Primary Care Comprehensiveness Can Reduce Emergency Department Visits and Hospitalization in People with Hypertension in South Korea
| Autor: | Jae Ho Lee, Nak-Jin Sung, Yong-jun Choi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty hypertension Adolescent Health Toxicology and Mutagenesis lcsh:Medicine Context (language use) Primary care 030204 cardiovascular system & hematology Article primary health care chronic disease usual source of care Korea Young Adult 03 medical and health sciences 0302 clinical medicine Republic of Korea Health care Humans Medicine 030212 general & internal medicine Risk factor Aged Aged 80 and over business.industry Health Policy lcsh:R Public Health Environmental and Occupational Health Primary care physician Overcrowding Emergency department Middle Aged Hospitalization Cross-Sectional Studies Charlson comorbidity index Family medicine Female Emergency Service Hospital business |
| Zdroj: | International Journal of Environmental Research and Public Health; Volume 15; Issue 2; Pages: 272 International Journal of Environmental Research and Public Health, Vol 15, Iss 2, p 272 (2018) International Journal of Environmental Research and Public Health |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph15020272 |
| Popis: | Hypertension has been the leading risk factor contributing to cardiovascular morbidity and mortality, which needs comprehensive measures to manage and can be controlled effectively in primary care. In the health care context of South Korea, where specialists can see patients directly at their own community clinics and there has been no consensus on the definition of primary care, the authors used the nationally representative 2013 Korea Health Panel data, categorized adults (≥18 years) with hypertension by types of usual source of care (USC), and analyzed the association of having a comprehensive community clinic (i.e., primary care) physician as a USC with experience of emergency department (ED) visits and hospitalization within a year. After adjusting for cofounding variables including Charlson comorbidity index scores, those having a primary care physician as a USC remained associated with a decrease in an experience of ED visits (OR: 0.61, 95% CI: 0.40-0.93) and hospitalization (OR: 0.69, 95% CI: 0.49-0.96), compared to those not having a usual physician. Health policies that promote having a primary care physician as a USC could decrease unnecessary experience of ED visits and hospitalization by adults with hypertension. This can partly reduce ED overcrowding and avoidable hospitalization in Korea. |
| Databáze: | OpenAIRE |
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