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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.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 282 - 290 (9page)
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초록· 키워드
오류제보하기
Background: Avoidable hospitalizations (AHs) are defined as hospitalizations that could have been prevented through timely and effective services. AHs are, therefore, an indicator used to evaluate the access and effectiveness of primary health care services. Methods: A retrospective time-series study spanning 8 years (2006?2013) was conducted to determine the relationship between AHs and gender, age, and access to primary health care physicians in rural areas in Tehran province, the capital of Iran. The total number of avoidable hospitalizations was 22,570; logistic regression was estimated for each year separately. Results: Total hospitalizations and AHs increased during the study period, especially during the first 3 years of the study. AHs, as a percentage of total hospitalizations, did not change significantly throughout the study years. This value was 22.3% during the first year of study and varied between 17% and 19.6% from 2007 to 2013. No statistically significant relationship was seen between AH occurrence and access to a physician during the study years. Conclusion: Increasing access to primary health care physicians cannot necessarily result in decreased AHs. Considering the factors influencing AHs while designing and implementing the family physicians program is important to achieve the expected results regarding the effectiveness of primary health care services.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Freund T / 2013 / Strategies for reducing potentially avoidable hospitalizations for ambulatory care-sensitive conditions / Ann Fam Med 11:363~370
Atun R / 2004 / What are the advantages and disadvantages of restructuring a health care system to be more focused on primary care services / World Health Organization Regional Office for Europe
Rashidian A / 2019 / Does rural health system reform aimed at improving access to primary health care affect hospitalization rates?: an interrupted time series analysis of national policy reforms in Iran / J Health Serv Res Policy 24:73~80
Oleksiuk O / 2013 / Avoidable hospitalization of children, morbidity and health care supply / Hygeia Public Health 48:234~237
Ionescu-Ittu R / 2007 / Continuity of primary care and emergency department utilization among elderly people / CMAJ 177:1362~1368
Atun R / 2004 / What are the advantages and disadvantages of restructuring a health care system to be more focused on primary care services / World Health Organization Regional Office for Europe
Rashidian A / 2019 / Does rural health system reform aimed at improving access to primary health care affect hospitalization rates?: an interrupted time series analysis of national policy reforms in Iran / J Health Serv Res Policy 24:73~80
Oleksiuk O / 2013 / Avoidable hospitalization of children, morbidity and health care supply / Hygeia Public Health 48:234~237
Ionescu-Ittu R / 2007 / Continuity of primary care and emergency department utilization among elderly people / CMAJ 177:1362~1368
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