지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Objectives: The accurate measurement of geographic patterns of health care utilization is a prerequisite for the study of geographic variations in health care utilization. While several measures have been developed to measure how accurately geographic units reflect the health care utilization patterns of residents, they have been only applied to hospitalization and need further evaluation. This study aimed to evaluate geographic indices describing health care utilization.
Methods: We measured the utilization rate and four health care utilization indices (localization index, outflow index, inflow index, and net patient flow) for eight major procedures (coronary artery bypass graft surgery, percutaneous transluminal coronary angioplasty, surgery after hip fracture, knee replacement surgery, caesarean sections, hysterectomy, computed tomography scans, and magnetic resonance imaging scans) according to three levels of geographic units in Korea. Data were obtained from the National Health Insurance database in Korea. We evaluated the associations among the health care utilization indices and the utilization rates.
Results: In higher-level geographic units, the localization index tended to be high, while the inflow index and outflow index were lower. The indices showed different patterns depending on the procedure. A strong negative correlation between the localization index and the outflow index was observed for all procedures. Net patient flow showed a moderate positive correlation with the localization index and the inflow index.
Conclusions: Health care utilization indices can be used as a proxy to describe the utilization pattern of a procedure in a geographic unit.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Bottle A / 2006 / Mortality associated with delay in operation after hip fracture: observational study / BMJ 332 (7547) : 947 ~ 951
Brownlee S / / Improving patient decision-making in health care: a 2011 Dartmouth atlas report highlighting Minnesota
Dartmouth Medical School, Center for the Evaluative Clinical Sciences / 1996 / The Dartmouth atlas of health care / American Hospital Pub : 15 ~
Hawker GA / 2006 / Who, when, and why total joint replacement surgery? The patient’s perspective / Curr Opin Rheumatol 18 (5) : 526 ~ 530
Kilaru AS / 2015 / Do hospital service areas and hospital referral regions define discrete health care populations? / Med Care 53 (6) : 510 ~ 516
Brownlee S / / Improving patient decision-making in health care: a 2011 Dartmouth atlas report highlighting Minnesota
Dartmouth Medical School, Center for the Evaluative Clinical Sciences / 1996 / The Dartmouth atlas of health care / American Hospital Pub : 15 ~
Hawker GA / 2006 / Who, when, and why total joint replacement surgery? The patient’s perspective / Curr Opin Rheumatol 18 (5) : 526 ~ 530
Kilaru AS / 2015 / Do hospital service areas and hospital referral regions define discrete health care populations? / Med Care 53 (6) : 510 ~ 516
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