Determinanti socio-demografiche del rischio di inappropriatezza organizzativa delle prestazioni ospedaliere.

Translated title of the contribution: Socio-demographic determinants of the risk of inappropriate hospital use

M. Settimi, G. La Torre, G. Chiaradia, F. Gianfagna, C. de Waure, W. Ricciardi

Research output: Contribution to journalArticle

Abstract

The aim of the study was to investigate the association between socio-demographic variables and "at high risk of inappropriateness" of hospital admissions. We used hospital admissions data of Local Health Unit (LHU) Rome H (year 2004). We investigated the relationship between socio-demographic variables (sex, age, job activity, marital status, nationality, place of residence, educational level) and a high risk of inappropriate hospital stay. We computed univariate and multivariate analysis using chi2 test and logistic regression model. Out of 32,233 hospital admissions, 4685 (14.5%) resulted at high risk of inappropriateness. The following variables were associated with high risk of inappropriateness: age (for patients aged 0-15 and 46-65 OR: 1.83 (95% C.I.: 1.57-2.13) and 1.56 (95% C.I.: 1.42-1.72) respectively); job activity (for employed OR: 1.98 (95% C.I.: 1.81-2.17), for students OR: 1.34 (95% C.I.: 1.16-155)); marital status (for unmarried OR: 1.37 (95% C.I.: 1.23-1.51)); place of residence (for patients belonging to LHU Rome H OR:1.09 (95% C.I.: 1.02-1.78)); nationality (for foreign nationals OR: 0.71 (95% C.I.: 0.58-0.87)); educational level (for high school degree and graduated people OR: 0.89 (95% C.I.: 0.81-0.98)). Our study demonstrates that socio-demographic variables are related to the high risk of inappropriate hospital admissions. We believe that these variables could be considered as potential factors to modulate the offer of health services.

Translated title of the contributionSocio-demographic determinants of the risk of inappropriate hospital use
Original languageItalian
Pages (from-to)369-380
Number of pages12
JournalAnnali di igiene : medicina preventiva e di comunità
Volume19
Issue number4
Publication statusPublished - Jul 2007

ASJC Scopus subject areas

  • Medicine(all)

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