HOSPITAL ADMISSION RATES IN CHRONIC CONDITIONS OF PRIMARY CARE UNITS
Keywords:
Diabetic, Hypertension, Primary care unit, Hospital admissionAbstract
The increasing prevalence of chronic illnesses has led to a higher number of patients attending primary care units (PCUs). Enhancing the quality of care in these units can reduce hospital admission rates for short-term complications of chronic diseases. This study aimed to compare hospital admission rates for short-term complications of diabetes and hypertension between dedicated decentralized PCUs affiliated with a tertiary hospital and those directly managed by a tertiary hospital. This retrospective cohort study utilized hospital admission data categorized by ICD-10 codes. Data analysis included the calculation of relative risk and chi-square tests.
The findings revealed a significant reduction in hospital admission rates for short-term diabetic complications in the study area compared to the control area (RR 0.51 to 0.63). Conversely, the admission rates for hypertension complications increased in both areas, but the rate in the study area was significantly lower (RR 0.32 to 0.65). Overall, the hospital admission rate for chronic diseases, particularly for short-term diabetic complications, was lower in the decentralized PCUs compared to the tertiary hospital-managed PCUs.
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