Seasonal variation in orthopedic health services utilization in Switzerland: the impact of winter sport tourism

BMC Health Services Research
Klazien Matter-WalstraAndré Busato

Abstract

Climate- or holiday-related seasonality in hospital admission rates is well known for many diseases. However, little research has addressed the impact of tourism on seasonality in admission rates. We therefore investigated the influence of tourism on emergency admission rates in Switzerland, where winter and summer leisure sport activities in large mountain regions can generate orthopedic injuries. Using small area analysis, orthopedic hospital service areas (HSAo) were evaluated for seasonality in emergency admission rates. Winter sport areas were defined using guest bed accommodation rate patterns of guest houses and hotels located above 1000 meters altitude that show clear winter and summer peak seasons. Emergency admissions (years 2000-2002, n = 135'460) of local and nonlocal HSAo residents were evaluated. HSAo were grouped according to their area type (regular or winter sport area) and monthly analyses of admission rates were performed. Of HSAo within the defined winter sport areas 70.8% show a seasonal, summer-winter peak hospital admission rate pattern and only 1 HSAo outside the defined winter sport areas shows such a pattern. Seasonal hospital admission rates in HSAo in winter sport areas can be up to 4 times higher in...Continue Reading

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May 11, 2005·BMC Health Services Research·Gunnar KlaussAndré Busato

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Citations

Aug 19, 2016·International Journal of Environmental Research and Public Health·Élise LépyArja Rautio
Aug 3, 2010·Psychology, Health & Medicine·Roger PerssonBjörn Karlson
Aug 13, 2010·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·Zoe Boutsioli
May 15, 2015·PloS One·Stéphane SanchezAntoine Duclos

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