Potentially preventable hospitalizations in Split-Dalmatia County (Croatia) from 2005 to 2014

Smoljanović, Ankica; Smoljanović, Mladen; Šušnjara, Ivana Marasović; Sučić, KK

doi:10.1093/eurpub/cky214.265

Cited by 1 publication

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“…ACSC hospitalizations were identified using the list based on the Australian work by Vic DHS and subsequent development by NSW Health [18]. In this research, we used this list because Croatia has not yet established its own ACSC definition and because some previous studies in Croatia have used it [15,24]. According to the mentioned list, ACSC hospitalizations were divided into three categories: vaccine-preventable ACSC hospitalizations, chronic ACSC hospitalizations, and acute ACSC hospitalizations.…”

Section: Methodsmentioning

confidence: 99%

“…Given that this study uses routinely collected administrative data that were not primarily created for the purposes of this research, their potential shortcomings should be taken into account when interpreting the results. Additionally, the indicator used has not been confirmed for Croatia, although it has been used by different authors as an indirect measure for assessing different aspects of the health care system, whether in studying access to or the quality of health care [24]. Furthermore, the use of this indicator as an indicator of quality in primary health care requires caution, because the results can be influenced not only by the ability to reduce health problems in primary health care, but also by other variables, such as morbidity, different patterns of use of health resources, and the use of specialist care [44].…”

Section: Strengths and Limitationsmentioning

confidence: 99%

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The Influence of the COVID-19 Pandemic on Hospitalizations for Ambulatory Care-Sensitive Conditions in Split-Dalmatia County, Croatia

Marasović Šušnjara,

Mijaković,

Jurčev Savičević

2024

Medicina

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Background and Objectives: We aimed to explore whether the COVID-19 pandemic influenced hospitalizations for ambulatory care-sensitive conditions (ACSCs) in Split-Dalmatia County, Croatia. Materials and Methods: We performed a cross-sectional comparative study using two different time periods, the pre-pandemic (from March 2019 to February 2020) and the pandemic period (from March 2020 to February 2021), to explore the possible influences that the COVID-19 pandemic had on hospitalizations for ACSCs. The ACSCs were classified into the categories of vaccine-preventable, chronic, and acute disease. The indicators were statistically analyzed. Results: During the pandemic, a decrease in the total number of hospitalizations and ACSC hospitalizations was recorded. The relative risk for having any ACSC hospitalization in the pandemic period compared to the pre-pandemic period was 0.67 (95% CI, 0.64–0.71; p = 0). The risk reduction was seen in all three categories of vaccine-preventable ACSCs, chronic disease, and acute disease. Large reductions were found in the relative risk of hospitalization for COPD and asthma. Considering the mode of discharge, there was a statistically significantly higher risk of ACSCs with fatal outcomes during the pandemic than in the pre-pandemic period (relative risk 1.31; 95% CI, 1.01–1.7; p = 0.0197). Conclusions: The results of this study show that the COVID-19 pandemic influenced the total number of hospitalizations as well as hospitalizations relating to ACSCs. Certainly, one of the reasons for these changes was due to organizational changes in the working of the entire health system due to the COVID-19 pandemic.

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Section: Methodsmentioning

confidence: 99%

Section: Strengths and Limitationsmentioning

confidence: 99%