Trajectories of Outpatient Service Utilisation of Hypertensive Patients in Tertiary Hospitals in China
This study aims to identify the characteristics and trajectories of outpatient service utilisation for hypertensive patients in tertiary hospitals. This study also attempts to investigate the determinants of the trajectories of outpatient service utilisation. A total of 9822 patients with hypertensi...
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doaj-2cbdd2ba9f1c4ff080f6f23a6e3fc7b92020-11-25T03:33:08ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012020-01-0117385210.3390/ijerph17030852ijerph17030852Trajectories of Outpatient Service Utilisation of Hypertensive Patients in Tertiary Hospitals in ChinaZijing Pan0Wanchun Xu1Zhong Li2Chengzhong Xu3Fangfang Lu4Pei Zhang5Liang Zhang6Ting Ye7School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan 430030, ChinaSchool of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan 430030, ChinaSchool of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan 430030, ChinaYichang Centre for Disease Control and Prevention, Yichang 443000, ChinaYichang Centre for Disease Control and Prevention, Yichang 443000, ChinaYichang Centre for Disease Control and Prevention, Yichang 443000, ChinaSchool of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan 430030, ChinaSchool of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan 430030, ChinaThis study aims to identify the characteristics and trajectories of outpatient service utilisation for hypertensive patients in tertiary hospitals. This study also attempts to investigate the determinants of the trajectories of outpatient service utilisation. A total of 9822 patients with hypertension and hypertension-related medical utilisation were recruited in Yichang, China from January 1 to December 31 in 2016. The latent trajectories of outpatient service utilisation were identified through latent class growth analysis. Differences in the demographic characteristics and medical utilisation among patients in different trajectories were tested by one-way ANOVA and chi-square analysis. The predictors of the trajectory groups of outpatient service utilisation were identified through multinomial logistic regression. Four trajectory groups were determined as stable-low (34.7%), low-fluctuating (13.4%), high-fluctuating (22.5%), and stable-high (29.4%). Significant differences were observed in all demographic characteristics (<i>p</i> < 0.001) and medical service utilisation variables (<i>p</i> < 0.001) among the four trajectories except for inpatient cost (<i>p</i> = 0.072). Determinants for outpatient service utilisation patterns include the place of residence, education level, outpatient visit times, inpatient service utilisation, and outpatient cost. Overall, hypertensive patients visiting outpatient units in the tertiary hospital were middle-aged, elderly, and well-educated, and they received poor follow-up services. The four identified latent trajectories have different characteristics and medical utilisation patterns. Trajectory group-based measurements are necessary for hypertension management and economic burden reduction.https://www.mdpi.com/1660-4601/17/3/852hypertensionlatent class growth analysismedical expendituresoutpatient utilisation pattern |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Zijing Pan Wanchun Xu Zhong Li Chengzhong Xu Fangfang Lu Pei Zhang Liang Zhang Ting Ye |
spellingShingle |
Zijing Pan Wanchun Xu Zhong Li Chengzhong Xu Fangfang Lu Pei Zhang Liang Zhang Ting Ye Trajectories of Outpatient Service Utilisation of Hypertensive Patients in Tertiary Hospitals in China International Journal of Environmental Research and Public Health hypertension latent class growth analysis medical expenditures outpatient utilisation pattern |
author_facet |
Zijing Pan Wanchun Xu Zhong Li Chengzhong Xu Fangfang Lu Pei Zhang Liang Zhang Ting Ye |
author_sort |
Zijing Pan |
title |
Trajectories of Outpatient Service Utilisation of Hypertensive Patients in Tertiary Hospitals in China |
title_short |
Trajectories of Outpatient Service Utilisation of Hypertensive Patients in Tertiary Hospitals in China |
title_full |
Trajectories of Outpatient Service Utilisation of Hypertensive Patients in Tertiary Hospitals in China |
title_fullStr |
Trajectories of Outpatient Service Utilisation of Hypertensive Patients in Tertiary Hospitals in China |
title_full_unstemmed |
Trajectories of Outpatient Service Utilisation of Hypertensive Patients in Tertiary Hospitals in China |
title_sort |
trajectories of outpatient service utilisation of hypertensive patients in tertiary hospitals in china |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2020-01-01 |
description |
This study aims to identify the characteristics and trajectories of outpatient service utilisation for hypertensive patients in tertiary hospitals. This study also attempts to investigate the determinants of the trajectories of outpatient service utilisation. A total of 9822 patients with hypertension and hypertension-related medical utilisation were recruited in Yichang, China from January 1 to December 31 in 2016. The latent trajectories of outpatient service utilisation were identified through latent class growth analysis. Differences in the demographic characteristics and medical utilisation among patients in different trajectories were tested by one-way ANOVA and chi-square analysis. The predictors of the trajectory groups of outpatient service utilisation were identified through multinomial logistic regression. Four trajectory groups were determined as stable-low (34.7%), low-fluctuating (13.4%), high-fluctuating (22.5%), and stable-high (29.4%). Significant differences were observed in all demographic characteristics (<i>p</i> < 0.001) and medical service utilisation variables (<i>p</i> < 0.001) among the four trajectories except for inpatient cost (<i>p</i> = 0.072). Determinants for outpatient service utilisation patterns include the place of residence, education level, outpatient visit times, inpatient service utilisation, and outpatient cost. Overall, hypertensive patients visiting outpatient units in the tertiary hospital were middle-aged, elderly, and well-educated, and they received poor follow-up services. The four identified latent trajectories have different characteristics and medical utilisation patterns. Trajectory group-based measurements are necessary for hypertension management and economic burden reduction. |
topic |
hypertension latent class growth analysis medical expenditures outpatient utilisation pattern |
url |
https://www.mdpi.com/1660-4601/17/3/852 |
work_keys_str_mv |
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