Mortality rates in Israel from causes amenable to health care, regional and international comparison
Mortality from causes amenable to health care is a valuable indicator of quality of the health care system, which can be used to assess inter-regional differences and trends over time. This study investigates these mortality rates in Israel over time, and compares inter-regional and international rates in recent years.
Age-adjusted amenable mortality rates have been decreasing steadily in Israel, by 31% for males and 28% for females between 1998–2000 and 2007–2009. Amenable mortality was lower in the center of the country than in the Northern, Southern, and Haifa districts. The proportion of mortality from circulatory diseases was highest in the North and Haifa districts and from cancer in the Tel-Aviv and Central districts. A higher proportion of infectious diseases was seen in the Southern district.
In comparison with amenable mortality rates in 20 European countries, Israel ranked 8th lowest for males and 12th lowest for females, in 2008. The rate was lower than in Britain, Ireland, and Portugal; lower than in Germany, Spain, Austria, and Finland for males; and higher than France, Netherlands, Sweden, Norway, and Italy. But Israel ranked higher in the decrease in amenable mortality rates between 2001 and 2007 for females than males in a 19 country comparison. Genitourinary diseases were a larger component in Israel than other countries and circulatory diseases were smaller.
The indicator of amenable mortality shows improvement in health outcomes over the years, but continuing improvement is needed in health care and education, in particular in the periphery of Israel and for females.
- Nolte E, McKee M: Does Healthcare Save Lives? Avoidable Mortality Revisited. London: Nuffield Trust; 2004.
- Nolte E, McKee M: Measuring the health of nations: updating an earlier analysis. Health Affairs 2008,27(1):58–71. CrossRef
- Tobias M, Yeh L: How much does health care contribute to health gain and to health inequality? Trends in amenable mortality in New Zealand 1981–2004. Aust N Z Public Health 2009, 33:70–78. CrossRef
- WHO Statistical Information System (WHOSIS): Detailed data files of the WHO Mortality Database. http://www.who.int/whosis/mort/download/en/index.html
- Gay JG, Paris V, Devaux M, de Looper M: Mortality Amenable to Health Care in 31 OECD Countries: Estimates and Methodological Issues. OECD Health Working Papers 2011., 55:
- Goldberger N, Aburbeh M, Haklai Z: Leading causes of death in Israel, 2000–2009. Ministry of Health 2012. Hebrew http://www.old.health.gov.il/pages/default.asp?maincat=2&catid=841&pageid=4433
- Inpatient institutions and Day Care Units in Israel 2010, part 1: Hospitalization Trends Health Information Division, Ministry of Health 2011. Hebrew http://www.old.health.gov.il/pages/default.asp?maincat=2&catid=514&pageid=5295
- The Medical Workforce 2010 Health Information Division, Ministry of Health 2011. Hebrew http://www.old.health.gov.il/pages/default.asp?maincat=2&catid=667&pageid=5278
- Shmueli A, Engelson-Nissan E: The inverse relation between the availability of doctors in the community and health requirements in Israeli localities: a failure in the capitation formula allocating the health resources to the Health funds?. [Presented at the 8th conference of the NIHP, Tel-Aviv, December 2008 [Hebrew]]
- Shmueli A, Engelson-Nissan E: What determines the market share of the Health funds in Israeli localities. Harefuah 2011,150(8):650–654. 688 Hebrew
- Health in Israel 2010 Health Information Division, Ministry of Health 2011. Hebrew http://www.old.health.gov.il/pages/default.asp?maincat=2&catId=653&PageId=3607
- Mortality rates in Israel from causes amenable to health care, regional and international comparison
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
Israel Journal of Health Policy Research
- Online Date
- October 2012
- Online ISSN
- BioMed Central
- Additional Links
- Amenable mortality
- Regional differences
- Causes of death
- Health services