Abstract
This work was designed to investigate antithrombotic drug utilization and its link with the socioeconomic characteristics of specific population groups in Hungary by a comparative analysis of data for prescriptions by general practitioners and the redeemed prescriptions for antithrombotic drugs. Risk analysis capabilities were applied to estimate the relationships between socioeconomic status, which was characterized by quintiles of a multidimensional composite indicator (deprivation index), and mortality due to thromboembolic diseases as well as antithrombotic medications for the year 2016 at the district level in Hungary. According to our findings, although deprivation is a significant determinant of mortality due to thromboembolic diseases, clusters can be identified that represent exemptions to this rule: an eastern part of Hungary, consisting of two highly deprived counties, had significantly lower mortality than the country average; by contrast, the least-deprived northwestern part of the country, consisting of five counties, had significantly higher mortality than the country average. The fact that low socioeconomic status in general and poor adherence to antithrombotic drugs irrespective of socioeconomic status were associated with increased mortality indicates the importance of more efficient control of preventive medication and access to healthcare in all districts of the country to reduce mortality due to thromboembolic diseases.
Highlights
The latest joint publication of the Organisation for Economic Co-operation and Development (OECD) and the European Commission [1] on health and access to health services illustrates the existing notable health inequalities between and within European Union (EU) member states
An analysis of the spatial distribution pattern of mortality in connection with that of the relevant preventive medication can result in the identification of regions/populations with no adequate treatment, including preventative medication, which may help to identify gaps in service provision and to diminish preventable and amenable mortality
The combined effect of deprivation and adherence to preventive medication on cardiovascular mortality was addressed by this work
Summary
The latest joint publication of the Organisation for Economic Co-operation and Development (OECD) and the European Commission [1] on health and access to health services illustrates the existing notable health inequalities between and within European Union (EU) member states. There are persisting inequalities in life expectancy between sexes and among groups with different socioeconomic. Res. Public Health 2020, 17, 6855; doi:10.3390/ijerph17186855 www.mdpi.com/journal/ijerph
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