The East-West life expectancy gap: differences in mortality from conditions amenable to medical intervention.

Author: 
Velkova A; Wolleswinkel-van den Bosch JH; Mackenbach JP
Source: 
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY. 1997 Feb; 26(1):75-84.
Abstract: 

Although mortality from conditions amenable to medical intervention has frequently been shown to be higher in the countries of Central and Eastern Europe (CCEE) than in the countries of Western Europe (CWE), the contribution of these mortality differences to the East-West gap in life expectancy is unknown....The specific objectives of our study were: (i) to describe the differences in mortality from conditions amenable to medical intervention between CCEE and CWE; (ii) to estimate the contribution of these differences in mortality to the difference in life expectancy between CCEE and CWE; (iii) to compare this contribution with that of the differences in mortality from the four major cause-of-death groups (cancer, cardiovascular diseases, respiratory diseases, external causes). The authors conclude that "although the contribution of conditions amenable to medical intervention should not be taken as a direct estimate of the contribution of medical care to the East-West life expectancy gap, [the] results suggest that reducing differences in the effectiveness of medical care may be more important for narrowing the life expectancy gap than has hitherto been assumed." (EXCERPT)

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Document Number: 

253136

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