Investigating the Geographic Disparities of Amenable Mortality and Related Ambulance Services in Hungary

Máté Sándor Deák, Gábor Csató, György Pápai, Viktor Dombrádi, Attila Nagy, Csilla Nagy, Attila Juhász and Klára Bíró
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Máté Sándor Deák: Faculty of Public Health, University of Debrecen, 4028 Debrecen, Hungary
Gábor Csató: Hungarian National Ambulance Service, 1055 Budapest, Hungary
György Pápai: Hungarian National Ambulance Service, 1055 Budapest, Hungary
Viktor Dombrádi: Health Services Management Training Centre, Faculty of Health and Public Administration, Semmelweis University, 1125 Budapest, Hungary
Attila Nagy: Faculty of Public Health, University of Debrecen, 4028 Debrecen, Hungary
Csilla Nagy: Department of Public Health, Government Office of the Capital City Budapest, 1138 Budapest, Hungary
Attila Juhász: Department of Public Health, Government Office of the Capital City Budapest, 1138 Budapest, Hungary
Klára Bíró: Department of Health Systems Management and Quality Management for Health Care, Faculty of Public Health, University of Debrecen, 4032 Debrecen, Hungary

IJERPH, 2021, vol. 18, issue 3, 1-8

Abstract: The aim of this study was to investigate how amenable mortality and related ambulance services differ on a county level in Hungary. The differences in mortality rates and ambulance services could identify counties where stronger ambulance services are needed. The datasets for 2018 consisted of county level aggregated data of citizens between the ages 15–64. The study examined how both the mortality rates and the ambulance rescue deliveries differ from the national average. The analyses were narrowed down to disease groups, such as acute myocardial infarction, hemorrhagic and ischemic stroke. Inequalities were identified regarding the distribution of number of ambulance deliveries, several counties had rates more than double that of the national average. For both mortality and ambulance services some of the counties had significantly better results and others had significantly worse compared to the national average. In Borsod-Abaúj-Zemplén county’s case, hemorrhagic stroke mortality was significantly higher (1.73 [1.35–2.11]), while ambulance deliveries were significantly lower (0.58 [0.40–0.76]) compared to the national average. The research has shown that regarding the investigated mortality rates and ambulance services there are considerable differences between the counties in Hungary. In this regard policy makers should implement policies to tackle these discrepancies.

Keywords: amenable mortality; acute myocardial infarction; hemorrhagic stroke; ischemic stroke; ambulance service; Hungary (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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