Descripción del proyecto
Herramientas avanzadas para combatir las desigualdades en materia de mortalidad
Las desigualdades en materia de mortalidad no son un mito. Mientras que la mayoría de estudios se centran en las diferencias internacionales respecto a la mortalidad, existe una importante variación regional dentro de las poblaciones nacionales. El proyecto REDIM, financiado con fondos europeos, se centrará en este aspecto mediante el estudio de las amplias variaciones presentes en toda la Unión Europea (UE). Los hallazgos permitirán a los responsables políticos desarrollar y aplicar políticas sanitarias para reducir las desigualdades tanto entre Estados miembros de la UE como dentro de ellos. El proyecto responderá a dos preguntas: ¿Cómo se distribuye la mortalidad en el espacio? ¿Hasta qué punto las fronteras nacionales determinan las fronteras sanitarias? Además de las respuestas, REDIM también proporcionará herramientas avanzadas para evaluar la eficacia de las políticas desde el nivel comunitario hasta el nivel regional.
Objetivo
Current socio-epidemiologic theories often perceive mortality (health) inequalities as a given and largely ignore the fundamental questions concerning their origin. Furthermore, the majority of prior studies on international differences in mortality have focused on cross-country differences without taking into account substantial regional variation within national populations. REDIM goes beyond the state of the art through performing a large-scale systematic investigation of the reasons for persisting and emerging spatial disparities in mortality across European countries. The scientific output of the project is crucial for developing and coordinating health policies aimed at reducing geographical inequalities in mortality across and within European countries.
The project intends to quantify the degree of convergence/divergence in cause-specific mortality that occurs between subnational entities in Europe, and to identify determinants of these changes. REDIM focuses on two specific research questions:
1) How does the process of the general mortality decline diffuse across space, and what causes of death contribute most to this diffusion?
2) To what extent do national borders determine health borders?
REDIM will tackle these research questions through analysing cause-specific mortality patterns and trends at NUTS-3 and NUTS-2 levels across 19 European countries. Mortality indicators will be interpreted in conjunction with contextual variables capturing the effects of local context and national health policies.
The proposed research agenda is highly relevant to the context of the integration process within the European Union which strives to enhance coordination of policies to promote more equal access to all benefits and assets in society including health. Apart from expected ground-breaking scientific output, REDIM will provide advanced tools for evaluating the effectiveness of policies within the framework of the European Spatial Development Perspective.
Ámbito científico
Programa(s)
Régimen de financiación
ERC-STG - Starting GrantInstitución de acogida
65185 Wiesbaden
Alemania