Socioeconomic gap between neighborhoods of Budapest: Striking impact on stroke and possible explanations

Autor: Ildikó Szőcs, F. Oberfrank, Ildikó Vastagh, Dániel Bereczki, András Ajtay
Rok vydání: 2019
Předmět:
Male
Economics
medicine.medical_treatment
Social Sciences
Comorbidity
Pathology and Laboratory Medicine
Vascular Medicine
Geographical locations
Cohort Studies
0302 clinical medicine
Residence Characteristics
Health care
Medicine and Health Sciences
Public and Occupational Health
Age of Onset
Single-Payer System
Stroke
Aged
80 and over
Multidisciplinary
Rehabilitation
Incidence
Mortality rate
Incidence (epidemiology)
Middle Aged
Socioeconomic Aspects of Health
Europe
Neurology
Medicine
Female
030211 gastroenterology & hepatology
Research Article
Adult
Death Rates
Cerebrovascular Diseases
Science
Hemorrhage
03 medical and health sciences
Health Economics
Signs and Symptoms
Population Metrics
Diagnostic Medicine
medicine
Humans
European Union
Poverty
Socioeconomic status
Aged
Retrospective Studies
Ischemic Stroke
Intracerebral hemorrhage
Hungary
Population Biology
business.industry
Biology and Life Sciences
medicine.disease
Disadvantaged
Health Care
Cerebrovascular Disorders
Socioeconomic Factors
Age Groups
Population Groupings
People and places
business
030217 neurology & neurosurgery
Health Insurance
Demography
Zdroj: PLoS ONE, Vol 14, Iss 2, p e0212519 (2019)
PLoS ONE
ISSN: 1932-6203
Popis: IntroductionHungary has a single payer health insurance system offering free healthcare for acute cerebrovascular disorders. Within the capital, Budapest, however there are considerable microregional socioeconomic differences. We hypothesized that socioeconomic deprivation reflects in less favorable stroke characteristics despite universal access to care.MethodsFrom the database of the National Health Insurance Fund, we identified 4779 patients hospitalized between 2002 and 2007 for acute cerebrovascular disease (hereafter ACV, i.e. ischemic stroke, intracerebral hemorrhage, or transient ischemia), among residents of the poorest (District 8, n = 2618) and the wealthiest (District 12, n = 2161) neighborhoods of Budapest. Follow-up was until March 2013.ResultsMean age at onset of ACV was 70±12 and 74±12 years for District 8 and 12 (pDiscussionDespite universal healthcare coverage, the disadvantaged district has higher ACV incidence and mortality than the wealthier neighborhood. This difference affects primarily the younger age groups. Long-term follow-up data suggest that inequity in institutional rehabilitation and home-care should be investigated and improved in disadvantaged neighborhoods.
Databáze: OpenAIRE
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