare and early exit from education and training.These results confirm that identifying and understanding the background of regional differences may lead to a better understanding of the amenable deaths due to healthcare and allow for the application of more effective policies.Claudia CostaPaula SantanaElsevierarticleAmenable deaths due to healthcareHealth determinantsEducationEuropean Union regionsNUTS 2Spatial inequalitiesPublic aspects of medicineRA1-1270Social sciences (General)H1-99ENSSM: Population Health, Vol 16, Iss , Pp 100982- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Amenable deaths due to healthcare Health determinants Education European Union regions NUTS 2 Spatial inequalities Public aspects of medicine RA1-1270 Social sciences (General) H1-99
spellingShingle	Amenable deaths due to healthcare Health determinants Education European Union regions NUTS 2 Spatial inequalities Public aspects of medicine RA1-1270 Social sciences (General) H1-99 Claudia Costa Paula Santana Trends of amenable deaths due to healthcare within the European Union countries. Exploring the association with the economic crisis and education
description	The study of premature deaths from causes that are generally preventable given the current availability of healthcare – called amenable deaths due to healthcare – provides information on the quality of services. However, they are not only impacted by healthcare characteristics: other factors are also likely to influence. Therefore, identifying the association between amenable deaths due to healthcare and health determinants, such as education, might be the key to preventing these deaths in the future. Still unclear however, is how this works and how amenable deaths due to healthcare are distributed and evolve within the European Union (EU) below the national level. We therefore studied the geographical and temporal patterns of amenable deaths due to healthcare in the 259 EU regions from 1999 to 2016, including the 2007–2008 financial crisis and the post-2008 economic downturn, and identified whether any association with education exists.A cross-sectional ecological study was carried out. Using a hierarchical Bayesian model, we estimated the average smoothed Standardized Mortality Ratios (sSMR). A regression model was also applied to measure the relative risks (RR) at 95% credible intervals for cause-specific mortality association with education.Results show that amenable deaths due to healthcare decreased globally. Nevertheless, the decrease is not the same across all regions, and inequalities within countries do persist, with lower mortality ratios seen in regions from Central European countries and higher mortality ratios in regions from Eastern European countries. Also, the evolution trend reveals that after the financial crisis, the number of these deaths increased in regions across almost all EU countries. Moreover, educational disparities in mortality emerged, and a statistical association was found between amenable deaths due to healthcare and early exit from education and training.These results confirm that identifying and understanding the background of regional differences may lead to a better understanding of the amenable deaths due to healthcare and allow for the application of more effective policies.
format	article
author	Claudia Costa Paula Santana
author_facet	Claudia Costa Paula Santana
author_sort	Claudia Costa
title	Trends of amenable deaths due to healthcare within the European Union countries. Exploring the association with the economic crisis and education
title_short	Trends of amenable deaths due to healthcare within the European Union countries. Exploring the association with the economic crisis and education
title_full	Trends of amenable deaths due to healthcare within the European Union countries. Exploring the association with the economic crisis and education
title_fullStr	Trends of amenable deaths due to healthcare within the European Union countries. Exploring the association with the economic crisis and education
title_full_unstemmed	Trends of amenable deaths due to healthcare within the European Union countries. Exploring the association with the economic crisis and education
title_sort	trends of amenable deaths due to healthcare within the european union countries. exploring the association with the economic crisis and education
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/82c555fbeac94849ab614fc939852540
work_keys_str_mv	AT claudiacosta trendsofamenabledeathsduetohealthcarewithintheeuropeanunioncountriesexploringtheassociationwiththeeconomiccrisisandeducation AT paulasantana trendsofamenabledeathsduetohealthcarewithintheeuropeanunioncountriesexploringtheassociationwiththeeconomiccrisisandeducation
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Trends of amenable deaths due to healthcare within the European Union countries. Exploring the association with the economic crisis and education

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