ORIGINAL PAPER
Differences in selected medical care parameters in rheumatic disease ward patients of different ages of life
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Submission date: 2016-04-25
Final revision date: 2016-05-11
Acceptance date: 2016-05-13
Online publication date: 2016-06-03
Publication date: 2016-04-30
Reumatologia 2016;54(2):54-60
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ABSTRACT
Introduction: Rheumatic diseases are becoming more and more common in Poland with the ageing of the population. Nearly 18% of the total hospital admissions in Poland result from rheumatic diseases, which was equivalent to 350 thousand cases in the year 2008. These diseases tend to last for many decades, decreasing both the quality of life and income of the patients as well as increasing the medical institutions’ workload and society’s financial burden.
The aim of the study was to determine whether the medical care parameters in a rheumatic disease hospital ward show any significant differences among different patient age groups – especially such that would support taking them into account as a basis for adjusting the financial coverage level of medical services.
Material and methods: Data on hospitalizations at the Rheumatic Diseases Ward of Wroclaw University Hospital in Wroclaw in the years 2009–2015 were analyzed, taking into account the age groups, number of hospital admissions, their duration and causes. Relevant statistical data analysis was performed.
Discussion: The study revealed that the number of old patients hospitalized at the rheumatic diseases ward increased over the last 6 years and that such statistically significant differences do exist: on average the old patients not only tend to stay much longer at the hospital, but also suffer from a different and more diverse spectrum of diseases in comparison to their younger counterparts.
Conclusions: The detected differences in medical care parameters support the need for more individualized medical care and increased cost of the hospital stay in the case of older patients. Consequently, those factors justify the necessity to increase the value of medical services in the case of old patients, possibly also taking into account the variation between age subgroups.
REFERENCES (24)
1.
Owczarek AJ, Michalik R, Kotyla P, Kucharz EJ. The effects of clinical, epidemiological and economic aspects of changes in classification criteria of selected rheumatic diseases. Reumatologia 2014; 52: 136-141.
2.
Raciborski F, Kłak A, Kwiatkowska B. Indirect costs of rheumatoid arthritis. Reumatologia 2015; 53: 268-275.
3.
Państwowy Zakład Higieny, Zakład – Centrum Monitorowania i Analiz Stanu Zdrowia Ludności, Badanie Chorobowości Szpitalnej Ogólnej.
http://www.statystyka.medstat.... [Access: 9.05.2016].
4.
Kulikowski K. Quality of life in the context of psychology and medicine. Reumatologia 2014; 52: 200-206.
5.
Wysocka-Skurska I, Sierakowska M, Sierakowski S. Evaluation of the quality of life of patients with rheumatoid arthritis depending on the used therapy. Reumatologia 2012; 50: 16-23.
6.
Jankowska-Polańska B, Polański J. Methods of evaluation of the quality of life in rheumatic diseases. Reumatologia 2014; 52: 69-76.
7.
Śliwczyński A, Brzozowska M, Illitchev P, et al. Changes in the morbidity and costs of systemic lupus erythematosus in Poland in the years 2008–2012. Reumatologia 2015; 53: 79-86.
8.
Raciborski F, Władysiuk M, Bebrysz M, Samoliński B. Productivity loss as a result of rheumatic diseases – absenteeism and presenteeism. Reumatologia 2013; 51: 355-362.
9.
Grygielska J. Ocena wybranych dziedzin życia w chorobach reumatycznych – analiza porównawcza badań ankietowych. Reumatologia 2008; 46: 230-234.
10.
Bączyk G. The review of investigations of quality of life of patients with rheumatoid arthritis. Reumatologia 2008; 46: 372-379.
11.
Grygielska J. The impact of rheumatoid arthritis on the economic situation of Polish households. Reumatologia 2013; 51: 348-354.
12.
Smoleńska Z, Zdrojewski Z. Odmienności w przebiegu chorób reumatycznych u osób w podeszłym wieku. Gerontologia Polska 2010; 18: 169-175.
13.
Zakład Ubezpieczeń Społecznych, Departament Statystyki i Prognoz Aktuarialnych Wydatki na świadczenia z ubezpieczeń społecznych związane z niezdolnością do pracy w 2014 r.
http://www.zus.pl/files/Wydatk... pp. 23-28 [Access: 9.05. 2016].
14.
Mańczak M, Moskalewicz B. Hospital admissions caused by diseases of the musculoskeletal system in the Silesia Province in 1999–2003. Reumatologia 2008; 46: 10-15.
15.
Sudoł K, Moskalewicz B. Long-term care in the chronic rheumatic diseases – transition of care between the adolescence and adult care. Reumatologia 2008; 46: 290-294.
16.
Di Giulio C, Antosiewicz J, Walski M, et al. Physiological Caro-.
17.
tid Body Denervation During Aging. Adv Exp Med Biol 2009; 648: Arterial Chemoreceptors: 257-263.
18.
Rosental T, Naughton B, Williams M. Geriatria. Wydawnictwo Czelej, Lublin 2009; 566-567.
19.
Raciborski F, Samoliński B. Supply and demand for long-term care services from the perspective of leaders of health care institutions. Reumatologia 2015; 53: 252-259.
20.
Gałązka-Sobotka M, Gryglewicz J. Stan zasobów ochrony zdrowia w zakresie reumatologii w Polsce i kierunki ich rozwoju. In: System ochrony zdrowia. Nojszewska E (ed.). Wolters Kluwer Sp. z o.o., Warszawa 2011; 278-305.
21.
Drobnik J, Kollbek P, Pobrotyn P. Leczeni w latach 2002 i 2003 w szpitalach ogólnych w województwie dolnośląskim mających kontrakty z Kasą Chorych oraz leczeni w tych szpitalach w roku 1999. In: Analiza wybranych parametrów zdrowotnych mieszkańców Dolnego Śląska w latach 1999–2003. Drobnik J, Kollbek P (eds.). Partner System, Wrocław 2005; 75-77.
22.
Drobnik J, Kollbek P, Pobrotyn P. Hospitalizacja niektórych jednostek chorobowych według wybranych grup wiekowych i płci. In: Analiza wybranych parametrów zdrowotnych mieszkańców Dolnego Śląska w latach 1999–2003. Drobnik J, Kollbek P (eds.). Partner System, Wrocław 2005; 97-140.
23.
Drobnik J. Ocena wybranych parametrów świadczeń zdrowotnych i systemu sprawozdawczości w ochronie zdrowia w zakresie analizy trendów epidemiologicznych i potrzeb zdrowotnych oraz ich wpływ na wybrane elementy polityki zdrowotnej na podstawie danych z województwa dolnośląskiego. AM, Wrocław 2011; 237-240.
24.
Kongstvedt PR. Essentials of Managed Health Care. 6th ed. Jones & Bartlett Learning, Burlington 2012; 637.
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