Medical care and regional mortality differences within the countries of the European community

  • Anton E. Kunst
  • Caspar W. N. Looman
  • Johan P. Mackenbach
Articles

Abstract

This paper addresses the question whether regional mortality differences within developed countries reflect differences in characteristics of medical care service. It adds two new elements to previous studies on this subject: it concentrates on selected ‘avoidable’ causes of death, and it makes parallel analyses for ten EC countries. The results show that levels of medical care supply contribute little to the explanation of regional differences in mortality from the selected conditions. It is concluded that if regional mortality differences are related to health care, factors other than the level of supply are probably involved.

Soins médicaux et différences régionales de mortalité dans les pays de la Communauté Européenne

Résumé

Cet article cherche à voir s'il y a des liens entre les différences régionales de mortalité, dans les pays développés, et les différences qui caractérisent les sevices de soins medicaux. Il ajoute deux nouveaux élements aux études antérieures : il permet de mieux observer des causes particulière de décès ‘évitables’, et de réaliser des analyses semblables dans dix pays de la Communauté Economique Européenne. Les résultats montrent que les différences de mortalité, sous diverses conditions, sont peu expliquées par l'importance des services de soins médicaux. On en conclut que, si les différences régionales de mortalité sont reliées aux services sanitaires, des facteurs autres que l'importance de ces services sont probablement en cause.

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Copyright information

© Elsevier Science Publishers B.V. 1988

Authors and Affiliations

  • Anton E. Kunst
    • 1
  • Caspar W. N. Looman
    • 1
  • Johan P. Mackenbach
    • 1
  1. 1.Department of Public Health and Social MedicineErasmus University RotterdamRotterdamThe Netherlands

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