[The nosologic structure and rate of hospitalization in third level ophthalmologic center]

E M Kasimov1, B Kh Hajiyeva2

  • 1The Academician Zarifa Aliyeva National Center of Ophthalmology, AZ1114, Baku, Azerbaijan.

Insights

Hospitalization rates at the National Center of Ophthalmology vary by region. Cataract remains the leading cause, but accessibility to primary and secondary ophthalmologic care significantly impacts patient admission rates.

Area of Science:

  • Ophthalmology
  • Public Health
  • Healthcare Accessibility

Background:

  • The nosologic structure and hospitalization rates in specialized eye care centers can be influenced by regional healthcare access.
  • Understanding these patterns is crucial for optimizing resource allocation and patient care.

Purpose of the Study:

  • To investigate the nosologic structure and hospitalization rates at the National Center of Ophthalmology.
  • To determine the impact of ophthalmologic care accessibility in different regions on these patterns.

Main Methods:

  • Analysis of 12,882 inpatient cases at the National Center of Ophthalmology in December 2019.
  • Patients were grouped by residence (Baku, Republican cities, district centers, rural settlements) based on primary and secondary ophthalmologic care accessibility.

Main Results:

  • Cataract was the predominant cause of hospitalization (39.43%), followed by retinal detachment (8.65%) and eye injuries (6.22%).
  • Higher cataract hospitalization rates were observed in rural settlements (39.40%) and district centers (45.09%) compared to Baku (37.00%) and Republican cities (37.5%).
  • Residents of Baku, where the tertiary center is located, had higher hospitalization rates (223.23) compared to other regions (≤131.71).

Conclusions:

  • The nosologic structure and hospitalization rates at a tertiary ophthalmologic center are dependent on the accessibility of primary and secondary care.
  • Regional disparities in ophthalmologic care access influence patient admission patterns and disease prevalence at specialized centers.
  • Targeted interventions to improve regional eye care access may reduce disparities in hospitalization rates.
Abstract

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