IDEAS home Printed from https://ideas.repec.org/
MyIDEAS: Login to save this article or follow this journal

Variabilidad Geográfi ca Y Factores Explicativos De Las Tasas De Hospitalización Por Problemas De Salud Susceptibles De Resolverse Ambulatoriamente: El Caso De Costa Rica/Geographic variability and explonatory factors of hospitalization rates by Ambulatory Care Sensitive Conditions: the case of Costa Rica

  • MORERA SALAS, MELVIN

    (Caja Costarricense de Seguro Social)

Registered author(s):

    The study estimate the infl uence of Costa Rican Sanitary Reform, characteristics of primary care and the socioeconomic factors of the population, on the hospitalization rates for Ambulatory Care Sensitive Conditions (ACSC). In addition it analyzes the geographic variability and the cost of these hospitalizations.The hospitalization data comes from the minimum set of data of the Public Health System and the population estimations are based on Census 2000. The results show that the annual cost of the hospitalizations for ACSC is 31,4 million American dollars, 82.8% of the hospitalizations are concentrated in four diagnostic groups and the health areas located in the south of the country have hospitalization rates proportionally greater than the national average. The Poisson regression analysis show an inverse relation between the hospitalization rates by ACSC and the health areas that initiated early the reform process, have continued attention or specialized ambulatory supply, are more remoter of their reference hospital and have greater percentage of population educated in their attraction zone. Este trabajo estima el impacto de la reforma sanitaria de Costa Rica, características de la atención primaria y factores sociodemográfi cos de la población, sobre las tasas de hospitalización por problemas de salud susceptibles de resolverse ambulatoriamente (PSSRA). Adicionalmente se analiza la variabilidad geográfica y el costo de estas hospitalizaciones. La información de altas hospitalarias se tomó del conjunto mínimo de datos del sistema público de salud y las estimaciones de población por área de salud se basan en el Censo 2000. Los resultados muestran que el costo anual de las hospitalizaciones por PSSRA es 31.4 millones de dólares estadounidenses, el 82% de las altas está concentrado en cuatro grupos diagnósticos y las áreas de salud ubicadas en el sur del país tienen tasas de hospitalización proporcionalmente mayores que el promedio nacional. La estimación del modelo de regresión de Poisson muestra una relación inversa entre las tasas de hospitalización por PSSRA y las áreas de salud que iniciaron tempranamente la reforma, las que poseen atención continuada u oferta especializada ambulatoria, las que están más alejadas de su hospital de referencia y las que poseen mayor porcentaje de población educada en su zona de atracción.

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.

    File URL: http://www.revista-eea.net
    Download Restriction: Access to full text is restricted to subscribers.

    As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

    Article provided by Estudios de Economía Aplicada in its journal Estudios de Economía Aplicada.

    Volume (Year): 24 (2006)
    Issue (Month): (Diciembre)
    Pages: 803-820

    as
    in new window

    Handle: RePEc:lrk:eeaart:24_3_6
    Contact details of provider: Postal: Beatriz Rodríguez Prado. Facultad de CC.EE. y EE. Avda. Valle del Esgueva. Valladolid 47011 SPAIN
    Phone: (34) 983 423320
    Fax: (34) 983 184568
    Web page: http://www.revista-eea.net

    More information through EDIRC

    Order Information: Web: http://www.revista-eea.net Email:


    No references listed on IDEAS
    You can help add them by filling out this form.

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    When requesting a correction, please mention this item's handle: RePEc:lrk:eeaart:24_3_6. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Beatriz Rodríguez Prado)

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    This information is provided to you by IDEAS at the Research Division of the Federal Reserve Bank of St. Louis using RePEc data.