Self-rated health and hospital services use in the Spanish National Health System: a longitudinal study

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Título: Self-rated health and hospital services use in the Spanish National Health System: a longitudinal study
Autor/es: Tamayo Fonseca, Nayara | Nolasco, Andreu | Quesada, José Antonio | Pereyra-Zamora, Pamela | Melchor-Alós, Inmaculada | Moncho, Joaquin | Calabuig Pérez, Julia | Barona, Carmen
Grupo/s de investigación o GITE: Grupo Balmis de Investigación en Salud Comunitaria e Historia de la Ciencia
Centro, Departamento o Servicio: Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia
Palabras clave: Self-rated health | Hospitalization | Health services use | Health indicators | Longitudinal study
Área/s de conocimiento: Enfermería
Fecha de publicación: 4-nov-2015
Editor: BioMed Central
Cita bibliográfica: BMC Health Services Research 2015, 15:492. doi:10.1186/s12913-015-1158-8
Resumen: Background: Self-rated health is a subjective measure that has been related to indicators such as mortality, morbidity, functional capacity, and the use of health services. In Spain, there are few longitudinal studies associating self-rated health with hospital services use. The purpose of this study is to analyze the association between self-rated health and socioeconomic, demographic, and health variables, and the use of hospital services among the general population in the Region of Valencia, Spain. Methods: Longitudinal study of 5,275 adults who were included in the 2005 Region of Valencia Health Survey and linked to the Minimum Hospital Data Set between 2006 and 2009. Logistic regression models were used to calculate the odds ratios between use of hospital services and self-rated health, sex, age, educational level, employment status, income, country of birth, chronic conditions, disability and previous use of hospital services. Results: By the end of a 4-year follow-up period, 1,184 participants (22.4 %) had used hospital services. Use of hospital services was associated with poor self-rated health among both men and women. In men, it was also associated with unemployment, low income, and the presence of a chronic disease. In women, it was associated with low educational level, the presence of a disability, previous hospital services use, and the presence of chronic disease. Interactions were detected between self-rated health and chronic disease in men and between self-rated health and educational level in women. Conclusions: Self-rated health acts as a predictor of hospital services use. Various health and socioeconomic variables provide additional predictive capacity. Interactions were detected between self-rated health and other variables that may reflect different complex predictive models, by gender.
URI: http://hdl.handle.net/10045/51105
ISSN: 1472-6963
DOI: 10.1186/s12913-015-1158-8
Idioma: eng
Tipo: info:eu-repo/semantics/article
Derechos: © 2015 Tamayo-Fonseca et al. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Revisión científica: si
Versión del editor: http://dx.doi.org/10.1186/s12913-015-1158-8
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