Cross District Utilization of General Hospital Care in Nova Scotia : Policy and Service Delivery Implications for Rural Districts  

Oleh:

Hanlon, Neil ; Skedgel, Chris

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 1 (Jan. 2006), page 145-156.
Topik: HOSPITAL; general hospital services; cross district utilization; regionalization; rural services; nova scotia; canada

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.1 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Acute care regionalization ahs been pursued in health systems throughout the industrial world as a means of achieveing better patient outcomes for specialized services. The evidence in support of this policy direction is compelling, but is primarily based on highly specialized care, such as coronary and cancer treatments. There exists another, largely unintended, form of regionalization that involves the flow of patients form smaller urban and rural settings to major urban centres to obtain routine procedures. Using data fromt he nova scotia discharde abstrtact database, this paper presents an analysis of cross district utilization of secondary level acute care. In particular, we examine spatial demographic and individual healthcare seeking characteristics of those residents who obtained relatively routine hospital care in a different district in 2000 / 2001, even though an equivalent level of service was available within their home district. Implications of cross district utilization for the viability of medical service providion in smaller centres in the province and elsewhere are discussed.

Opini Anda

Klik untuk menuliskan opini Anda tentang koleksi ini!

Kembali