scholarly journals Rural Population Aging and the Hospital Utilization in Cities: The Rise of Medical Tourism in China

2020 ◽  
Vol 17 (13) ◽  
pp. 4790
Author(s):  
Bing Hu ◽  
Daiyan Peng ◽  
Yuedong Zhang ◽  
Jiyu Yu
Keyword(s):  
Old Age ◽  
Significant Relationship ◽  
Medical Tourism ◽  
Market Concentration ◽  
Hospital Utilization ◽  
Aged Population ◽  
Income Groups ◽  
Urban Hospitals ◽  
Rural And Urban ◽  
Age Ratio

The disparity of rural and urban hospital utilization has aroused much concern. With the improvement of their living standards, patients in rural areas have an emerging need for traveling across borders for better medical treatment in China. This paper reveals the medical tourism of rural residents towards urban hospitals driven by hospital needs and points out that such disparities may be caused by medical tourism. The ratio of people aged 65 and above in total rural populations was used to identify the potential target customers for medical tourism. Based on rural and urban datasets ranging from 2007–2017 on the provincial level, this paper presents a mobile treatment model and market concentration model with an ecological foundation. The feasible generalized least squared approach was used in the estimation of the fixed-effect regressions. The study found that there was a positive and significant relationship between rural old-age ratios and urban inpatient visits from different income groups. On average, a one percent rise in rural old-age ratio would increase the inpatient visits of urban hospitals by 138 thousand persons. There was also a positive and significant relationship between the rural old-age ratio and the market concentration of urban inpatient visits. It was found that the rural old-age ratio significantly influenced the market concentration of urban inpatient visits in the middle-high income regions. The research showed that each income group from the rural aged population had participated in medical tourism, traveled to urbanized regions and made inpatient visits to urbanized medical facilities. It was also indicated that the rural aged population, especially from the middle-high income groups had a positive and significant influence on the market concentration of urban inpatient visits in the province.

scholarly journals Differences in Percutaneous Injury Patterns in A Multi-Hospital System

2003 ◽  
Vol 24 (10) ◽  
pp. 731-736 ◽  
Author(s):  
Hilary M. Babcock ◽  
Victoria Fraser
Keyword(s):  
Case Series ◽  
Rural Hospitals ◽  
Teaching Hospitals ◽  
Radiology Department ◽  
Chi Square ◽  
Hospital System ◽  
Injury Rates ◽  
Urban Hospitals ◽  
Rural And Urban ◽  
Different Types

AbstractObjective:Determine differences in patterns of percutaneous injuries (PIs) in different types of hospitals.Design:Case series of injuries occurring from 1997 to 2001.Setting:Large midwestern healthcare system with a consolidated occupational health database from 9 hospitals, including rural and urban, community and teaching (1 pediatric, 1 adult) facilities, ranging from 113 to 1,400 beds.Participants:Healthcare workers injured between 1997 and 2001.Results:Annual injury rates for all hospitals decreased during the study period from 21 to 16.5/100 beds (chi-square for trend = 22.7; P = .0001). Average annual injury rates were higher at larger hospitals (22.5 vs 9.5 Pis/100 beds; P = .0001). Among small hospitals, rural hospitals had higher rates than did urban hospitals (14.87 vs 8.02 PIs/100 beds; P = .0143). At small hospitals, an increased proportion of injuries occurred in the emergency department (13.7% vs 8.6%; P = .0004), operating room (32.3% vs 25.4%; P = .0002), and ICU (12.3% vs 9.4%; P = .0225), compared with large hospitals. Rural hospitals had higher injury rates in the radiology department (7.7% vs 2%; P = .0015) versus urban hospitals. Injuries at the teaching hospitals occurred more commonly on the wards (28.8% vs 24%; P = .0021) and in ICUs (11.4% vs 7.8%; P = .0006) than at community hospitals. Injuries involving butterfly needles were more common at pediatric versus adult hospitals (15.8% vs 6.5%; P = .0001). The prevalence of source patients infected with HIV and hepatitis C was higher at large hospitals.Conclusions:Significant differences exist in injury rates and patterns among different types of hospitals. These data can be used to target intervention strategies.

scholarly journals Surgical Care Improvement Project Measures among Rural and Urban Hospitals in West Virginia

2016 ◽  
Vol 82 (1) ◽  
pp. 20-22
Author(s):  
Yuya K. Kudo ◽  
Linda V. Davis ◽  
Dustin M. Long ◽  
John C. Honaker ◽  
Don K. Nakayama
Keyword(s):  
West Virginia ◽  
Surgical Care ◽  
Improvement Project ◽  
Urban Hospitals ◽  
Rural And Urban ◽  
Surgical Care Improvement Project ◽  
Care Improvement

scholarly journals Quality of Care for Myocardial Infarction in Rural and Urban Hospitals

2010 ◽  
Vol 26 (1) ◽  
pp. 51-57 ◽  
Author(s):  
Laura-Mae Baldwin ◽  
Leighton Chan ◽  
C. Holly A. Andrilla ◽  
Edwin D. Huff ◽  
L. Gary Hart
Keyword(s):  
Myocardial Infarction ◽  
Quality Of Care ◽  
Urban Hospitals ◽  
Rural And Urban

Intercohort and Intracohort Redistribution under Old Age Insurance: The 1962–1972 Retirement Cohorts

1987 ◽  
Vol 15 (3) ◽  
pp. 259-281 ◽  
Author(s):  
Charles W. Meyer ◽  
Nancy L. Wolff
Keyword(s):  
Regression Analysis ◽  
Social Security ◽  
Old Age ◽  
Tabular Form ◽  
Income Groups ◽  
The Relationship ◽  
Over Time

Although Social Security Old Age Insurance (OAI) is similar in some respects to a private annuity, benefits typically contain large intercohort and intra-cohort redistribution components. The former are declining over time but the latter are a permanent feature of the program. This study disentangles the actuarially fair and redistributive elements in OAI benefit payments to a sample of individuals from the 1962–1972 retirement cohorts. Incidence of benefits, actuarially fair annuity payments, and redistributive components across income groups are presented in tabular form. Regression analysis is used to estimate the relationship between redistribution components, as a percentage of benefits, and various characteristics of the retirement population.

scholarly journals 162 Implementation of a mortuary-based fatal injury surveillance(FIS) system in rural and Urban Hospitals in Tanzania (2010–2015)

2016 ◽  
Vol 22 (Suppl 2) ◽  
pp. A59.3-A60 ◽  
Author(s):  
Ahmed Makata ◽  
Ruge Manyere ◽  
Charles Massambu ◽  
Amos Mwakigonja ◽  
Kidist Bartolomeous
Keyword(s):  
Injury Surveillance ◽  
Fatal Injury ◽  
Urban Hospitals ◽  
Rural And Urban

scholarly journals " Trend and Pattern of Aged Sex Ratio in Karnataka: A Geographical Analysis "

2017 ◽  
Vol 10 (1) ◽  
Author(s):  
Sowmyashree K L
Keyword(s):  
Life Expectancy ◽  
Sex Ratio ◽  
Old Age ◽  
Secondary Data ◽  
Temporal Patterns ◽  
The State ◽  
Unit Of Analysis ◽  
Geographical Analysis ◽  
Aged Population ◽  
Spatio Temporal

Sex ratio in Karnataka is becoming adverse to women, but is favourable for women, when aged sex ratio is noticed. It is because of difference in the life expectancy of different sexes, which leads to feminization at older ages. It shows that female aged population has been increasing drastically than their male counter-part. As a result of this trend the aged sex ratio has been at a faster rate increasing decade by decade but widely differs among different taluks or different spatial units. It is in this context, the present paper is an endeavour to analyse the spatio¬temporal patterns of old age sex ratio in Karnataka taking taluk as an unit of analysis based on secondary data. Choropleth technique is used for mapping. The study reveals that the state has higher elder sex ratio than the general sex ratio, from 1971-2001.

scholarly journals 398. Multicenter Evaluation of Outcomes of SARS-CoV-2 Positive Patients Treated at Rural vs Urban Hospitals in the United States

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S301-S301
Author(s):  
Karri A Bauer ◽  
Kalvin Yu ◽  
Vikas Gupta ◽  
Laura A Puzniak
Keyword(s):  
Cohort Analysis ◽  
The United States ◽  
Hospitalized Patients ◽  
Rural Hospital ◽  
Research Database ◽  
Urban Hospital ◽  
Becton Dickinson ◽  
Urban Hospitals ◽  
Rural And Urban ◽  
The Us

Abstract Background The SARS-CoV-2 pandemic has revealed socioeconomic and healthcare inequities in the US. With approximately 20% of the population living in rural areas, there are limitations to healthcare access due to economic constraints, geographical distances, and provider shortages. There is limited data evaluating outcomes associated with SARS-CoV-2 positive patients treated at rural vs. urban hospitals. The aim of the study was to evaluate characteristics and outcomes of SARS-CoV-2 positive patients treated at rural vs. urban hospitals in the US. Methods This was a multicenter, retrospective cohort analysis of adult (≥ 18 years) hospitalized patients from 241 US acute care facilities with >1 day inpatient admission with a discharge or death between 3/6/20-5/15/21 (BD Insights Research Database [Becton, Dickinson & Company, Franklin Lakes, NJ]), which includes both small and large hospitals in rural and urban areas. SARS-CoV-2 infection was identified by a positive PCR or antigen during or < 7 days prior to hospital admission. Descriptive statistics were completed. P value of ≤0.05 was considered statistically significant. Results Overall, 42 (17.4%) and 199 (82.6%) of hospitals were classified as rural and urban, respectively. A total of 304,073 patients were admitted to a rural hospital with 12,644 (4.2%) SARS-CoV-2 positive. In comparison, a total of 2,844,100 patients were treated at an urban hospital with 132,678 (4.7%) SARS-CoV-2 positive. Patients admitted to rural hospitals were older compared to those treated at an urban hospital (65.2 ± 17.3 vs. 61.5 ± 18.7, P=0.001) (Table 1). Patients treated at an urban facility had significantly higher rates of ICU admission, severe sepsis, and mechanical ventilation. ICU length of stay was significantly longer for patients admitted to an urban hospital compared to a rural hospital (8.1 ± 9.9 vs. 6.1 ±7.2 days, P=0.001) (Table 2). No difference in mortality was observed. Table 1. Characteristics of SARS-CoV-2 positive patients treated at rural vs. urban hospitals. Table 2. Outcomes of SARS-CoV-2 patients treated at rural vs. urban hospitals. *Patients with available data. Conclusion In this large multicenter evaluation of hospitalized patients positive for SARS-CoV-2, there were significant differences in patient characteristics. There was no observed difference in mortality. These findings are important in evaluating the pandemic’s impact on patients in rural and urban healthcare settings. Disclosures Karri A. Bauer, PharmD, Merck & Co., Inc. (Employee, Shareholder) Kalvin Yu, MD, BD (Employee) Vikas Gupta, PharmD, BCPS, Becton, Dickinson and Company (Employee, Shareholder) Laura A. Puzniak, PhD, Merck & Co., Inc. (Employee)

scholarly journals Changes in age ratio among rural and urban population in Romania

2004 ◽  
Vol 2 (1) ◽  
pp. 55-68
Author(s):  
Elemér Mezei ◽  
Traian Rotariu
Keyword(s):  
Urban Population ◽  
Rural And Urban ◽  
Age Ratio
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