Avoidable Mortality in Municipalities and Administrative Okrugs of Moscow

Background. Avoidable mortality serves as an integral indicator of healthcare system performance. The living conditions of Muscovites and the developments in Moscow healthcare have determined the highest life expectancy rates for the population of Moscow. However, the availability and quality of medical care as well as the prevalence of behavioral risk factors vary within the metropolis. Therefore, it is of great practical value to consider an uneven spatial distribution of avoidable mortality in order to implement corrective management actions. Objective. To analyze the avoidable mortality of the population of Moscow by administrative okrugs and municipalities in 2023. Materials and methods. The calculations were based on the list of avoidable causes of death from the "European Community Atlas of ‘Avoidable Death’" (the edition of 1997) for the age range 0-65 years. Data on mid-year population and number of deaths by municipality in 2023 were taken from the Moscow regional database "Death Registration" (RFS EMIAS) and then used to analyze an uneven spatial distribution of avoidable mortality. Conclusions. There is a large reserve for reducing mortality not only by improving living conditions and strengthening adherence of the population to a healthy lifestyle, but also by improving availability and quality of medical care.