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'Avoidable' mortality: a measure of health system performance in the Czech Republic and Slovakia between 1971 and 2008

Kossarova, Lucia, Holland, Walter and Mossialos, Elias ORCID: 0000-0001-8664-9297 (2013) 'Avoidable' mortality: a measure of health system performance in the Czech Republic and Slovakia between 1971 and 2008. Health Policy and Planning, 28 (5). pp. 508-525. ISSN 0268-1080

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Identification Number: 10.1093/heapol/czs093


BACKGROUND: Post-communist health care reforms and the break-up of Czechoslovakia have been studied from various perspectives, but little research has addressed the impact on health system performance. This paper investigates the quality and performance of the Slovak and Czech health systems before and after 1989, including the year of separation in 1993, using the concept of ‘avoidable’ mortality. METHODS: Age-standardized mortality rates for mortality from ‘avoidable’ and other (non-avoidable) causes have been calculated through indirect standardization to study national and regional trends between 1971 and 2008. RESULTS: The paper shows that ‘avoidable’ mortality in both countries has been continuously decreasing while mortality from other causes has remained unchanged or increased slightly. For some ‘avoidable’ conditions, mortality rates of the two countries converge while for others divergence can be observed, with either the Czech Republic or Slovakia performing better. CONCLUSION: Declines in overall ‘avoidable’ mortality suggest improvements in the health system’s performance and quality of care in both countries, compared with mortality from other causes where factors outside the control of the health care system may be stronger determinants. For conditions where ‘avoidable’ mortality rates stagnate or increase, more in-depth research should be carried out to identify problems in the delivery of timely and effective prevention and treatment, and to establish steps that would reduce the numbers of unnecessary deaths.

Item Type: Article
Official URL:
Additional Information: © 2012 The Authors
Divisions: Social Policy
LSE Health
Subjects: H Social Sciences > H Social Sciences (General)
R Medicine > RA Public aspects of medicine
Date Deposited: 25 Sep 2012 13:40
Last Modified: 18 Jun 2024 20:45
Funders: London School of Economics and Political Science

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