PubMed · 10122504
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S Mooney. 1992-10-29. Mapping health needs.. https://pubmed.ncbi.nlm.nih.gov/10122504/
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OBJECTIVE: To find the pattern of causes of mortality in the Chantrea (Navarra) Health District and the trends in main causes of death between 1987 and 1995. DESIGN: Descriptive study. SETTING: Urban primary care centre. STUDY POPULATION: Population belonging to the Chantrea Health District.Interventions. 1986 data from the Municipal Roll of inhabitants of Chantrea were crossed with the Navarra mortality figures to find the deaths occurred between 1986 and 1995. Overall mortality and mortality for the main reasons were analysed for both sexes and for the periods 1987-1990 and 1991-1995. RESULTS: Between 1991 and 1995, Chantrea had a mortality rate close to that of the European population: 711 per 100000 inhabitants for men and 403 per 100000 for women. The main causes of death were circulatory diseases, tumours, respiratory diseases and external causes. Overall mortality rates dropped by 11.8% among men and by 8% among women from the 1987-1990 period to the 1991-1995 period. Statistically significant drops in mortality were noted for circulatory diseases and for malignant oesophageal tumours in men. AIDS as cause of death increased significantly among men. CONCLUSIONS: Low rates of overall mortality in men and women of Chantrea and, in particular, mortality rates for circulatory disease were below the figures recorded in most European countries. Other causes of death, such as traffic accidents, AIDS or malignant tobacco-related tumours had moderately high rates.
Expectations of significant numbers of patients crossing borders within the EU for treatment have not materialised. This is despite the establishment of projects in border regions designed to increase the number of patients going outside their own country for treatment. Doctors' reluctance to refer patients outside their own country may be a factor in this. There are still legal and administrative uncertainties about reimbursement for care in another country.
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