Author/Editor		Mackenbach, Johan P; Hu, Yannan; Artnik, Barbara; Bopp, Matthias; Costa, Giuseppe; Kalediene, Ramune; Martikainen, Pekka; Menvielle, Gwenn; Strand, Bj; Wojtyniak, Bogdan; Nusselder, Wilma J.
Title		Trends in inequalities in mortality amenable to health care in 17 European countries
Type		članek
Vol. and No.		Letnik 36, št. 6
Publication year		2017
Volume		str. 1110-1118
ISSN		0278-2715 - Health affairs (Project Hope)
Language		eng
Abstract		Little is known about the effectiveness of health care in reducing inequalities in health. We assessed trends in inequalities in mortality from conditions amenable to health care in seventeen European countries in the period 1980-2010 and used models that included country fixed effects to study the determinants of these trends. Our findings show remarkable declines over the study period in amenable mortality among people with a low level of education. We also found stable absolute inequalities in amenable mortality over time between people with low and high levels of education, but widening relative inequalities. Higher health care expenditure was associated with lower mortality from amenable causes, but not from nonamenable causes. The effect of health care expenditure on amenable mortality was equally strong, in relative terms, among people with low levels of education and those with high levels. As a result, higher health care expenditure was associated with a narrowing of absolute inequalities in amenable mortality. Our findings suggest that in the European context, more generous health care funding provides some protection against inequalities in amenable mortality. Disparities Health Spending Public Health
Keywords		health care mortality European countries zdravstveno varstvo umrljivost evropske države