What is it about?
The structural factors, as well as health resources, influence its quality of primary care through Ambulatory care sensitive conditions (ACSC) related to diabetes mellitus.
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Why is it important?
Our findings reveal that better health outcomes were related to a decreasing concentration of outpatient utilization (using the Herfindahl–Hirschman Index) and increasing physician density, bed supply, and health care facility density (in the case of short-term complications). Additionally, rurality was related to higher hospitalization and thus to poorer health outcomes.
Perspectives
Reorganization at the district level is required to restructure these factors for better population health. Policymakers should implement health intervention programs and health policies to achieve better outcomes through health resources and the distribution of outpatient utilization, particularly in rural areas.
Daoroong Komwong
Sirindhorn College of Public Health Chon Buri, Praboromarajchanok Institute of Health Workforce Development
Read the Original
This page is a summary of: Associations between structures and resources of primary care at the district level and health outcomes: a case study of diabetes mellitus care in Thailand, Risk Management and Healthcare Policy, October 2018, Dove Medical Press,
DOI: 10.2147/rmhp.s177125.
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