1. This presentation arises from the project HEALTH EQUITY – 2020 which has received funding from the European Union, in the framework of the Health Programme. Health inequalities in Lodzkie, Poland Przemyslaw Kardas Kinga Zel Mikolaj Gurdala Jacek Grabowski Advisory Board Meeting Brussels 16.10.2012

2. LODZKIE Voivodeship General information One of the 16 provinces of Poland Population: 2.5 M Population density: 140/km 2 Urban population: 64,4%

3. LODZKIE Voivodeship Age distribution

4. LODZKIE Voivodeship Population growth Parameter Urban areas Rural areasTOTAL Population (k) 1 6219122 534 Births/1000 population 9.79.710.710.0 Deaths/1000 population 12.112.512.3 Population growth/1000 population -2.5-1.9-2.2

5. LODZKIE Voivodeship Distribution of hospitals University hospitals vs Local hospitals ParameterAs for 2010: Hospitals61 Hospital beds/10,000 population 53.4

6. LODZKIE Voivodeship Health strategy 2006-2013 Principal aim: improvement of health of inhabitants of Lodzkie Voivodeship thanks to 5 priorities: Quality of healthcare services Better access to health services Improvement in the health safety Health promotion and prevention Improvement of IT and healthcare information

7. LODZKIE Voivodeship Health inequalities of possible interest for HE20202 Access to specialised ambulatory care Access to long-term care Unknown reasons for shortest predicted life expectation (69.1 y for men in 2008 = 4 years less then national average) Premature death of men: 8.5 y sooner than Polish women, 5 y sooner than European agarage Mortality vs education: 12 y for primary vs higher education in men

8. LODZKIE Voivodeship Challenges in reducing health inequalities Challenge Challenges to collecting evidence National/regional development plans Access to specialised ambulatory care  No central waiting list  Payer-driven health policy  Lack of independent national/regional health policy Access to long-term care  No central waiting list  Payer-driven health policy  Partly covered by regional health policy Short predicted life expectation  Multiple factors responsible for  Gaps in statistics system  Partly covered by national and regional health policy General challenge  Multiple stakeholders  Divided responsibility  Lack of universal health policy

9. LODZKIE Voivodeship Our involvement in healthy ageing

10. LODZKIE Voivodeship Thank you! contact: przemyslaw.kardas@umed.lodz.pl