PMID: 12777433Jun 5, 2003Paper

The evolving pattern of avoidable mortality in Russia

International Journal of Epidemiology
E AndreevMartin McKee

Abstract

Life expectancy at birth in Russia is over 12 years less than in western Europe. This study explores the possible role of medical care in explaining this gap by examining the evolving pattern of mortality amenable to timely and effective medical care in Russia compared with Estonia, Latvia, and Lithuania, and the UK. Analysis of standardized death rates from causes amenable to health care (treatable) or inter-sectoral health policies (preventable) in all regions and decomposition of differences in life expectancy between Russia and the UK by age, sex, and cause of death for the period 1965-1999/2000. Death rates from treatable causes remained stable between the mid-1960s and mid-1980s in Russia and the Baltic republics while steadily falling in the UK to less than half the rate in Russia. In the 1990s, rates increased in the former Soviet republics, reaching a peak in 1994 but reversing again in Russia in 1998. Deaths from causes amenable to inter-sectoral health interventions were higher in the UK in 1965 than in the Soviet Union but subsequently fell steadily while they increased in the East. Between 1965 and 1999, the male life expectancy gap between Russia and the UK rose from 3.6 to 15.1 years (women: 1.6 and 7.4 years). T...Continue Reading

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Citations

May 26, 2005·European Journal of Pediatrics·Lauren E GruberCathleen A Carter
Jun 9, 2012·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Richard HeijinkGert P Westert
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Apr 2, 2013·Lancet·Johan P MackenbachMartin McKee
Apr 2, 2013·Lancet·Bernd RechelMartin McKee
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