Exploration of Disparities in Regions and Specialized Fields of Day Surgery System

Abstract

The main objective of this paper was to find similarities among eight Slovak regions from the viewpoint of five specialized day surgery fields and among specialized day surgery fields from the viewpoint of Slovak regions on the basis of day surgery operated and hospitalized patient counts. Day surgery data of paediatric patients and of adult patients from the National Health Information Centre during the years 2009–2017 were used. Correspondence analysis in two dimensions of the Slovak regions and of specialized day surgery fields was applied in order to achieve the paper’s objective. The Košice Region differs most from the overall national average in both groups of paediatric day surgery. This is caused by its largest proportions in the fields of Gynaecology (29.7%) and Urology (48.0%) (operated patients), and in the fields of Gynaecology (60.5%) and Surgery (21.6%) (hospitalized patients). The most different specialized day surgery fields from overall average are: Urology (operated paediatric patients), Gynaecology (hospitalized paediatric patients), Otorhinolaryngology (operated adult patients) and Ophthalmology (hospitalized adult patients). Urogenital system day surgery procedures (Gynaecology, Urology) are separated from other three fields (i.e., Surgery, Ophthalmology, Otorhinolaryngology) either in the first or in the second dimension of the singular value matrix decomposition.

The impact of high intensity care around birth on long-term neurodevelopmental outcomes

“…Healthcare systems aim to find optimal ways to deliver increasingly expensive neonatal care. For example, Gavurova et al show that in Slovakia day surgeries related to Gynaecology and Obstetrics had increased significantly after this form of healthcare provision was regulated in 2004 [45]. In Canada the cost of treatment in an ICU and the cost per general ward varies by the type of facility.…”