Evidence map›Paper›PMID 28173689›Full record

ArticleJournal of preventive medicine and public health = Yebang Uihakhoe chi2017

Evaluation of Geographic Indices Describing Health Care Utilization.

Agnus M Kim, Jong Heon Park, Sungchan Kang, Yoon Kim

Abstract read
In one paragraph

Article in Journal of preventive medicine and public health = Yebang Uihakhoe chi, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Agnus M KimDepartment of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea.
Jong Heon ParkDepartment of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea.
Sungchan KangDepartment of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea.
Yoon KimDepartment of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe accurate measurement of geographic patterns of health care utilization is a prerequisite for the study of geographic variations in health care utilization. While several measures have been developed to measure how accurately geographic units reflect the health care utilization patterns of residents, they have been only applied to hospitalization and need further evaluation. This study aimed to evaluate geographic indices describing health care utilization.

methodsWe measured the utilization rate and four health care utilization indices (localization index, outflow index, inflow index, and net patient flow) for eight major procedures (coronary artery bypass graft surgery, percutaneous transluminal coronary angioplasty, surgery after hip fracture, knee replacement surgery, caesarean sections, hysterectomy, computed tomography scans, and magnetic resonance imaging scans) according to three levels of geographic units in Korea. Data were obtained from the National Health Insurance database in Korea. We evaluated the associations among the health care utilization indices and the utilization rates.

resultsIn higher-level geographic units, the localization index tended to be high, while the inflow index and outflow index were lower. The indices showed different patterns depending on the procedure. A strong negative correlation between the localization index and the outflow index was observed for all procedures. Net patient flow showed a moderate positive correlation with the localization index and the inflow index.

conclusionsHealth care utilization indices can be used as a proxy to describe the utilization pattern of a procedure in a geographic unit.

Indexed as

Angioplasty, Balloon, CoronaryArthroplasty, Replacement, KneeCesarean SectionCoronary Artery BypassDatabases, FactualHip FracturesHumansHysterectomyMagnetic Resonance ImagingNational Health ProgramsPatient Acceptance of Health CareRepublic of KoreaTomography, X-Ray ComputedHealth careInsuranceKoreaSmall-area analysisUtilizationVariation

Identifiers

PMID28173689
PMCPMC5327680

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.