A growing body of research has documented significant variation in health care use between communities.
As the health care system is transformed. providers and payers should understand the interaction hetween a community, its sociodemographic characteristics, and its use of health resources.
We describe the association between a population's demographic, socioeconomic, and medical resources and hospital use related to gastrointestinal and liver diseases.
We used an all-payer hospital discharge database for Michigan from 1986 to 1988.
We identified all medical and surgical hospital admissions during this period from two of the Diagnostic Related Group.
Major Diagnostic Categories :
Diseases and Disorders of the Digestive System ;
and No. 7,
Diseases and Disorders of the Hepatobiliary System and Pancreas.
We analyzed age-and sex-specific use rates.
Finally, we analyzed the influence of sociodemographic variables from the Area Resource File at the county-level, on hospital use, using a Poisson regression model.
We noted a significant association between increased hospitalizations and increased age in a community.
Hospital beds per capita did not influence admission rates overall, although more hospital beds were associated with more medical admissions.
Overall, the total physician supply was associated with more admissions.
Finally, the most important socioeconomic variable was education.
As the level of education of a county increased. (...)
Mots-clés Pascal : Foie pathologie, Voie biliaire pathologie, Pancréas pathologie, Estomac pathologie, Intestin pathologie, Hospitalisation, Incidence, Relation, Age, Statut socioéconomique, Epidémiologie, Homme, Appareil digestif pathologie, Economie santé
Mots-clés Pascal anglais : Hepatic disease, Biliary tract disease, Pancreatic disease, Gastric disease, Intestinal disease, Hospitalization, Incidence, Relation, Age, Socioeconomic status, Epidemiology, Human, Digestive diseases, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0218945
Code Inist : 002B30A01A2. Création : 11/09/1998.