Geographic inequalities in cardiologist distribution and cardiovascular disease mortality in the Greek National Health System: a geo-epidemiological study
This study mapped the geographic distribution of public-sector cardiologists and cardiovascular disease (CVD) mortality across Greece's prefectures using 2022 population-based mortality data and national professional registries. Prefectures were categorized by comparing their age-standardized mortality ratios against the national average alongside their cardiologist density per 100,000 inhabitants. The analysis revealed significant spatial mismatches, with several prefectures exhibiting high CVD mortality rates despite having lower-than-expected cardiologist availability.
Why it matters — It demonstrates that public healthcare resources in Greece are not aligned with regional health needs, showing that lower cardiologist supply systematically coincides with higher mortality in areas characterized by lower tertiary education levels, lower urbanization, and insularity.
Caveat: The study uses an ecological design at the prefecture level, which prevents drawing direct causal links between individual cardiologist access and personal health outcomes.
GeoJournal · pdf · doi