Comparing inequalities in health outcomes in European countries

Information
Title: Comparing inequalities in health outcomes in European countries
Issue: Vol. 11, No 4, 2018
Published date: 12-2018 (print) / 12-2018 (online)
Journal: Journal of International Studies
ISSN: 2071-8330, eISSN: 2306-3483
Authors: Viera Pacáková
University of Pardubice, Czech Republic

Lucie Kopecká
University of Pardubice, Czech Republic
Keywords: healthcare outcomes, healthcare inequalities, multidimensional techniques, European countries
DOI: 10.14254/2071-8330.2018/11-4/15
DOAJ: https://doaj.org/article/18f54d530944453eb1b1ab1b485863a0
Language: English
Pages: 215-227 (13)
JEL classification: C38, I14, I18
Website: https://www.jois.eu/?478,en_comparing-inequalities-in-health-outcomes-in-european-countries
File https://www.jois.eu/files/15_655_Pacakova_Kopecka.pdf
Licenses:
The authors are thankful to the Internal Grant Agency of University Pardubice No.: SGS-2018-012, titled “Using of big data sets for management of selected risks in public and financial sector” for financial support to carry out this research.
Abstract

Quality healthcare system is a priority for citizens of any country. Citizens’ health is also a core EU priority. The objective of this article is application of multidimensional statistical techniques as a tool for information value added on health outcomes data in European countries and their further comparison. To achieve this objective, factor analysis and multidimensional comparison methods have been applied to the matrix of 16 healthcare indicators on 25 selected European countries. The synthetic variable allows transforming the countries described by a variety of healthcare indicators into one-dimensional space that considerably simplify monitoring of healthcare inequalities. The obtained results are compared with the results on the self-perceived health status provided by the citizens of the same countries. The results of this comparison have demonstrated significant similarity between self-reported statuses and objectively measured healthcare statuses. The results are presented in a visual form using tables and graphs.

Bibliography

1. Altman, D. G. (2003). Practical statistics for medical research. London: Chapman & Hall.

2. Álvarez-Gávlez, J., & Jaime-Castillo, A.M. (2018). The impact of social expenditure on health inequalities Europe. Social Science & Medicine, 200, 9-18. https://doi.org/10.1016/j.socscimed.2018.01.006.

3. European Union. (2010). Reducing health inequalities in the European Union. Luxembourg: Publications Office of the European Union. doi: 10.2767/96086.

4. European Commision. (2013). Report on health inequalities in the European Union. Brussels: Commission Staff Working Document. Retrieved from https://ec.europa.eu/health//sites/health/files/social_determinants /docs/report_healthinequalities_swd_2013_328_e

5. European Union. (2013). Improving health for all EU citizens. Luxembourg: Publications Office of the EU.

6. European Union. (2013). Health inequalities in the EU. Final report of a consortium. Consortium lead: Sir Michael Marmot. doi:10.2772/34426.

7. Eurostat. (2018). Health Database. Retrieved from http://ec.europa.eu/eurostat/web/health/health-care/data/database.

8. Eurostat. (2017). Healthy life years statistics. Retrieved from http://ec.europa.eu/eurostat/statistics-explained/index.php/Healthy_life_years_statistics.

9. Eurostat, Self-perceived health statistics. Retrieved from http://ec.europa.eu/eurostat/statistics-explained/index.php/Self-perceived_health_statistics.

10. Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (2007). Multivariate Data Analysis. Sixth Ed. New Jersey: Pearson Education.

11. Hebák, P., Hustopecký, J., Jarošová, E. I., & Pecáková, I. (2004). Vícerozměrné statistické metody (Multivariate statistical methods). Praha: Informatorium.

12. Institute for Health Metrics and Evaluation (IHME) Research Articles. Retrieved from http://www.healthdata.org/results/research-articles.

13. Jindrová, P. (2013). Quantification of Risk in Critical Illness Insurance. In: Financial Management of Firms and Financial Institutions, Ostrava: VŠB Ostrava, 298–306.

14. Jindrová, P., & Kopecká, L. (2017). Assessment of risk factors of serious diseases in OECD countries. In: Proceedings of the 11th Professor Aleksander Zelias International Conference on Modelling and Forecasting of Socio-Economic Phenomena. Cracow: Cracow

15. Johnson, R. A., & Wichern, D. W. (2007). Applied Multivariate Statistical Analysis. Sixth Ed. New Jersey: Pearson Prentice Hall.

16. Kopecká, L., & Jindrová, P. (2017). Comparison of mortality due to critical illnesses in the EU countries. In: Proceedings of the 11th Professor Aleksander Zelias International Conference on Modelling and Forecasting of Socio-Economic Phenomena. Cracow: C

17. Kuc, M. (2012). The Implementation of Synthetic Variable for Constructing the Standard of Living Measure in European Union Countries. Oeconomia copernicana, 3, 5-19.

18. Mackenbach, J. P. (2006). Health Inequalities: Europe in Profile. Rotterdam: Erasmus MC University Medical Center.

19. Moscelli, G. et al. (2017). Socioeconomic inequality of access to healthcare: Does choice explain the gradient? J. Health Econ. Retrieved from https://doi.org/10.1016/j.jhealeco.2017.06.005.

20. OECD. (2015). Health at a Glance 2015: OECD Indicators, OECD Publishing, Paris. http://dx.doi.org/10.1787/health_glance-2015-en

21. OECD/EU. (2016). Health at a Glance: Europe 2016: State of Health in the EU Cycle. OECD Publishing, Paris. http://dx.doi.org/10.1787/9789264265592-en.

22. OECD. (2018) Health Statistics 2017. OECD: Paris. Retrieved from http://www.oecd.org/els/health-systems/health-data.htm.

23. Olsen, K. M., & Dahl, S. A. (2007). Health differences between European countries. Social Science and Medicine, 64, 1665 – 1678. doi: 10.1016/j.socscimed.2006.11.031.

24. Pacáková, V., Jindrová, P. & Zapletal, D. (2016). Comparisons of Public Health Systems of Selected Countries. In: European Financial Systems 2016. Proceedings of the 13th International Scientific Conference. Brno: Masaryk University, 534-541.

25. Pacáková, V. & Papoušková, M. (2016). Multidimensional Comparisons of Health Systems Functioning in OECD Countries. International Journal of Mathematical Models and Methods in Applied Sciences, 10(12), 388-394.

26. Sokolowski, A. (1999). Regional Differences in Living Standards in Eastern European Countries – Changes During the Transition. Retrieved from http://rss.archives.ceu.hu/archive/00001052/01/52.pdf .

27. Stankovičová, I. & Vojtková, M. (2007). Viacrozmerné štatistické metódy s aplikáciami. Bratislava, Iura Edition.

28. WHO/Global Health Observatory/ Country statistics. Retrieved from http://www.who.int/gho/countries/en/.

29. WHO/Europe portal. Retrieved from http://www.euro.who.int/en/data-and-evidence/databases.

30. Wilkins, E., Wilson, L., Wickramasinghe, K., Bhatnagar, P., Leal, J., Luengo-Fernandez, R., Burns, R., Rayner, M., & Townsend, N. (2017). European Cardiovascular Disease Statistics 2017. European Heart Network, Brussels.