Greener Journal of Medical Sciences Vol. 5 (2), pp. 026-032, April 2015.
Manuscript Number: 012315014
The impact of renal dialysis on hospital separations: The case of Pacific Island communities in the State of Queensland, Australia
Prof. David Achanfuo Yeboah
Professor of Epidemiology, Abu Dhabi University.
E-mail: david.yeboah @adu. ac.ae
The issue of hospital morbidity, and in particular hospital admissions, has been discussed over and over again in Australia and other jurisdictions. There has always been the perceived position that some conditions necessitate repeat visits to hospital and put undue pressure on the Queensland hospital system and its associated resources. This study investigates hospital morbidity among the Pacific Island communities in Queensland. The specific objective is to establish the contribution of renal dialysis to total hospital separations in general and avoidable hospital separations in particular. The study found that conditions such as diabetes complications contribute strongly to hospital separations of the Pacific Island communities, and that the marginal effect of renal dialysis was large. The standardised separation ratio (SSR) for all causes was more than halved when renal dialysis was excluded. The study concludes that renal dialysis contributes strongly to hospital morbidity and hospital separations of Pacific Island communities in Queensland, Australia. The study concludes further that the very strong contribution of renal dialysis to hospital separations can be reduced with improvements in the management of chronic disease.
Keywords: Renal Dialysis, Renal Hospital Separations, Pacific Island Communities, Queensland.
Chand, M (2010): Health stratus of Pacific Island populations in Queensland. Brisbane, Queensland Health.
Coulter, A. (2007): The effectiveness of strategies for informing, educating and involving patients. British Medical Journal, 335: 24-27.
Dowrick, G. (2006): The chronic disease strategy for Australia. Medical Journal of Australia, 185 (2): 61-62.
Duckett, S. J. (2009): Are we ready for the next big step? Medical Journal of Australia, 190 (12): 687-688.
Folaki, S., and Pearce, N. (2003): Prevention and control of diabetes in Pacific people. British Medical Journal, 327.
Glover, J (2007): Atlas of avoidable hospitalizations in Australia: Ambulatory care-sensitive conditions. Adelaide, Australian Institute of Health and Welfare.
Long, K. R., Ritter, P, Stewalt, A. L, Sobel, D. S., Brown, B. W., er al.(2001) Chronic disease self-management program: 2-year health status and health care utilisation outcomes. Medical Care, 39 (11): 1217-1223.
McDonald, S., and Ross, G. (2003): Burden of end-stage renal disease among indigenous people in Australian and New Zealand. Kidney International, 83:5123-5127.
Norris, S. L., Nichols, P. J., Carspersen, C. J., Glasgow, R. E., Engelgau, M. M., Jack, L., et al. (2002): Increasing diabetes self-management education in community settings: A systematic review. American Journal of Preventive Medicine, (4): 39-66.
Queensland Health (2006): Queensland Strategy for Chronic Disease 2005-2011. Brisbane, Queensland Health.
Queensland Health (2008): The health of Queenslanders: Prevention of chronic disease... Brisbane, Queensland Health.
Queensland Health (2009): Framework for self-management 2008-2015. Brisbane, Queensland Health.
Yeboah, D. A. (2000): Culturally appropriate health service in Australia and New Zealand. In Handbook of Global Technology Policy, Nagel S (Ed), New York, Marcel Dekker, Inc: 251-260.
Yeboah, D A. (2005) A framework for place based health planning. Australian Health Review, 27 (3), 41-50.
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