Claudia COSTA, Centre of Studies in Geography and Spatial Planning - University of Coimbra, Portugal
Paula SANTANA, Centre of Studies in Geography and Spatial Planning - University of Coimbra, Portugal
The 2030 agenda for sustainable development aims to promote better health and ensure that no one is systematically left behind. Therefore, these goals raise the bar for health systems to optimise healthcare in each context and produce better health outcomes. The study of amenable deaths due to healthcare provides awareness if we are working towards these goals or not.
The aim of this presentation is to analyse 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 identify 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 the national decrease of amenable deaths due to healthcare differs between regions. Thus, 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.
The evidence reveals the sensitivity of these causes of death to contextual determinants and its relevance as a sentinel indicator, as well as the need to strengthen monitoring through regular tracking, analysis and reporting on amenable deaths due to healthcare to identify if countries and regions are providing better health for the population.
Mots clés : Amenable deaths due to healthcare|Education|European Union|Regions|Spatial inequalities
A105091CC