Hospitalization rates as indicators of access to primary care
Hospitalization rates as indicators of access to primary care
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DOI：
10.1016/s1353-8292(00)00035-6
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发表时间：
2001-03-01
期刊：
影响因子：
4.8
通讯作者：
Carey, T
中科院分区：
文献类型：
--
作者：
Ricketts, TC;Randolph, R;Carey, T
某些情况下住院率的变化被用作小地区初级保健有效性的指标。这些比率实际上对当地初级保健系统的问题敏感吗？本研究探讨了1994年北卡罗来纳州门诊护理敏感状况（ACSC）住院率与初级保健资源和初级保健市场地区经济状况之间的关系。数据显示，这一比率与收入高度相关，但与初级保健资源无关。这一比率的分布情况与专家对难以获得保健服务的地点的评估一致。数据证实，获得有效的初级保健反映在ACSC入院率较低，是一个功能比专业资源在市场领域。减少健康状况差距的解决办法可能不在于卫生系统内部。(C)2001爱思唯尔科技有限公司版权所有。
Variations in hospitalization rates for selected conditions are being used as indicators of the effectiveness of primary care in small areas. Are those rates actually sensitive to problems in local primary care systems? This study examines the relationship between ambulatory care sensitive condition (ACSC) hospital admission rates and primary care resources and the economic conditions in primary care market areas in North Carolina in 1994. The data show a high degree of correlation between the rates and income but not primary care resources. The distribution of rates did agree with expert assessments of the location of places with poor access to health services. The data confirm that access to effective primary care reflected in lower rates of ACSC admissions is a function of more than the professional resources available in a market area. The solution to reducing disparities in health status may not lie within the health system. (C) 2001 Elsevier Science Ltd. All rights reserved.