ArticleJournal of preventive medicine and public health = Yebang Uihakhoe chi2016
The Effect of Geographic Units of Analysis on Measuring Geographic Variation in Medical Services Utilization.
Article in Journal of preventive medicine and public health = Yebang Uihakhoe chi, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Healthcare service use and medical outcomes of tracheostomy-dependent children: a nationwide study.BMJ paediatrics open · 2024Article
- Geographic Distribution of Central Nervous System Rehabilitation Treatment in Korea and Its Associated Factors.Journal of Korean medical science · 2023Article
- Defining Referral Regions for Inpatient Trauma Care: The Utility of a Novel Geographic Definition.The Journal of surgical research · 2022Article
- Regional Variation of Hospitalization Rates for Asthma in Korea: Association with Ambient Carbon Monoxide and Health Care Supply.International journal of environmental research and public health · 2020Article
- Healthcare utilization among children and young people with life-limiting conditions: Exploring palliative care needs using National Health Insurance claims data.Scientific reports · 2020Article
- Factors associated with the rates of coronary artery bypass graft and percutaneous coronary intervention.BMC cardiovascular disorders · 2019Article
- Geographic variation and factors associated with rates of knee arthroplasty in Korea-a population based ecological study.BMC musculoskeletal disorders · 2019Article
- An ecological study of geographic variation and factors associated with cesarean section rates in South Korea.BMC pregnancy and childbirth · 2019Article
- Hospitalizations for ambulatory care sensitive conditions as an indicator of access to primary care and excess of bed supply.BMC health services research · 2019Article
- Regional Differences in Years of Life Lost in Korea from 1997 to 2015.Journal of Korean medical science · 2019Article
- A spatial analysis of geographic variation and factors associated with hospitalization for bacterial pneumonia in Korea.BMC pulmonary medicine · 2019Article
- A framework for the identification and classification of homogeneous socioeconomic areas in the analysis of health care variation.International journal of health geographics · 2018Article
- Regional variation in healthcare spending and mortality among senior high-cost healthcare users in Ontario, Canada: a retrospective matched cohort study.BMC geriatrics · 2018Article
- Geographic variation in health insurance benefits in Qianjiang District, China: a cross-sectional study.International journal for equity in health · 2018Article
- Senior high-cost healthcare users' resource utilization and outcomes: a protocol of a retrospective matched cohort study in Canada.BMJ open · 2017Observational
- Evaluation of Geographic Indices Describing Health Care Utilization.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2017Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe aimed to evaluate the effect of geographic units of analysis on measuring geographic variation in medical services utilization. For this purpose, we compared geographic variations in the rates of eight major procedures in administrative units (districts) and new areal units organized based on the actual health care use of the population in Korea.
methodsTo compare geographic variation in geographic units of analysis, we calculated the age-sex standardized rates of eight major procedures (coronary artery bypass graft surgery, percutaneous transluminal coronary angioplasty, surgery after hip fracture, knee-replacement surgery, caesarean section, hysterectomy, computed tomography scan, and magnetic resonance imaging scan) from the National Health Insurance database in Korea for the 2013 period. Using the coefficient of variation, the extremal quotient, and the systematic component of variation, we measured geographic variation for these eight procedures in districts and new areal units.
resultsCompared with districts, new areal units showed a reduction in geographic variation. Extremal quotients and inter-decile ratios for the eight procedures were lower in new areal units. While the coefficient of variation was lower for most procedures in new areal units, the pattern of change of the systematic component of variation between districts and new areal units differed among procedures.
conclusionsGeographic variation in medical service utilization could vary according to the geographic unit of analysis. To determine how geographic characteristics such as population size and number of geographic units affect geographic variation, further studies are needed.
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