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Trends and geographic variations in hospital admissions for asthma in Victoria. Opportunities for targeted
Z Ansari1, M M Haby, T Henderson
1Health Surveillance and Evaluation Section, Department of Human Services, and Department of Epidemiology and Preventive Medicine, Monash University, Victoria. zahid.ansari@dhs.vic.gov.au
Objective:
To describe variations in rates of hospital admissions for asthma in Victoria as health indicators of quality of primary care services and access.
Design:
Routine analyses of age and sex standardised admission rates of asthma in rural and metropolitan Victoria from 1993-1994 to 1999-2000.
Results:
There were 10,079 admissions for asthma, with an average of 2.71 bed days in 1999-2000. The admission rate for asthma decreased from 3.1/1000 (95% CI: 3.1-3.2) in 1993-1994 to 2.2/1000 (2.1-2.2) in 1999-2000, with a 37% reduction in rural regions and 26% in metropolitan regions. Sixteen primary care partnerships (small areas), 13 of them rural, had significantly higher admission rates than the Victorian average.
Conclusion:
Although asthma hospital admission rates are falling faster in rural than metropolitan areas, rural areas still have higher admission rates with significant variation between small areas.
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