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      Regional disparities in medical equipment distribution in the Slovak Republic – a platform for a health policy regulatory mechanism

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          Abstract

          Background

          This study aims to examine the localisation of selected parameters in the deployment and use of medical equipment in the Slovak Republic and to verify potential regional disparities. The study evaluates the benefits of an analytical platform for regulatory mechanisms in the healthcare system.

          Methods

          The correspondence analysis is applied to the entire data set containing information regarding medical equipment distribution and mortality.

          Results

          The results highlight regional differences in the use of medical equipment throughout the analysed period from 2008 to 2014. The total amount of medical equipment increased slightly to 9192 devices during the time span. In 2014, there was a significant decrease of 16.44%. Disparities are found in the frequencies and structure of medical equipment. In some regions, medical equipment is not present or is present in low numbers.

          Conclusions

          The results regarding regional disparities demonstrate the regional development of the amount of medical equipment. The deployment of medical equipment is not proportional, and not all of the analysed devices are available in each region. The tests also indicate the appropriateness of the amount of medical equipment and create a platform for further investigation. The results of the analysis suggest the unsuitable distribution of medical equipment throughout the Slovak regions, where there are significant regional disparities. These findings can serve as a monitoring platform to evaluate the accessibility and efficiency of medical equipment usage.

          Trial registration

          No human participants were involved in the research.

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          Most cited references33

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          Measuring the quality of medical care. A clinical method.

          We outline the implementation of a new method of measuring the quality of medical care that counts cases of unnecessary disease and disability and unnecessary untimely deaths. First of all, conditions are listed in which the occurrence of a single case of disease or disability or a single untimely death would justify asking, "Why did it happen?" Secondly, we have selected conditions in which critical increases in rates of disease, disability, or untimely death could serve as indexes of the quality of care. Finally, broad categories of illness are noted in which redefinition and intensive study might reveal characteristics that could serve as indexes of health. We describe how these inth of the general population and the effects of economic, political, and other environmental factors upon it, and to evaluate the quality of medical care provided both within and without the hospital to maintain health and to prevent and treat disease.
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            Measuring the health of nations: updating an earlier analysis.

            We compared trends in deaths considered amenable to health care before age seventy-five between 1997-98 and 2002-03 in the United States and in eighteen other industrialized countries. Such deaths account, on average, for 23 percent of total mortality under age seventy-five among males and 32 percent among females. The decline in amenable mortality in all countries averaged 16 percent [corrected] over this period. The United States was an outlier, with a decline of only 4 percent. If the United States could reduce amenable mortality to the average rate achieved in the three top-performing countries, there would have been 101,000 fewer deaths per year by the end of the study period.
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              France: Health System Review.

              This analysis of the French health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. The French population has a good level of health, with the second highest life expectancy in the world for women. It has a high level of choice of providers, and a high level of satisfaction with the health system. However, unhealthy habits such as smoking and harmful alcohol consumption remain significant causes of avoidable mortality. Combined with the significant burden of chronic diseases, this has underscored the need for prevention and integration of services, although these have not historically been strengths of the French system. Although the French health care system is a social insurance system, it has historically had a stronger role for the state than other Bismarckian social insurance systems. Public financing of health care expenditure is among the highest in Europe and out-of-pocket spending among the lowest. Public insurance is compulsory and covers the resident population; it is financed by employee and employer contributions as well as increasingly through taxation. Complementary insurance plays a significant role in ensuring equity in access. Provision is mixed; providers of outpatient care are largely private, and hospital beds are predominantly public or private non-profit-making. Despite health outcomes being among the best in the European Union, social and geographical health inequities remain. Inequality in the distribution of health care professionals is a considerable barrier to equity. The rising cost of health care and the increasing demand for long-term care are also of concern. Reforms are ongoing to address these issues, while striving for equity in financial access; a long-term care reform including public coverage of long-term care is still pending.
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                Author and article information

                Contributors
                +421556023267 , beata.gavurova@tuke.sk
                +421556023287 , viliam.kovac@tuke.sk
                +421556403869 , jan.fedacko@upjs.sk
                Journal
                Health Econ Rev
                Health Econ Rev
                Health Economics Review
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                2191-1991
                9 November 2017
                9 November 2017
                2017
                : 7
                : 39
                Affiliations
                [1 ]ISNI 0000 0001 2235 0982, GRID grid.6903.c, Department of Banking and Investment, Faculty of Economics, , Technical University of Košice, ; Němcovej 32, 04001 Košice, Slovak Republic
                [2 ]ISNI 0000 0001 2235 0982, GRID grid.6903.c, Department of Finance, Faculty of Economics, , Technical University of Košice, ; Němcovej 32, 04001 Košice, Slovak Republic
                [3 ]ISNI 0000 0004 0619 0183, GRID grid.412894.2, 1st Department of Internal Medicine, , Louis Pasteur University Hospital in Košice, ; Trieda Slovenského národného povstania 1, 04011 Košice, Slovak Republic
                [4 ]ISNI 0000 0004 0576 0391, GRID grid.11175.33, Centre of Excellence in Atherosclerosis Research, , Pavol Jozef Šafárik University in Košice, ; Trieda Slovenského národného povstania 1, 04011 Košice, Slovak Republic
                Author information
                http://orcid.org/0000-0002-0606-879X
                Article
                176
                10.1186/s13561-017-0176-0
                5680412
                29124432
                40046bd8-82f5-415e-bcef-cfbaea4b69a7
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

                History
                : 21 July 2017
                : 30 October 2017
                Funding
                Funded by: Agentúra Ministerstva školstva, vedy, výskumu a športu SR (SK)
                Award ID: 1/0986/15
                Categories
                Research
                Custom metadata
                © The Author(s) 2017

                Economics of health & social care
                medical equipment,healthcare,health facility,region,regional disparity

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