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Landscapes on Prevention Quality Indicators: A Spatial Analysis of Diabetes Preventable Hospitalizations in Portugal (2016–2017)
- Source :
- International Journal of Environmental Research and Public Health, Volume 17, Issue 22, International Journal of Environmental Research and Public Health, Vol 17, Iss 8387, p 8387 (2020)
- Publication Year :
- 2020
- Publisher :
- Multidisciplinary Digital Publishing Institute, 2020.
-
Abstract
- Preventable hospitalizations due to complications of diabetes mellitus (DM), represented by the related prevention quality indicators (PQI), are ambulatory care-sensitive conditions that can be prevented and controlled through effective primary health care (PHC) treatment. It is important to reduce mortality and promote the quality of life to diabetic patients in regions with higher hospitalization rates. The study aims to analyze the results of the DM age-sex-adjusted PQI, by groups of health centers (ACES), distributed in the Portuguese territory. The most representative PQI at a national level were identified, and the trends were mapped and analyzed. Also, it presents the ACES with the highest age-adjusted rates of avoidable hospitalizations for DM. The absolute number of preventable hospitalizations for all DM complications in Portugal has decreased by 20%, thus passing from the rate of 79 in 2016 to 65.2/100,000 inhabitants in 2017. Despite the improvement in results for PQI 03, 20 of 48 ACES that were above the national 2017 median rate in 2016, achieved better results the following year, and for the overall preventable diabetes hospitalizations (PQI 93) only 11 out 39, revealing the need for further studies and PHC actions to improve the diabetic quality of life.
- Subjects :
- medicine.medical_specialty
Health, Toxicology and Mutagenesis
media_common.quotation_subject
Primary health care
lcsh:Medicine
Article
03 medical and health sciences
0302 clinical medicine
Quality of life
Diabetes mellitus
Environmental health
medicine
Humans
Quality (business)
National level
geographic information system
030212 general & internal medicine
media_common
Quality Indicators, Health Care
Spatial Analysis
Absolute number
Portugal
business.industry
030503 health policy & services
Public health
lcsh:R
public health
Public Health, Environmental and Occupational Health
medicine.disease
Hospitalization
Ambulatory
diabetes mellitus
Quality of Life
prevention quality indicators
avoidable admissions
0305 other medical science
business
Subjects
Details
- Language :
- English
- ISSN :
- 16604601
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....96bfc866978b7333a298164a501ba105
- Full Text :
- https://doi.org/10.3390/ijerph17228387