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Centre for Policy on Ageing | |
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| Supply of in-patient medical services for elderly people and geographical variation in medical admissions in a health district in England | | Author(s) | R Maheswaran |
| Journal title | Public Health, vol 11, part 6, 1997 |
| Pages | pp 411-415 |
| Keywords | In-patients ; Admission [hospitals] ; Health Authorities and Trusts ; Geographical distance ; Variance analysis. |
| Annotation | Electoral wards of a health district with an over 65 resident population of 67,919 were considered in this 3 locality study of models for supplying medical care to older people. Locality A had a traditional model; Locality B an integrated model; and Locality C an age-related model. A and C also had a high provision of general practice hospital beds. There were 8,829 admissions in 1991/92: 48% in general medicine, 40% in geriatric medicine, and 12% in general practice, giving an overall unadjusted admission rate of 130 per 1000 aged over 65 for the three specialties combined. Locality A had the highest, and B the lowest; and the rate remained highest for A even if any subsequent admissions were excluded. Lengths of stay in geriatrics were longest in A, but lengths of stay for the three specialties combined were similar in the three localities. Multiple regression was used to examine the effect of indicators of need at electoral ward level on standardised admission ratios: the Jarman score, standard mortality ratio (SMR) and prevalence of limiting long-term illness. Results obtained suggest that factors relating to supply of in-patient services may be associated with geographical variations in hospital admissions. (RH). |
| Accession Number | CPA-980428210 A |
| Classmark | LF7: LD:QKH: L4A: RJ: 3YA * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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