Naslov
Potentially preventable hospitalizations in Split- Dalmatia County (Croatia) from 2005 to 2014

Autori
Smoljanović, Ankica ; Smoljanović, Mladen ; Marasović Šušnjara, Ivana ; Sučić, Krešimir, Kajo

Izvornik
European journal of public health (1101-1262) 28 (2018), 4; 400-400

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Potentially preventable hospitalizations ; Split-Dalmatia County ; health needs assessment

Sažetak
Background: Potentially preventable hospitalizations are hospital admissions for ambulatory care– sensitive conditions (ACSCs) that should not require in-hospital treatment if timely and appropriate ambulatory care is provided. Aim: To quantify the proportion of potentially preventable hospitalizations in Split-Dalmatia County from 2005 to 2014. Methods: Hospitalisations data was collected from the electronic database of hospital discharges at the University Hospital Split. The indicator is reported using three broad categories which describe the types of conditions in scope: chronic, acute, and vaccine-preventable. The indicators were statistically analyzed. Results: ACSCs made a 7.61% of Split-Dalmatia County residents hospitalizations. On average, there was 3, 239 ACSCs per year and an average of 8.88 ACSCs admissions per day, with 107.78 admissions that was not ACSCs. The age standardised rate per 1, 000 inhabitants of both sexes was 6.98 (95% CI 6.40-7.53) with a constant trend of decline. According to the means possible avoidance of ACSC, the chronic illness category prevailed. Angina pectoris, Diabetes mellitus, Congestive heart disease, Cronic pulmonary diseases and Hypertension together made a total of 74% of all chronic ACSC. The sex which prevailed was men and age group consisted of persons ≥65 years old. Conclusions: Potentially preventable hospitalizations analysis provides a useful tool for evidence- based health needs assessment and health policy development. Accessibility of primary medical care which is guaranteed by mandatory health insurance, the early identification on patients with a risk of hospitalization and multidisciplinary care teams, especially in the case of chronic diseases ; care coordination and service integration are effective ways of furthering the decline of potentially preventable hospitalizations. Key messages: Potentially preventable hospitalizations analysis provides a useful tool for evidence- based health needs assessment and health policy development. Accessibility of primary medical care is effective way of furtering decline of ACSCs.

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita

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