IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i11p5561-d560324.html
   My bibliography  Save this article

Health Care Resources and 24,910 Deaths Due to Traffic Accidents: An Ecological Mortality Study in Poland

Author

Listed:
  • Agnieszka Genowska

    (Department of Public Health, Medical University of Bialystok, 15-295 Bialystok, Poland)

  • Jacek Jamiołkowski

    (Department of Population Medicine and Lifestyle Diseases Prevention, Medical University of Bialystok, 15-269 Bialystok, Poland)

  • Krystyna Szafraniec

    (Department of Epidemiology and Population Studies, Jagiellonian University Medical College, 31-066 Krakow, Poland)

  • Justyna Fryc

    (Faculty of Medicine, Medical University of Bialystok, 15-540 Bialystok, Poland)

  • Andrzej Pająk

    (Department of Epidemiology and Population Studies, Jagiellonian University Medical College, 31-066 Krakow, Poland)

Abstract

Background: Deaths due to traffic accidents are preventable and the access to health care is an important determinant of traffic accident case fatality. This study aimed to assess the relation between mortality due to traffic accidents and health care resources (HCR), at the population level, in 66 sub-regions of Poland. Methods: An area-based HCR index was delivered from the rates of physicians, nurses, and hospital beds. Associations between mortality from traffic accidents and the HCR index were tested using multivariate Poisson regression models. Results: In the sub-regions studied, the average mortality from traffic accidents was 11.7 in 2010 and 9.3/100.000 in 2015. After adjusting for sex, age and over time trends in mortality, out-of-hospital deaths were more frequently compared to hospitalized fatal cases (incidence rate ratio (IRR) = 1.68, 95% CI 1.45–1.93). Compared to sub-regions with high HCR, mortality from traffic accidents was higher in sub-regions with low and moderate HCR (IRR = 1.25, 95% CI 1.11–1.42 and IRR = 1.19, 95% CI 1.02–1.38, respectively), which reflected the differences in out-of-hospital mortality most pronounced in car accidents. Conclusions: Poor HCR is an important factor that explains the territorial differentiation of mortality due to traffic accidents in Poland. The high percentage of out-of-hospital deaths indicates the importance of preventive measures and the need for improvement in access to health care to reduce mortality due to traffic accidents.

Suggested Citation

  • Agnieszka Genowska & Jacek Jamiołkowski & Krystyna Szafraniec & Justyna Fryc & Andrzej Pająk, 2021. "Health Care Resources and 24,910 Deaths Due to Traffic Accidents: An Ecological Mortality Study in Poland," IJERPH, MDPI, vol. 18(11), pages 1-14, May.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:5561-:d:560324
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/11/5561/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/18/11/5561/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Maciej Polak & Agnieszka Genowska & Krystyna Szafraniec & Justyna Fryc & Jacek Jamiołkowski & Andrzej Pająk, 2019. "Area-Based Socio-Economic Inequalities in Mortality from Lung Cancer and Respiratory Diseases," IJERPH, MDPI, vol. 16(10), pages 1-13, May.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Iara da Silva & Caroline Fernanda Hei Wikuats & Elizabeth Mie Hashimoto & Leila Droprinchinski Martins, 2022. "Effects of Environmental and Socioeconomic Inequalities on Health Outcomes: A Multi-Region Time-Series Study," IJERPH, MDPI, vol. 19(24), pages 1-22, December.
    2. Dawid Majcherek & Marzenna Anna Weresa & Christina Ciecierski, 2021. "A Cluster Analysis of Risk Factors for Cancer across EU Countries: Health Policy Recommendations for Prevention," IJERPH, MDPI, vol. 18(15), pages 1-14, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:5561-:d:560324. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.