0 62

Cited 0 times in

Disparities in avoidable hospitalization by income in South Korea: data from the National Health Insurance cohort

Authors
 Seung Hyun Park  ;  Dong Hyun Jo  ;  Chang Sik Cho  ;  KangJu Lee  ;  Jin Hyoung Kim  ;  Suho Ryu  ;  Chulmin Joo  ;  Jeong Hun Kim  ;  WonHyoung Ryu 
Citation
 EUROPEAN JOURNAL OF PUBLIC HEALTH, Vol.29(2) : 225-231, 2019 
Journal Title
 EUROPEAN JOURNAL OF PUBLIC HEALTH 
ISSN
 1101-1262 
Issue Date
2019
Abstract
BACKGROUND: Avoidable hospitalizations can act as an indicator for primary health care quality, in particular ambulatory care sensitive conditions (ACSCs) as hospitalizations for these conditions are generally considered avoidable through successful management. This study aimed to examine whether differences exist between income levels in rates of avoidable hospitalization. METHODS: The South Korea National Health Insurance claims data from 2002 to 2013 were used. All hospitalizations were included and categorized into avoidable and non-avoidable cases. The independent variable was income level classified into quartiles and the dependent variable rates of avoidable hospitalization. Analysis was conducted using the generalized estimating equation (GEE) Poisson model. Subgroup analysis was performed based on chronic versus acute disease status and urban versus rural region. RESULTS: A total of 1 310 492 cases were included, in which the crude rate of avoidable hospitalizations was 1444.5 per 100 000 person years. Compared to the Q4 highest income group set as reference, the Q3 (RR 1.07, 95% CI 1.04-1.09), Q2 (RR 1.16, 95% CI 1.13-1.19) and Q1 (RR 1.20, 95% CI 1.17-1.24) income groups showed higher rates of avoidable hospitalizations. CONCLUSION: Risks of avoidable hospitalizations for ACSCs was higher in lower than higher income groups, implying that socioeconomic status is related to disparities in avoidable hospitalizations. The findings suggest the importance of monitoring the vulnerable groups identified in managing avoidable hospitalizations.
Full Text
https://www.sciencedirect.com/science/article/pii/S0939641118304272
DOI
10.1093/eurpub/cky198
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/169432
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse