Geographic variation in preventable hospitalisations across Canada: a cross-sectional study
Objective The objective of this study is to examine the magnitude and pattern of small-area geographic variation in rates of preventable hospitalisations for ambulatory care-sensitive conditions (ACSC) across Canada (excluding Québec).Design and setting A cross-sectional study conducted in Canada (e...
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ftdoajarticles:oai:doaj.org/article:45d03d981b5f432092b36857d2bc2964 2023-05-15T17:48:04+02:00 Geographic variation in preventable hospitalisations across Canada: a cross-sectional study Saverio Stranges Amardeep Thind Shehzad Ali Piotr Wilk Kelly K Anderson Andrew F Clark Martin Cooke Stephanie J Frisbee Jason Gilliland Michael Haan Stewart Harris Soushyant Kiarasi Alana Maltby Kambiz Norozi Robert Petrella Sisira Sarma Sarah S Singh 2020-05-01T00:00:00Z https://doi.org/10.1136/bmjopen-2020-037195 https://doaj.org/article/45d03d981b5f432092b36857d2bc2964 EN eng BMJ Publishing Group https://bmjopen.bmj.com/content/10/5/e037195.full https://doaj.org/toc/2044-6055 doi:10.1136/bmjopen-2020-037195 2044-6055 https://doaj.org/article/45d03d981b5f432092b36857d2bc2964 BMJ Open, Vol 10, Iss 5 (2020) Medicine R article 2020 ftdoajarticles https://doi.org/10.1136/bmjopen-2020-037195 2022-12-31T09:26:09Z Objective The objective of this study is to examine the magnitude and pattern of small-area geographic variation in rates of preventable hospitalisations for ambulatory care-sensitive conditions (ACSC) across Canada (excluding Québec).Design and setting A cross-sectional study conducted in Canada (excluding Québec) using data from the 2006 Canadian Census Health and Environment Cohort (CanCHEC) linked prospectively to hospitalisation records from the Discharge Abstract Database (DAD) for the three fiscal years: 2006–2007, 2007–2008 and 2008–2009.Primary outcome measure Preventable hospitalisations (ACSC).Participants The 2006 CanCHEC represents a population of 22 562 120 individuals in Canada (excluding Québec). Of this number, 2 940 150 (13.03%) individuals were estimated to be hospitalised at least once during the 2006–2009 fiscal years.Methods Age-standardised annualised ACSC hospitalisation rates per 100 000 population were computed for each of the 190 Census Divisions. To assess the magnitude of Census Division-level geographic variation in rates of preventable hospitalisations, the global Moran’s I statistic was computed. ‘Hot spot’ analysis was used to identify the pattern of geographic variation.Results Of all the hospitalisation events reported in Canada during the 2006–2009 fiscal years, 337 995 (7.10%) events were ACSC-related hospitalisations. The Moran’s I statistic (Moran’s I=0.355) suggests non-randomness in the spatial distribution of preventable hospitalisations. The findings from the ‘hot spot’ analysis indicate a cluster of Census Divisions located in predominantly rural and remote parts of Ontario, Manitoba and Saskatchewan and in eastern and northern parts of Nunavut with significantly higher than average rates of preventable hospitalisation.Conclusion The knowledge generated on the small-area geographic variation in preventable hospitalisations can inform regional, provincial and national decision makers on planning, allocation of resources and monitoring performance of health service ... Article in Journal/Newspaper Nunavut Directory of Open Access Journals: DOAJ Articles Nunavut Canada BMJ Open 10 5 e037195 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Medicine R |
spellingShingle |
Medicine R Saverio Stranges Amardeep Thind Shehzad Ali Piotr Wilk Kelly K Anderson Andrew F Clark Martin Cooke Stephanie J Frisbee Jason Gilliland Michael Haan Stewart Harris Soushyant Kiarasi Alana Maltby Kambiz Norozi Robert Petrella Sisira Sarma Sarah S Singh Geographic variation in preventable hospitalisations across Canada: a cross-sectional study |
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Medicine R |
description |
