Understanding geographical variations in health system performance: a population-based study on preventable childhood hospitalisations.

ABSTRACT:

Objective

To investigate interdistrict variations in childhood ambulatory sensitive hospitalisation (ASH) over the years.

Design

Observational population-based study over 2008-2018 using the Primary Health Organisation Enrolment Collection (PHO) and the National Minimum Dataset hospital events databases.

Setting

New Zealand primary and secondary care.

Participants

All children aged 0-4 years enrolled in the PHO Enrolment Collection from 2008 to 2018.

Main outcome measure

ASH.

Results

Only 1.4% of the variability in the risk of having childhood ASH (intracluster correlation coefficient=0.014) is explained at the level of District Health Board (DHB), with the median OR of 1.23. No consistent time trend was observed for the adjusted childhood ASH at

SUBMITTER: Silwal PR 

PROVIDER: S-EPMC9161092 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature