Document Detail

Distance to hospital and utilization of surgical services in Haiti: do children, delivering mothers, and patients with emergent surgical conditions experience greater geographical barriers to surgical care?
MedLine Citation:
PMID:  22936638     Owner:  NLM     Status:  Publisher    
BACKGROUND: An inverse relationship between healthcare utilization and distance to care has been previously described. The purpose of this study was to evaluate this effect related to emergency and essential surgical care in central Haiti. METHODS: We conducted a retrospective review of operative logbooks from the Clinique Bon Sauveur in Cange, Haiti, from 2008 to 2010. We used Geographic Information Systems to map the home locations of all patients. Spearman's correlation was used to determine the relationship between surgical utilization and distance, and a multivariate linear regression model identified characteristics associated with differences in distances traveled to care. RESULTS: The highest annual surgical utilization rate was 184 operations/100 000 inhabitants. We found a significant inverse correlation between surgical utilization rate and distance from residence to hospital (r(s)  = -0.68, p = 0.02). The median distance from residence to hospital was 55.9 km. Pediatric patients lived 10.1% closer to the hospital than adults (p < 0.01), and distance from residence to hospital was not significantly different between men and women (p = 0.25). Patients who received obstetric or gynecologic surgery originated 7.8% closer to the hospital than patients seeking other operations (p < 0.01), and patients who received emergent surgical care originated 24.8% closer to the hospital than patients who received elective surgery (p < 0.01). CONCLUSIONS: Utilization of surgical services was low and inversely related to distance from residence to hospital in rural areas of central Haiti. Children and patients receiving obstetric, gynecologic or emergent surgery lived significantly closer to the hospital, and these groups may need special attention to ensure adequate access to surgical care. Copyright © 2012 John Wiley & Sons, Ltd.
James M Friedman; Lars Hagander; Christopher D Hughes; Katherine A Nash; Allison F Linden; Jeff Blossom; John G Meara
Related Documents :
24616248 - Predictors for prolonged hospital stay after transcather mitral valve repair with the m...
25114488 - Retrospective assessment of factors associated with readmission in a large psychiatric ...
24922868 - 77 impact of frailty on length of hospital stay after percutaneous coronary intervent...
23388518 - Extracorporeal cardiopulmonary resuscitation for patients with out-of-hospital cardiac ...
21655788 - The difficulties of educating children with chronic illness in the hospital context.
17504278 - How intravenous immunoglobulin is used in clinical practice: audits of two sydney teach...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-31
Journal Detail:
Title:  The International journal of health planning and management     Volume:  -     ISSN:  1099-1751     ISO Abbreviation:  Int J Health Plann Manage     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8605825     Medline TA:  Int J Health Plann Manage     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 John Wiley & Sons, Ltd.
Program in Global Surgery and Social Change, Harvard Medical School, Boston, Massachusetts, USA; Department of Plastic and Oral Surgery, Children's Hospital Boston, Boston, Massachusetts, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Drug-drug interaction study to assess the effects of atorvastatin co-administration on pharmacokinet...
Next Document:  An RNA Splicing Enhancer that Does Not Act by Looping.