Effect of healthcare on mortality: trends in avoidable mortality in Umbria, Italy, 1994-2009

Ann Ist Super Sanita. 2013;49(2):113-23. doi: 10.4415/ANN_13_02_02.

Abstract

Objective: Avoidable mortality trends over the period 1994-2009 were calculated to evaluate health intervention by the health system of Umbria, a region of central Italy.

Materials and methods: Mortality data were supplied by the regional causes of death registry. Rates were standardized to the 2001 census Italian population. Joinpoint regression was used to analyze the trends.

Results: Overall avoidable mortality rates decreased significantly both in males (-3.9% per year) and in females (-3.6% per year). Mortality rates from ischemic heart and cerebrovascular disease about halved in the study period in both sexes. Avoidable mortality increased slightly only for a few causes (e.g. lung cancer in females).

Conclusion: The overall trend of avoidable mortality indicates that the regional health/ preventive system is performing well.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Brain Ischemia / mortality
  • Cause of Death / trends
  • Child
  • Child, Preschool
  • Delivery of Health Care / trends*
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Italy / epidemiology
  • Male
  • Middle Aged
  • Mortality / trends*
  • Myocardial Ischemia / mortality
  • Registries
  • Regression Analysis
  • Sex Factors
  • Young Adult