Regional Differences in Admission Rates of Emergency Patients Who Visited a Private General Hospital in the Capital City of Cambodia: A Three-Year Observational Study
Background Regional disparity is an imperative component of health disparity. In particular, providing emergency care that is equally available in rural areas is an essential part of reducing the urban–rural disparity. The objective of this study was to examine the worsening admission rate among Ca...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2022-08-01
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| Series: | International Journal of Health Policy and Management |
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| Online Access: | https://www.ijhpm.com/article_4049_9236af45b31ddfde99957263701e7247.pdf |
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| author | Yurie Kobashi Sophathya Cheam Yoshifumi Hayashi Masaharu Tsubokura Veyleang Ly Chanmakara Noun Takehiro Kozuma Buntongyi Nit Manabu Okawada |
| author_facet | Yurie Kobashi Sophathya Cheam Yoshifumi Hayashi Masaharu Tsubokura Veyleang Ly Chanmakara Noun Takehiro Kozuma Buntongyi Nit Manabu Okawada |
| author_sort | Yurie Kobashi |
| collection | DOAJ |
| description | Background Regional disparity is an imperative component of health disparity. In particular, providing emergency care that is equally available in rural areas is an essential part of reducing the urban–rural disparity. The objective of this study was to examine the worsening admission rate among Cambodian emergency patients in a rural area and determine their background characteristics that cause this decline. Methods To investigate the disparity among patients who visited Sunrise Japan Hospital (SJH), a major general private hospital in the capital, patient data from November 2016 to September 2019 were obtained from the electronic reception patient database. The primary outcome was defined as the proportion of admission patients as an indicator of illness severity. The patients’ addresses were classified into 4 areas based on distance from the capital. Results A total of 6167 patients who visited the emergency department at SJH between January 2017 and September 2019 were included in the analysis. The proportion of patients who needed to be hospitalized or transferred increased with the distance from the capital. The proportion of patients who finished consultation decreased with the distance from the capital (P < .01: Chi- square test). The results of the logistic regression analysis showed that the admission rate in rural areas was significantly higher only among males as compared to that of the capital in multivariate analyses adjusted for age, time, and season. Conclusion The admission rate of emergency patients who visited a private general hospital in Cambodia’s capital city increased with distance from the capital city. To improve regional disparity among emergency patients, further research is necessary to identify the issues among emergency patients, especially those who are vulnerable. |
| first_indexed | 2024-04-10T05:29:15Z |
| format | Article |
| id | doaj.art-9362fdd38df14775a399e245334f7686 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 |
| language | English |
| last_indexed | 2024-04-10T05:29:15Z |
| publishDate | 2022-08-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-9362fdd38df14775a399e245334f76862023-03-07T09:11:26ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392022-08-011181425143110.34172/ijhpm.2021.444049Regional Differences in Admission Rates of Emergency Patients Who Visited a Private General Hospital in the Capital City of Cambodia: A Three-Year Observational StudyYurie Kobashi0Sophathya Cheam1Yoshifumi Hayashi2Masaharu Tsubokura3Veyleang Ly4Chanmakara Noun5Takehiro Kozuma6Buntongyi Nit7Manabu Okawada8Department of General Internal Medicine, Sunrise Japan Hospital Phnom Penh, Phnom Penh, CambodiaDepartment of Pediatrics, Sunrise Japan Hospital Phnom Penh, Phnom Penh, CambodiaDepartment of Neurosurgery, Sunrise Japan Hospital Phnom Penh, Phnom Penh, CambodiaDepartment of Internal Medicine, Soma Central Hospital, Fukushima, JapanDepartment of General Internal Medicine, Sunrise Japan Hospital Phnom Penh, Phnom Penh, CambodiaDepartment of General Internal Medicine, Sunrise Japan Hospital Phnom Penh, Phnom Penh, CambodiaDepartment of General Internal Medicine, Sunrise Japan Hospital Phnom Penh, Phnom Penh, CambodiaDepartment of Medicine, University of Puthisastra, Phnom Penh, CambodiaDepartment of Pediatrics, Sunrise Japan Hospital Phnom Penh, Phnom Penh, CambodiaBackground Regional disparity is an imperative component of health disparity. In particular, providing emergency care that is equally available in rural areas is an essential part of reducing the urban–rural disparity. The objective of this study was to examine the worsening admission rate among Cambodian emergency patients in a rural area and determine their background characteristics that cause this decline. Methods To investigate the disparity among patients who visited Sunrise Japan Hospital (SJH), a major general private hospital in the capital, patient data from November 2016 to September 2019 were obtained from the electronic reception patient database. The primary outcome was defined as the proportion of admission patients as an indicator of illness severity. The patients’ addresses were classified into 4 areas based on distance from the capital. Results A total of 6167 patients who visited the emergency department at SJH between January 2017 and September 2019 were included in the analysis. The proportion of patients who needed to be hospitalized or transferred increased with the distance from the capital. The proportion of patients who finished consultation decreased with the distance from the capital (P < .01: Chi- square test). The results of the logistic regression analysis showed that the admission rate in rural areas was significantly higher only among males as compared to that of the capital in multivariate analyses adjusted for age, time, and season. Conclusion The admission rate of emergency patients who visited a private general hospital in Cambodia’s capital city increased with distance from the capital city. To improve regional disparity among emergency patients, further research is necessary to identify the issues among emergency patients, especially those who are vulnerable.https://www.ijhpm.com/article_4049_9236af45b31ddfde99957263701e7247.pdfhealth disparityregional disparitydeveloping countryglobal healthemergency care |
| spellingShingle | Yurie Kobashi Sophathya Cheam Yoshifumi Hayashi Masaharu Tsubokura Veyleang Ly Chanmakara Noun Takehiro Kozuma Buntongyi Nit Manabu Okawada Regional Differences in Admission Rates of Emergency Patients Who Visited a Private General Hospital in the Capital City of Cambodia: A Three-Year Observational Study International Journal of Health Policy and Management health disparity regional disparity developing country global health emergency care |
| title | Regional Differences in Admission Rates of Emergency Patients Who Visited a Private General Hospital in the Capital City of Cambodia: A Three-Year Observational Study |
| title_full | Regional Differences in Admission Rates of Emergency Patients Who Visited a Private General Hospital in the Capital City of Cambodia: A Three-Year Observational Study |
| title_fullStr | Regional Differences in Admission Rates of Emergency Patients Who Visited a Private General Hospital in the Capital City of Cambodia: A Three-Year Observational Study |
| title_full_unstemmed | Regional Differences in Admission Rates of Emergency Patients Who Visited a Private General Hospital in the Capital City of Cambodia: A Three-Year Observational Study |
| title_short | Regional Differences in Admission Rates of Emergency Patients Who Visited a Private General Hospital in the Capital City of Cambodia: A Three-Year Observational Study |
| title_sort | regional differences in admission rates of emergency patients who visited a private general hospital in the capital city of cambodia a three year observational study |
| topic | health disparity regional disparity developing country global health emergency care |
| url | https://www.ijhpm.com/article_4049_9236af45b31ddfde99957263701e7247.pdf |
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