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Population Density and Occurrence of Accidents in Finland

Published online by Cambridge University Press:  28 June 2012

Seppo Nieminen*
Affiliation:
Docent, Head of the Emergency Ward Department of Surgery, Turku University Central Hospital Tur ku, FINLAND
Olli-Pekka Lehtonen
Affiliation:
Docent, Chief Medical Officer Hospital District of Varsinais-Suomi Tur ku, FINLAND
Miika Linna
Affiliation:
Doctor of Technical Science National Research and Development Centre for Welfare and Health Helsinki, FINLAND
*
Department of Surgery, Tu r ku University Central Hospital, FIN-20520 Tur ku, Finland E-mail: [email protected]

Abstract

Introduction:

About one million accidents occur yearly in Finland (population 5.2 million), resulting in over 3,000 deaths, annually. The governmental and municipal authorities are responsible for the healthcare services that respond to these accidents. So far, resources for these services have been allocated according to regional equality, or in some cases, on the basis of population numbers. However, economical and effective resource allocation should be based on detailed risk analysis of the accidents.

Hypothesis:

In areas with more dense populations, the level of social activity is greater, which leads to an increased risk for accidents (traffic, civil disturbance, etc.).

Methods:

The number of accidents was estimated on the basis of registered emergency trauma patients using the Finnish healthcare statistics for the year 1999. The emergency visits were compared to the populations and populations’ densities of the regional sub-units. The rate of emergency injuries was analysed by regression analysis according to varying population density in Finland.

Results:

The number of accidents per inhabitants was related directly to population density. There was a correlation between emergency visits per inhabitant and population density (p <0.0001). According to estimates, each 1% increase in population density is associated with a 0.4% increase in the risk of accidents.

Conclusion:

The relationship between population density and rate of emergency visits is decisive for the planning of emergency services. Services should be placed in areas of high population densities where there are more people with greater risk of accidents.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2002

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References

1. Tapaturmatilanne 1996. Sosiaali- ja terveysministeriön julkaisuja 10:1996. Helsinki 1996, pp 46.Google Scholar
2. Statistical Yearbook of Finland 1998. Statistics Finland 1998, pp 452453.Google Scholar
3. Tapaturmat Suomessa vuosina 1980–1993. Sosiaali- ja terveysministeriön julkaisuja 7:1994. Helsinki 1994, pp 130136.Google Scholar
4. Carley, S, Mackway-Jones, K, Donnan., S. Major incidents in Britain over the past 28 years: The case for the centralised reporting of major incidents. Journal of Epidemiology and Community Health 1998;52(6):392398.CrossRefGoogle ScholarPubMed
5. Lindberg, H, Brismar, B, Kulling, P, Hedström, U, Kero, M: Risk analysis model for health care and medical service. Prehospital and Disaster Medicine 2000;15(2):S10.CrossRefGoogle Scholar
6. Malmström, L, Lindberg, H, Fellenius, E: Ju större folksamling, desto större är risken för olyckor. Läkartidningen 2001; 4: 16901694.Google Scholar
7. Health Statistics in the Nordic Countries 1996. NOMESCO 50: 1998, pp 120122.Google Scholar
8. Melinder, KA, Andersson, R: Differences in injury mortality between the Nordic countries. Scandinavian Journal of Social Medicine 1998; 26: 190197.CrossRefGoogle ScholarPubMed
9. Schappert, SM: National hospital ambulatory medical care survey: 1992, emergency department summary. Vital Health Statistics 13 1997; 125: 1108.Google Scholar
10. Cercarelli, LR, Rosman, DL, Ryan, GA: Comparison of accident and emergency with police road injury data. Trauma 1996; 40: 805809.Google ScholarPubMed
11. McClure, RJ, Douglas, RM: The public health impact of minor injury. Accident Analysis and Prevention 1996; 28: 443451.Google Scholar
12. Trier, H, Larsen, CF: Ambulance services in Copenhagen, Odense an Ringkobing county. Ugeskrift for Laeger 1992; 154: 471478.Google ScholarPubMed