ArticleBMC health services research2012
Amenable mortality as a performance indicator of Italian health-care services.
Article in BMC health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Geographical Inequalities in Mortality by Age and Gender in Italy, 2002-2019: Insights from a Spatial Extension of the Lee-Carter Model.Spatial demography · 2026Article
- Italian regional variation in amenable mortality 2015/2019: impact of outsourcing, expenditures and socio-economic variables.Frontiers in public health · 2026Observational
- Regional variations in Italy's COVID-19 death toll: a descriptive analysis of excess mortality and associated factors from 2020 to 2021.Population health metrics · 2025Article
- How much do local health systems matter? Variations in amenable mortality across health districts in Aotearoa New Zealand.Public health in practice (Oxford, England) · 2024Article
- Understanding the relationships between health spending, treatable mortality and economic productivity in OECD countries.Frontiers in public health · 2022Article
- Death by austerity? The impact of cost containment on avoidable mortality in Italy.Health economics · 2020Article
- Article
- Trends in amenable mortality rate in the Mongolian population, 2007-2014.Nagoya journal of medical science · 2016Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMortality amenable to health-care services ('amenable mortality') has been defined as "premature deaths that should not occur in the presence of timely and effective health care" and as "conditions for which effective clinical interventions exist." We analyzed the regional variability in health-care services using amenable mortality as a performance indicator. Convergent validity was examined against other indicators, such as health expenditure, GDP per capita, life expectancy at birth, disability-free life expectancy at age 15, number of diagnostic and laboratory tests per 1,000 inhabitants, and the prevalence of cancer and cardiovascular diseases.
methodsAmenable mortality rate was calculated as the average annual number of deaths in the population aged 0-74 years per 100,000 inhabitants, and it was then stratified by gender and region. Data were drawn from national mortality statistics for the period 2006-08.
resultsDuring the study period (2006-08), the age-standardized death rate (SDR) amenable to health-care services in Italy was 62.6 per 100,000 inhabitants: 66.0 per 100,000 for males and 59.1 per 100,000 for females. Significant regional variations ranged from 54.1 per 100,000 inhabitants in Alto Adige to 76.3 per 100,000 in Campania. Regional variability in SDR was examined separately for male and females. The variability proved to be statistically significant for both males and females (males: Q-test = 638.5, p < 0.001; females: Q-test = 700.1, p < 0.001). However, among men, we found a clear-cut divide in SDR values between Central and Southern Italy; among women, this divide was less pronounced. Amenable mortality was negatively correlated with life expectancy at birth for both genders (male: r = -0.64, p = 0.002; female: r = -0.88, p <0.001) and with disability-free life expectancy at age 15 (male: r = -0.70, p <0.001; female: r = -0.67, p <0.001). Amenable mortality displayed a statistically significant negative relationship with GDP per capita, the quantity of diagnostic and laboratory tests per 1,000 inhabitants, and the prevalence of cancer.
conclusionsAmenable mortality shows a wide variation across Italian regions and an inverse relationship with life expectancy and GDP per capita, as expected.
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