Faculty of Public Health, University of Debrecen, 4028 Debrecen, Hungary.
Doctoral School of Health Sciences, University of Debrecen, 4028 Debrecen, Hungary.
Int J Environ Res Public Health. 2021 Jan 25;18(3):1065. doi: 10.3390/ijerph18031065.
The aim of this study was to investigate how amenable mortality and related ambulance services differ on a county level in Hungary. The differences in mortality rates and ambulance services could identify counties where stronger ambulance services are needed. The datasets for 2018 consisted of county level aggregated data of citizens between the ages 15-64. The study examined how both the mortality rates and the ambulance rescue deliveries differ from the national average. The analyses were narrowed down to disease groups, such as acute myocardial infarction, hemorrhagic and ischemic stroke. Inequalities were identified regarding the distribution of number of ambulance deliveries, several counties had rates more than double that of the national average. For both mortality and ambulance services some of the counties had significantly better results and others had significantly worse compared to the national average. In Borsod-Abaúj-Zemplén county's case, hemorrhagic stroke mortality was significantly higher (1.73 [1.35-2.11]), while ambulance deliveries were significantly lower (0.58 [0.40-0.76]) compared to the national average. The research has shown that regarding the investigated mortality rates and ambulance services there are considerable differences between the counties in Hungary. In this regard policy makers should implement policies to tackle these discrepancies.
本研究旨在探讨匈牙利县级水平上的病死率和相关的救护车服务的差异。死亡率和救护车服务的差异可以确定需要加强救护车服务的县。2018 年的数据集中包含了年龄在 15-64 岁之间的公民的县级汇总数据。该研究检查了死亡率和救护车救援运送的差异与全国平均值的关系。分析范围缩小到疾病组，如急性心肌梗死、出血性和缺血性中风。在救护车运送数量的分布方面存在不平等现象，一些县的比率是全国平均水平的两倍多。对于病死率和救护车服务，一些县的结果明显好于全国平均水平，而另一些县的结果明显差于全国平均水平。在佐洛州的例子中，出血性中风的病死率明显更高（1.73[1.35-2.11]），而救护车运送的比率明显更低（0.58[0.40-0.76]）。研究表明，在所调查的病死率和救护车服务方面，匈牙利各县之间存在相当大的差异。在这方面，政策制定者应该实施政策来解决这些差异。
