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  1. Fulltext. The distance to community medical care and the likelihood of hospitalization : Is closer always better ?

    Article - En anglais

    Fulltext.

    Objectives

    This study examined the influence that distance from residence to the nearest hospital had on the likelihood of hospitalization and mortality.

    Methods

    Hospitalizations were studied for Maine, New Hampshire. and Vermont during 1989 (adults) and for 1985 through 1989 (children) and for mortality (1989) in Medicare enrollees.

    Results

    After other known predictors of hospitalization (age, sex, bed supply, median household income, rural residence, academic medical center. and presence of nursing home patients) were controlled for, the adjusted rate ratio of medical hospitalization for residents living more than 30 minutes away was 0.85 (95% confidence interval [CI]=0.82,0.88) for adults and 0.78 (95% CI=0.74,0.81) for children, compared with those living in a zip code with a hospital.

    Similar effects were seen for the four most common diagnosis-related groups for both adults and children.

    The likelihood of hospitalization for conditions usually requiring hospitalization and for mortality in the elderly did not differ by distance.

    Conclusions

    Distance to the hospital exerts an important influence on hospitalization rates that is unlikely to be explained by illness rates.

    Mots-clés Pascal : Distance, Hôpital, Logement habitation, Hospitalisation, Fréquence, Mortalité, Epidémiologie, Corrélation, Homme, Etats Unis, Amérique du Nord, Amérique, Système santé

    Mots-clés Pascal anglais : Distance, Hospital, Housing, Hospitalization, Frequency, Mortality, Epidemiology, Correlation, Human, United States, North America, America, Health system

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0447557

    Code Inist : 002B30A04A. Création : 03/02/1998.