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A Map of Healthcare Needs for Mazowieckie Voivodeship – Oncology

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A Map of Healthcare Needs for Mazowieckie Voivodeship – Oncology CATCHING GAPS WITH HEALTHCARE MAPS CARDIOLOGY AND ONCOLOGY A Map of Healthcare Needs for Mazowieckie Voivodeship – Oncology 1 CATCHING GAPS WITH HEALTHCARE MAPS CARDIOLOGY AND ONCOLOGY Table of Contents Demographic and Epidemiological Aspects ......................................................................3 1.1 Population Breakdown .....................................................................................................4 1.2 Demographics of counties (powiaty) ................................................................................9 1.3 Deaths due to cancers ................................................................................................... 13 1.4 Hospital morbidity rate ................................................................................................... 27 1.5 Cancer Incidence ........................................................................................................... 33 1.5.1 Distribution of new cases in Poland .................................................................... 34 1.5.2 Distribution of new cases in the voivoideship ..................................................... 54 Status and Use of Resources: the Analysis ..................................................................... 80 2.1 Hospitalisation ............................................................................................................... 81 2.1.1 Healthcare providers in Poland .......................................................................... 81 2.1.2 Healthcare providers in the voivoideship ............................................................ 86 2.1.3 Analysis of selected healtcare service providers ................................................ 93 2.1.4 Surgical and Conservative Treatment Analysis ................................................ 122 2.1.5 Chemotherapy Services Analysis ..................................................................... 133 2.1.6 Radiotherapy Services Analysis ....................................................................... 144 2.1.7 Hospitalisation – minor up to 18 years of age ................................................... 158 2.2 Specialist Outpatient Care ........................................................................................... 163 2.3 Positron Emission Tomography (PET) ......................................................................... 170 2.4 Primary Care (POZ) ..................................................................................................... 171 2.5 Medical Staff ................................................................................................................ 174 Healthcare Needs Forecasts ............................................................................................ 192 3.1 Projected Population Breakdown ................................................................................. 193 3.2 Projected demographics of counties (poviats) ............................................................. 199 3.3 Epidemiology Forecast ................................................................................................ 223 3.3.1 Incidence Forecast ........................................................................................... 223 3.3.2 5-Year Prevalence Forecast ............................................................................. 248 3.4 Services Forecast ........................................................................................................ 252 3.4.1 Surgery Services Forecast ............................................................................... 252 3.4.2 Positron Emission Tomography Treatment Forecast ........................................ 255 3.4.3 Chemotherapy Services Forecast .................................................................... 256 3.4.4 Radiotherapy Services Forecast ...................................................................... 259 2 CATCHING GAPS WITH HEALTHCARE MAPS CARDIOLOGY AND ONCOLOGY Part I Demographic and Epidemiological Aspects 3 1.1 Population Breakdown Mazowieckie Voivodeship had over 5.3 million inhabitants in 2014, which accounted for approx. 13.9% of the country's population (all data on the population figures in this chapter are as of 31 December 2014). It was the largest Polish region in terms of population (Figure 1). Figure 1: Population in Poland by voivodeship (2014) Population(in millions) number Share of people (right axis) Source: compiled based on data provided by the Central Statistical Office The population of Mazowieckie Voivodeship was, in demographic sense, older than the population of Poland in general. In 2014, there were almost 843,000 people aged at least 65, which accounted for 15.8% of the total population (Figure 3). This share was higher than the Poland's total (15.3%). The youngest (up to 19 years of age), in turn, constituted approx. 1.1 million, and their share amounted to 20.6% (more by 0.3 percentage points than for the Poland's total). The population aged 20-64 constituted 3.4 million people, accounting for 63.6% of the total population, which share was slightly lower than for the Poland's total (Figure 3). 4 Figure 2: Population structure according to sex and age for Mazowieckie Voivodeship (2014) Age Men (in thousands) Women (in thousands) group Surplus of men over women (in thousands) Surplus of women over men (in thousands) Source: compiled based on data provided by the Central Statistical Office Figure 3: Population breakdown according to age group in Mazowieckie Voivodeship and in Poland (2014) Difference in relation to the breakdown of Poland: Greater share in the voivodeship Greater share in Poland Source: compiled based on data provided by the Central Statistical Office Analysis of the breakdown of the population by sex and age show numerical that the number of men is greater than that of women in the age group up to 29 years of age, while in the other age groups there are more women than men (Figure 2). The differences in the size of the population of women and men are the largest among the elderly (over 60 years of age) and they increase with age. This is related to the so-called excess mortality of men manifested in the shorter life expectancy of men (cf. Figure 2, Figure 4). 5 Figure 4: Population breakdown by sex and age in Mazowieckie Voivodeship and in Poland (2014) M W M W M W M W M W M W M W M W M W M W Source: compiled based on data provided by the Central Statistical Office Mazowieckie Voivodeship has the slightly longer life expectancy of a newborn than the figures observed for the Poland's total (Figure 5). In 2014, this parameter oscillated at 74 years for boys and 81.8 years for girls. Importantly, this parameter was in both cases greater by 0.2 years compared to the corresponding figures for the Poland's total. The voivodeship ranked 7th in terms of the life expectancy of a newborn recorded for men and 6th place for women (shown from the highest to the lowest values of this measure). The situation is somewhat different in terms of life expectancy of people who turned 60: e60 for men amounted to 19.4 years, and to 24.4 years for women. The values of this parameter are higher than for the Poland's total for men (by 0.3 year) and lower for women (by 0.1 year). The region ranked third in terms of men and 6th in terms of women. Figure 6). 6 Figure 5: Life expectancy of a newborn by voivodeship (2014) W Years M Source: compiled based on data provided by the Central Statistical Office Figure 6: Life expectancy of a 60-year-old person by voivodeship (2014) s Year W M Years Source: compiled based on data provided by the Central Statistical Office 7 In 2014, over 57,000 children were born in Mazowieckie Voivodeship, and the fertility rate1 exceeded 44 children per one thousand women of childbearing age, making the voivodeship first in Poland (in descending order of this index). This result exceeds the national figure by nearly 4 children per one thousand women of childbearing age (Figure 7). Figure 7: Fertility rate and the number of live births by voivodeship (2014) 49 - Thousands Births 15 per aged thousand women one Difference versus average value for Poland: Number of births (right axis) Higher average value in Poland Higher value in the voivodeship In 2014, the population density in Mazowieckie Voivodeship was 150 people per km2, so that the Voivodeship ranked third in terms of this index (in descending order) (Figure 8). Figure 8: Population density by voivodeship (2014) Population per 1km2 Source: compiled based on data provided by the Central Statistical Office 1The fertility rate is the number of live births per 1,000 women of childbearing age, i.e. 15-49 years of age. 8 population in 2014: over 1.7 million people, 1.2 Demographics of counties which accounted for 33% of the population (powiaty) of Mazowieckie Voivodeship. The Łosice 5 cities having county rights and 37 county ranked last in terms of population counties were identified in the Mazowieckie (32,000) in 2014, a mere 0.6% of the Voivodeship in line with the administrative population of Mazowieckie Voivodeship division. The city of Warsaw had the largest (Figure 9). Figure 9: Population in the counties of Mazowieckie Voivodeship (2014) Population number (in thousands) (in number Population Share of the total population (right axis) The results of the analysis of the population structure by sex and age in some of the counties of Mazowieckie Voivodeship are similar to those described for the voivodeship
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