Objective The objective of this study is to examine the magnitude and pattern of small-area geographic variation in rates of preventable hospitalisations for ambulatory care-sensitive conditions (ACSC) across Canada (excluding Québec).Design and setting A cross-sectional study conducted in Canada (excluding Québec) using data from the 2006 Canadian Census Health and Environment Cohort (CanCHEC) linked prospectively to hospitalisation records from the Discharge Abstract Database (DAD) for the three fiscal years: 2006–2007, 2007–2008 and 2008–2009.Primary outcome measure Preventable hospitalisations (ACSC).Participants The 2006 CanCHEC represents a population of 22 562 120 individuals in Canada (excluding Québec). Of this number, 2 940 150 (13.03%) individuals were estimated to be hospitalised at least once during the 2006–2009 fiscal years.Methods Age-standardised annualised ACSC hospitalisation rates per 100 000 population were computed for each of the 190 Census Divisions. To assess the magnitude of Census Division-level geographic variation in rates of preventable hospitalisations, the global Moran’s I statistic was computed. ‘Hot spot’ analysis was used to identify the pattern of geographic variation.Results Of all the hospitalisation events reported in Canada during the 2006–2009 fiscal years, 337 995 (7.10%) events were ACSC-related hospitalisations. The Moran’s I statistic (Moran’s I=0.355) suggests non-randomness in the spatial distribution of preventable hospitalisations. The findings from the ‘hot spot’ analysis indicate a cluster of Census Divisions located in predominantly rural and remote parts of Ontario, Manitoba and Saskatchewan and in eastern and northern parts of Nunavut with significantly higher than average rates of preventable hospitalisation.Conclusion The knowledge generated on the small-area geographic variation in preventable hospitalisations can inform regional, provincial and national decision makers on planning, allocation of resources and monitoring performance of health service ... |
format |
Article in Journal/Newspaper |
author |
Saverio Stranges Amardeep Thind Shehzad Ali Piotr Wilk Kelly K Anderson Andrew F Clark Martin Cooke Stephanie J Frisbee Jason Gilliland Michael Haan Stewart Harris Soushyant Kiarasi Alana Maltby Kambiz Norozi Robert Petrella Sisira Sarma Sarah S Singh |
author_facet |
Saverio Stranges Amardeep Thind Shehzad Ali Piotr Wilk Kelly K Anderson Andrew F Clark Martin Cooke Stephanie J Frisbee Jason Gilliland Michael Haan Stewart Harris Soushyant Kiarasi Alana Maltby Kambiz Norozi Robert Petrella Sisira Sarma Sarah S Singh |
author_sort |
Saverio Stranges |
title |
Geographic variation in preventable hospitalisations across Canada: a cross-sectional study |
title_short |
Geographic variation in preventable hospitalisations across Canada: a cross-sectional study |
title_full |
Geographic variation in preventable hospitalisations across Canada: a cross-sectional study |
title_fullStr |
Geographic variation in preventable hospitalisations across Canada: a cross-sectional study |
title_full_unstemmed |
Geographic variation in preventable hospitalisations across Canada: a cross-sectional study |
title_sort |
geographic variation in preventable hospitalisations across canada: a cross-sectional study |
publisher |
BMJ Publishing Group |
publishDate |
2020 |
url |
https://doi.org/10.1136/bmjopen-2020-037195 https://doaj.org/article/45d03d981b5f432092b36857d2bc2964 |
geographic |
Nunavut Canada |
geographic_facet |
Nunavut Canada |
genre |
Nunavut |
genre_facet |
Nunavut |
op_source |
BMJ Open, Vol 10, Iss 5 (2020) |
op_relation |
https://bmjopen.bmj.com/content/10/5/e037195.full https://doaj.org/toc/2044-6055 doi:10.1136/bmjopen-2020-037195 2044-6055 https://doaj.org/article/45d03d981b5f432092b36857d2bc2964 |
op_doi |
https://doi.org/10.1136/bmjopen-2020-037195 |
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BMJ Open |
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10 |
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5 |
container_start_page |
e037195 |
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