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 |
Externí odkaz: |