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Post-1950 mortality trends and medical care: Gains in life expectancy due to declines in mortality from conditions amenable to medical intervention in the Netherlands

Author

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  • Mackenbach, Johan P.
  • Looman, Caspar W.N.
  • Kunst, Anton E.
  • Habbema, J.Dik F.
  • van der Maas, Paul J.

Abstract

In order to assess the impact of medical care innovations on post-1950 mortality in The Netherlands, we analysed trends in mortality from a selection of conditions suggested by Rutstein et al.'s lists of "unnecessary untimely mortality". This selection covers 11 types of innovation, and includes 35 conditions which have become amenable to medical care. Loglinear regression analysis shows that for most of these conditions mortality declined during each of two subperiods (1950-1968; 1969-1984). Mortality decline accelerated in the second subperiod for many conditions. Reductions in mortality from these conditions between 1950/54 and 1980/84 added 2.96 and 3.95 years to life expectancy at birth of Dutch males and Dutch females respectively. A priori evidence indicates that these mortality reductions are due to some extent to 'spontaneous' incidence declines. Although the exact contribution of medical care innovations to these changes in mortality thus cannot be determined, the impact of medical care on post-1950 mortality in The Netherlands could well have been substantial.

Suggested Citation

  • Mackenbach, Johan P. & Looman, Caspar W.N. & Kunst, Anton E. & Habbema, J.Dik F. & van der Maas, Paul J., 1988. "Post-1950 mortality trends and medical care: Gains in life expectancy due to declines in mortality from conditions amenable to medical intervention in the Netherlands," Social Science & Medicine, Elsevier, vol. 27(9), pages 889-894, January.
    • Handle: RePEc:eee:socmed:v:27:y:1988:i:9:p:889-894
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    Cited by:

    1. Ngongo, Kypa Ngoyi & Nante, Nicola & Chenet, Laurent & McKee, Martin, 1999. "What has contributed to the change in life expectancy in Italy between 1980 and 1992?," Health Policy, Elsevier, vol. 48(1), pages 1-12, July.
    2. Hisnanick, John J. & Coddington, Dale A., 1995. "Measuring human betterment through avoidable mortality: a case for universal health care in the USA," Health Policy, Elsevier, vol. 34(1), pages 9-19, October.
    3. Irma Elo & Hiram Beltrán-Sánchez & James Macinko, 2014. "The Contribution of Health Care and Other Interventions to Black–White Disparities in Life Expectancy, 1980–2007," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 33(1), pages 97-126, February.
    4. Verguet, Stéphane & Jamison, Dean T., 2013. "Performance in rate of decline of adult mortality in the OECD, 1970–2010," Health Policy, Elsevier, vol. 109(2), pages 137-142.
    5. Jinwook Bahk & Kyunghee Jung-Choi, 2020. "The Contribution of Avoidable Mortality to the Life Expectancy Gains in Korea between 1998 and 2017," IJERPH, MDPI, vol. 17(18), pages 1-10, September.
    6. Rasmus Hoffmann & Iris Plug & Martin McKee & Bernadette Khoshaba & Ragnar Westerling & Caspar Looman & Gregoire Rey & Eric Jougla & Katrin Lang & Kersti Pärna & Johan Mackenbach, 2014. "Innovations in health care and mortality trends from five cancers in seven European countries between 1970 and 2005," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(2), pages 341-350, April.
    7. Adriana Castelli & Olena Nizalova, 2011. "Avoidable mortality: what it means and how it is measured," Working Papers 063cherp, Centre for Health Economics, University of York.

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