title: Effect of healthcare on mortality: trends in avoidable mortality in Umbria, Italy, 1994-2009.
abstract: OBJECTIVE
  Avoidable mortality trends over the period 1994-2009 were calculated to evaluate health intervention by the health system of Umbria, a region of central Italy.
  
  
  METHODS
  Mortality data were supplied by the regional causes of death registry. Rates were standardized to the 2001 census Italian population. Joinpoint regression was used to analyze the trends.
  
  
  RESULTS
  Overall avoidable mortality rates decreased significantly both in males (-3.9% per year) and in females (-3.6% per year). Mortality rates from ischemic heart and cerebrovascular disease about halved in the study period in both sexes. Avoidable mortality increased slightly only for a few causes (e.g. lung cancer in females).
  
  
  CONCLUSIONS
  The overall trend of avoidable mortality indicates that the regional health/ preventive system is performing well.
authors.affiliation: Dipartimento di Specialità Medico Chirurgiche e Sanità Pubblica, Università degli Studi di Perugia, Perugia, Italy. fabs@unipg.it
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Stracci
authors.forename: Fortunato
authors.initials: F
authors.lastname: Bianconi
authors.forename: Giuseppe Michele
authors.initials: GM
authors.lastname: Masanotti
authors.forename: Valerio
authors.initials: V
authors.lastname: Brunori
authors.forename: Francesco
authors.initials: F
authors.lastname: La Rosa
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002545:Brain Ischemia / Q000401:mortality; D002423:Cause of Death / Q000639:trends; D002648:Child; D002675:Child, Preschool; D003695:Delivery of Health Care / Q000639:trends*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007558:Italy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009026:Mortality / Q000639:trends*; D017202:Myocardial Ischemia / Q000401:mortality; D012042:Registries; D012044:Regression Analysis; D012737:Sex Factors; D055815:Young Adult