Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/1686
Title: Estimation of the real population and its impact on the utilisation of healthcare services in Mediterranean resort regions: an ecological study.
Authors: Perea-Milla, Emilio
Pons, Sergi M.
Rivas-Ruiz, Francisco
Gallofre, Anna
Navarro Jurado, Enrique
Navarro Ales, Marco A.
Jimenez-Puente, Alberto
Fernandez-Nieto, Fidel
March Cerda, Joan C.
Carrasco, Manuel
Martin, Lydia
Lopez Cano, Damian
Gutierrez, Gonzalo E.
Cortes Macías, Rafael
Garcia-Ruiz, Jose A.
metadata.dc.contributor.authoraffiliation: [Perea-Milla,E; Rivas-Ruiz,F; Jimenez-Puente,A; Carrasco,M; Martin,L; Garcia-Ruiz,JA] Unidad de Apoyo a la Investigación, Evaluación y Contabilidad (Red IRYSS), Hospital Costa del Sol, Marbella, Spain. [Pons,SM; Gallofre,A] Observatori Socioambiental de Menoría, Maó, Spain. [Navarro Jurado,E; Lopez Cano,D; Gutierrez,GE; Cortes Macías,R] Departamento de Geografía, Facultad de Filosofía y Letras, Universidad de Málaga, Málaga, Spain. [Navarro Ales,MA] Mancomunidad Municipios de la Costa del Sol Occidental, Marbella, Spain. [Fernandez-Nieto,F] Delegación provincial de Salud de Málaga, Málaga, Spain. [March Cerda,JC] Escuela Andaluza de Salud Pública, Granada, Spain.
Keywords: Adulto;Distribución por Edad;Anciano;Ecología;Servicio de Urgencia en Hospital;Femenino;Alemania;Reino Unido;Colonias de Salud;Humanos;Masculino;Región Mediterránea;Mediana Edad;Dinámica de Población;Escandinavia;Estaciones;Distribución por Sexo;España;Viaje;Revisión de Utilización de Recursos;Administración de Residuos
metadata.dc.subject.mesh: Medical Subject Headings::Disciplines and Occupations::Social Sciences::Demography::Age Distribution
Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Aged
Medical Subject Headings::Disciplines and Occupations::Natural Science Disciplines::Biological Science Disciplines::Biology::Ecology
Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Services::Emergency Medical Services::Emergency Service, Hospital
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Germany
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Great Britain
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Sanitation::Public Facilities::Health Resorts
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Check Tags::Male
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Mediterranean Region
Medical Subject Headings::Named Groups::Persons::Age Groups::Adult::Middle Aged
Medical Subject Headings::Disciplines and Occupations::Social Sciences::Demography::Population Dynamics
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Scandinavia
Medical Subject Headings::Phenomena and Processes::Physical Phenomena::Time::Periodicity::Seasons
Medical Subject Headings::Disciplines and Occupations::Social Sciences::Demography::Sex Distribution
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain
Medical Subject Headings::Disciplines and Occupations::Human Activities::Travel
Medical Subject Headings::Health Care::Health Services Administration::Quality of Health Care::Utilization Review
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Public Health Practice::Communicable Disease Control::Sanitation::Sanitary Engineering::Waste Management
Medical Subject Headings::Named Groups::Persons::Age Groups::Adult
Issue Date: 31-Jan-2007
Publisher: BioMed Central
Citation: Perea-Milla E, Pons SM, Rivas-Ruiz F, Gallofre A, Jurado EN, Ales MA, et al. Estimation of the real population and its impact on the utilisation of healthcare services in Mediterranean resort regions: an ecological study. BMC Health Serv Res 2007; 7:13
Abstract: BACKGROUND The demographic structure has a significant influence on the use of healthcare services, as does the size of the population denominators. Very few studies have been published on methods for estimating the real population such as tourist resorts. The lack of information about these problems means there is a corresponding lack of information about the behaviour of populational denominators (the floating population or tourist load) and the effect of this on the use of healthcare services. The objectives of the study were: a) To determine the Municipal Solid Waste (MSW) ratio, per person per day, among populations of known size; b) to estimate, by means of this ratio, the real population in an area where tourist numbers are very significant; and c) to determine the impact on the utilisation of hospital emergency healthcare services of the registered population, in comparison to the non-resident population, in two areas where tourist numbers are very significant. METHODS An ecological study design was employed. We analysed the Healthcare Districts of the Costa del Sol and the island of Menorca. Both are Spanish territories in the Mediterranean region. RESULTS In the two areas analysed, the correlation coefficient between the MSW ratio and admissions to hospital emergency departments exceeded 0.9, with p < 0.001. On the basis of MSW generation ratios, obtained for a control zone and also measured in neighbouring countries, we estimated the real population. For the summer months, when tourist activity is greatest and demand for emergency healthcare at hospitals is highest, this value was found to be double that of the registered population. CONCLUSION The MSW indicator, which is both ecological and indirect, can be used to estimate the real population in areas where population levels vary significantly during the year. This parameter is of interest in planning and dimensioning the provision of healthcare services.
Description: Journal Article; Research Support, Non-U.S. Gov't;
URI: http://hdl.handle.net/10668/1686
metadata.dc.relation.publisherversion: http://www.biomedcentral.com/1472-6963/7/13/abstract
metadata.dc.identifier.doi: 10.1186/1472-6963-7-13
ISSN: 1472-6963 (Online)
Appears in Collections:01- Artículos - APES Costa del Sol
01- Artículos - Consejería de Salud y Familias
01- Artículos - EASP. Escuela Andaluza de Salud Pública

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