| dc.contributor |
Alai Tan |
|
| dc.date |
2011 -12 -20T16 :04 :24Z |
|
| dc.date |
2010 -09 -28 |
|
| dc.date |
2011 -12 -20T16 :04 :24Z |
|
| dc.date |
2010 -03 -22 |
|
| dc.date |
2010 -05 -01 |
|
| dc.date.accessioned |
2012 -03 -01T21 :17 :26Z |
|
| dc.date.available |
2012 -03 -01T21 :17 :26Z |
|
| dc.date.issued |
2012 -03 -01 |
|
| dc.identifier |
etd -03222010 -103130 |
|
| dc.identifier |
http : / /hdl .handle .net /2152 .3 /58 |
|
| dc.identifier.uri |
http : / /hdl .handle .net /2152 .3 /58 |
|
| dc.description |
Bacterial pneumonia has a disproportionate impact on the elderly . It is considered as an ambulatory care -sensitive condition by the Agency for Healthcare and Research (AHRQ ) , for which good outpatient care can potentially prevent the need for hospitalization or for which early intervention can prevent complications or more severe disease that lead to death . This project evaluated the trends in bacterial Pneumonia hospitalization and pneumonia inpatient mortality rates of older Texans during 1999 -2007 , and identifies the associated individual and contextual factors . \r \nThe data were from the Texas Hospital Discharge data during 1999 -2007 , linked with US Census data and Area Resource File . Observed and adjusted rates were calculated for Texas counties . Poisson regression and logistic regression models were used to evaluate the individual and contextual factors associated with bacterial pneumonia hospitalization and pneumonia inpatient mortality rates , respectively . \r \nThe study found that both bacterial pneumonia hospitalizations and pneumonia inpatient mortality rates were decreasing during 1999 -2007 . Population aged 75 years or above and Hispanics had the highest hospitalization and inpatient mortality rates . Increasing percent of Hispanics at the county -level was associated with a significant decrease of hospitalization rate and inpatient mortality rate . More number of non -Federal MDs per capita was associated with lower hospitalization rate and inpatient mortality rate . More hospital beds was associated with lower pneumonia inpatient mortality rates . \r \nThis study suggests interventions at county -level have great potential to improve the quality of pneumonia preventive and inpatient care for older population . \r \n |
|
| dc.format |
electronic |
|
| dc.language |
eng |
|
| dc.rights |
Copyright © is held by the author . Presentation of this material on the TDL web site by The University of Texas Medical Branch at Galveston was made possible under a limited license grant from the author who has retained all copyrights in the works . |
|
| dc.subject |
pneumonia |
|
| dc.subject |
inpatient mortality |
|
| dc.subject |
hospitalization |
|
| dc.subject |
bacterial pneumonia |
|
| dc.subject |
|
|
| dc.title |
Bacterial pneumonia hospitalization and pneumonia inpatient mortality in Texas , 1999 -2007 |
|
| dc.type |
text |
|
| dc.type |
thesis |
|