Public Healthcare Systems Show a Faster Decrease in Preventable Mortality than Healthcare Systems with Private Provision


The results showed a clear decline in SDRs in all 22 health care systems between 2000 and 2014 although at different annual changes (slopes). Regression analysis showed that there was a significant difference among the slopes according to provision dimension. Health care systems with a private provision exhibited a slowdown in the decline of amenable mortality over time. It therefore seems that ownership is the most relevant dimension in determining a different pattern of decline in mortality.


All countries experienced decreases in amenable mortality between 2000 and 2014; this decline seems to be partially a reflection of health care systems, especially when affected by the provision dimension. If the private ownership is maintained or promoted by health systems, these findings might be considered when thinking about regulation policies to control factors that might influence health care performance..”

Declining amenable mortality: a reflection of health care systems? Gianino MM1, Lenzi J2, Fantini MP2, Ricciardi W3, Damiani G3 BMC Health Serv Res. 2017 Nov 15;17(1):735. doi: 10.1186/s12913-017-2708-z.

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  1. The visualization also shows the very high global inequality in health spending per capita that is still prevalent today. In the Central African Republic only 25 international-$ are spent per capita while on the other end of the distribution, in the US, 9,403 international-$ are spent. The ratio between the two countries is 376; on average Americans spent more on health per day than a person in the Central African Republic spends in an entire year. This is a very large gap, considering that International-$ are adjusted for price differences between countries if price differences were not taken into account, and the spending would have been expressed in US-$ by simply using the exchange rate between the different currencies, the difference would be even larger. You can also explore this relationship between healthcare spending and child mortality in an interactive visualization .

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