Table 2.
Proportion of Decedents With Any Inpatient or Outpatient Health Care Service Use by Service Type and Rurality (Conditional Rates per 10,000 Population)
| |
|
Rurality (MM) |
|
||||
|---|---|---|---|---|---|---|---|
| Service type# | Total sample (%) (n = 3546) | Metropolitan (%) (n = 2239) | Regional center (%) (n = 149) | Large rural town (%) (n = 445) | Medium rural town (%) (n = 566) | Small rural town (%) (n = 147) | p- Value |
| Acute-care services | |||||||
| Acute hospital admission | 82.3 | 64.4 (2.0 visits) | 3.9 (1.6 visits) | 11.7 (1.7 visits) | 15.9 (1.8 visits) | 4.1 (1.7 visits) | <0.0001 |
| Emergency department visit | 94.7 | 63.0 (3.0 visits) | 3.9 (2.5 visits) | 12.7 (3.4 visits) | 16.3 (4.0 visits) | 4.1 (3.3 visits) | 0.0006 |
| ICU admission | 9.4 | 61.3 (0.09 visits) | 5.1 (0.12 visits) | 12.0 (0.10 visits) | 15.6 (0.11 visits) | 6.0 (0.16 visits) | 0.1299 |
| Mechanical ventilation | 3.1 | 62.7 (0.03 visits) | 5.5 (0.04 visits) | 11.8 (0.03 visits) | 14.5 (0.02 visits) | 5.5 (0.05 visits) | 0.0614 |
| Inpatient chemotherapy and radiotherapy services | |||||||
| Inpatient chemotherapy | 8.1 | 64.9 (0.11 visits) | 6.0 (0.13 visits) | 11.9 (0.10 visits) | 13.7 (0.08 visits) | 3.5 (0.09 visits) | 0.9225 |
| Inpatient radiotherapy | 8.5 | 80.1 (0.12 visits) | 3.3 (0.07 visits) | 5.6 (0.04 visits) | 10.3 (0.06 visits) | 0.7 (0.01 visits) | <0.0001 |
| Inpatient palliative care services | |||||||
| Inpatient palliative care | 99.1 | 63.1 (2.4 stays) | 4.2 (2.1 stays) | 12.5 (2.3 visits) | 16.0 (2.3 visits) | 4.0 (2.2 visits) | 0.7225 |
| Inpatient palliative care before last staya | 76.3 | 64.2 (1.5 stays) | 3.9 (1.2 stays) | 12.3 (1.4 visits) | 15.6 (1.4 visits) | 4.0 (1.3 visits) | 0.1457 |
| Inpatient SPC | 57.1 | 65.1 (0.67 stays) | 4.7 (0.7 visits) | 13.3 (0.72 visits) | 12.6 (0.5 stays) | 4.3 (0.6 visits) | <0.0001 |
| Inpatient SPC before last staya | 8.1 | 60.9 (0.09 stays) | 3.2 (0.09 visits) | 17.6 (0.14 visits) | 15.1 (0.09 visits) | 3.2 (0.07 visits) | 0.0860 |
| Outpatient services | |||||||
| Outpatient specialist palliative care | 47.7 | 59.2 (2.2 visits) | 4.1 (1.6 visits) | 15.0 (3.1 visits) | 17.6 (2.9 visits) | 4.1 (2.3 visits) | <0.0001 |
| Outpatient chemotherapy | 34.8 | 46.0 (6.0 visits) | 3.4 (5.7 visits) | 19.3 (6.7 visits) | 25.2 (6.5 visits) | 6.1 (7.1 visits) | <0.0001 |
| Outpatient radiotherapy | 28.5 | 55.3 (5.8 visits) | 4.3 (5.0 visits) | 15.8 (7.6 visits) | 19.8 (6.7 visits) | 4.8 (5.8 visits) | <0.0001 |
| Outpatient cancer care | 40.2 | 52.0 (1.7 visits) | 4.0 (1.8 visits) | 17.2 (4.3 visits) | 21.1 (3.9 visits) | 5.7 (3.8 visits) | <0.0001 |
#
Patients can receive ≥1 health service (not mutually exclusive).
Values are percentages of total sample population who had ∼1 health service (conditional rates per 10,000 population).
a
Calculated for stays not including the last seven days before death.