ArticleSocial science & medicine (1982)2023
Different health systems - Different mortality outcomes? Regional disparities in avoidable mortality across German-speaking Europe, 1992-2019.
Article in Social science & medicine (1982), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 21 citations in OpenAlex.
- Article
- Potential and challenges for sustainable progress in human longevity.Nature communications · 2026Article
- Deaths of despair before and during the COVID-19 pandemic: a comparative analysis of 27 European countries and the United States.Frontiers in public health · 2026Article
- Spatial Differences in Avoidable Mortality Across 581 European Districts, 2002-2019.European journal of population = Revue europeenne de demographie · 2025Article
- Trends in avoidable mortality from cardiovascular diseases in the European Union, 1995-2020: a retrospective secondary data analysis.The Lancet regional health. Europe · 2024Article
- Incidence and Influencing Factors of Avoidable Mortality in Korea From 2013-2022: Analysis of Cause-of-death Statistics.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024Article
- Population assessment of health system performance in 16 countries.Bulletin of the World Health Organization · 2024Article
- Spatial Variation in Excess Mortality Across Europe: A Cross-Sectional Study of 561 Regions in 21 Countries.Journal of epidemiology and global health · 2024Article
- Spatial disparities in the mortality burden of the covid-19 pandemic across 569 European regions (2020-2021).Nature communications · 2024Article
- [Mortality trends in Germany in an international context].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024Article
- Sex differences in cause-specific mortality: regional trends in seven European countries, 1996-2019.European journal of public health · 2023Article
- Measuring generic health using the minimum european health module: does it work and is it better than self-rated health?BMC public health · 2023Article
- Evaluating Spatial, Cause-Specific and Seasonal Effects of Excess Mortality Associated with the COVID-19 Pandemic: The Case of Germany, 2020.Journal of epidemiology and global health · 2023Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvaluating the impact of health systems on premature mortality across different countries is a very challenging task, as it is hardly possible to disentangle it from the influence of contextual factors such as cultural differences. In this respect, the German-speaking area in Central Europe (Austria, Germany, South Tyrol and large parts of Switzerland) represents a unique 'natural experiment' setting: While being exposed to different health policies, they share a similar culture and language.
methodsTo assess the impact of different health systems on mortality differentials across the German-speaking area, we relied on the concept of avoidable mortality. Based on official mortality statistics, we aggregated causes of death below age 75 that are either 1) amenable to health care or 2) avoidable through primary prevention. We calculated standardised death rates and constructed cause-deleted life tables for 9 Austrian, 96 German, 1 Italian and 5 Swiss regions from 1992 to 2019, harmonised according to the current territorial borders.
resultsThere are strong north-south and east-west gradients in amenable and preventable mortality across the studied regions to the advantage of the southwest. However, the Swiss regions still show significantly lower mortality levels than the neighbouring regions in southern Germany. Eliminating avoidable deaths from the life tables reduces spatial inequality in life expectancy in 2017/2019 by 30% for men and 28% for women.
conclusionsThe efficiency of health policies in assuring timely and adequate health care and in preventing risk-relevant behaviour has room for improvement in all German regions, especially in the north, west and east, and in eastern Austria as well.
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