Background
Methods
Data
-
Urbanity:
-
Urban and suburban areas:
-
Isolated villages
-
Rural areas
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Main language spoken in medstat:
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German/Romanic
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French
-
Italian
Data analysis and statistics
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HSAP
-
Classification according to urbanity of patient's medstat
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Classification according to main language [German, French, Italian] of patient's medstat
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Year of hospitalization
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Male/female ratio in the population
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Swiss/non-Swiss ratio in the population
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Amount of ambulatory/short stay care provided by hospital's outpatient clinic as ambulatory/short stay consultations/1000 children in medstat.
Results
Hospital discharges
Stationary Hospitalization rates
Population | Hospital discharges per 1000 children per year | |||
---|---|---|---|---|
mean [median] | range | SD | ||
Total
| 387'181 | 66.1 [61.8] | 16.2 – 252.9 | 25.1 |
Sex
| ||||
female | 198'734 | 57. 8a [54.6] | 10.0 – 224.7 | 24.1 |
male | 188'447 | 74.0b [68.9] | 21.9 – 281.2 | 29.2 |
Rurality
| ||||
Inner city | 92'183 | 74.2a [70.0] | 17.5 – 172.3 | 29.7 |
Village | 162'641 | 68.3b [64.7] | 16.2 – 238.0 | 24.7 |
Rural areas | 132'357 | 60.9b [57.5] | 21.7 – 252.9 | 22.4 |
Residential status
| ||||
Swiss resident | 286'612 | 61.2a [57.9] | 10.7 – 217.9 | 21.1 |
Non Swiss resident | 100'569 | 86.6b [77.4] | 9.2 – 255.5 | 43.2 |
Language region
| ||||
German | 274'467 | 62.2a [58.3] | 16.2 – 160.1 | 21.4 |
French | 97'679 | 77.6b [70.6] | 32.1 – 252.9 | 32.9 |
Italian | 15'035 | 89.9c [89.4] | 57.5 –129.1 | 19.9 |
Ambulatory/outpatient consultations
HSAP and medstat characteristics
Multiple regression analyses of hospitalization rates
Urbanity | Difference in LSM | Adjusted CL95 | Adj. P | |
---|---|---|---|---|
German
| Inner city vs. Isolated village | 9.9 | 6.9 – 14.8 |
<0.0001
|
Inner city vs. Country side | 17.8 | 14.9 – 21.6 |
<0.0001
| |
Isolated village vs. Country side | 7.9 | 5.7 – 10.7 |
<0.0001
| |
French
| Inner city vs. Isolated village | -1.2 | -9.2 – 6.8 | n.s. |
Inner city vs. Country side | 0.9 | -8.2 – 9.9 | n.s. | |
Isolated village vs. Country side | 2.1 | -5.3 – 9.4 | n.s. | |
Italian
| Inner city vs. Isolated village | 12.88 | 0.16 – 25.61 |
0.0471
|
Inner city vs. Country side | 49.86 | 34.16 – 65.57 |
<0.0001
| |
Isolated village vs. Country side | 36.98 | 25.07 – 48.88 |
<0.0001
|
German regions (R2 = 0.36)a
| Estimate | SE | P |
---|---|---|---|
Intercept | 45.3 | 6.7 |
<0.0001
|
Ambulatory hospitalization rate per 1000 children in medstat | 0.01 | 0.009 | n.s. |
Length of stay | 0.02 | 0.21 | n.s. |
Ratio of boys to girls | 4.4 | 5.3 | n.s. |
Ratio Swiss to non Swiss residents | -0.29 | 0.1 |
0.0001
|
French region (R2 = 0.41)a
| |||
Intercept | 187.60 | 23.18 |
<0.0001
|
Ambulatory hospitalization rate per 1000 children in medstat | -0.08 | 0.02 |
0.0006
|
Length of stay | -1.2 | 0.57 |
0.0431
|
Ratio of boys to girls | -8.3 | 18.4 | n.s. |
Ratio Swiss to non Swiss residents | -1.04 | 0.44 |
0.0290
|
Italian region (R2 = 0.51)a
| |||
Intercept | -7.30 | 30.3 | n.s. |
Ambulatory hospitalization rate per 1000 children in medstat | -0.02 | 0.27 | n.s. |
Length of stay | -0.71 | 1.3 | n.s. |
Ratio of boys to girls | 64.8 | 25.0 |
0.0115
|
Ratio of Swiss to non Swiss residents | -0.58 | 0.86 | n.s. |