Association between Community Health Center and Rural Health Clinic Presence and County-Level Hospitalization Rates for Ambulatory Care Sensitive Conditions

2011 ◽  
pp. 205-223
Author(s):  
Janice Probst ◽  
James Laditka ◽  
Sarah Laditka
Keyword(s):  
Ambulatory Care ◽  
Community Health ◽  
Health Center ◽  
Rural Health ◽  
Community Health Center ◽  
Health Clinic ◽  
Ambulatory Care Sensitive Conditions ◽  
County Level ◽  
Hospitalization Rates ◽  
Ambulatory Care Sensitive

scholarly journals Conceptual and methodological aspects in the study of hospitalizations for ambulatory care sensitive conditions

2011 ◽  
Vol 16 (suppl 1) ◽  
pp. 1145-1154 ◽  
Author(s):  
Fúlvio Borges Nedel ◽  
Luiz Augusto Facchini ◽  
João Luiz Bastos ◽  
Miguel Martín-Mateo
Keyword(s):  
Health Care ◽  
Ambulatory Care ◽  
Family Health ◽  
Ambulatory Care Sensitive Conditions ◽  
Family Health Program ◽  
Hospitalization Rates ◽  
Effective Care ◽  
Methodological Aspects ◽  
Ambulatory Care Sensitive ◽  
Sensitive Conditions

Hospitalization rates for Ambulatory Care Sensitive Conditions have been used to assess effectiveness of the first level of health care. From a critical analysis of related concepts, we discuss principles for selecting a list of codes and, taking the example of the Brazilian Family Health Program, propose a methodological pathway for identifying variables in order to inform statistical models of analysis. We argue that for the indicator to be comparable between regions, disease codes should be selected based on sensitivity and specificity principles, not on observed disease frequency. Rates of hospitalization will be determined, at a distal level, by the socio-economic environment and their effect on the social and demographic structure. Timely and effective care depends on the organization of health services, their availability and access barriers, which depend on the ways health and related technology are conceptualised and on their adherence to the biomedical model or to the Primary Health Care (PHC) principles; performance indicators of the health system will be the proximal determinants. This indicator is potentially useful for primary care evaluation. The historical reconstruction of PHC improves the analysis of the indicator variability.

A Spatial Analysis of Preventable Hospitalization for Ambulatory Care Sensitive Conditions and Regional Characteristics in South Korea

2019 ◽  
Vol 31 (5) ◽  
pp. 422-432
Author(s):  
Jinkyung Kim ◽  
Hye-Young Kang ◽  
Kwang-Soo Lee ◽  
Songhee Min ◽  
Euichul Shin
Keyword(s):  
Primary Care ◽  
Regression Analysis ◽  
Spatial Analysis ◽  
Ambulatory Care ◽  
Low Income ◽  
Ambulatory Care Sensitive Conditions ◽  
Local Regression ◽  
Hospitalization Rates ◽  
Ambulatory Care Sensitive ◽  
Sensitive Conditions

Hospitalization rates for ambulatory care sensitive conditions (ACSCs) can indicate the accessibility of a community’s primary care. We examined regional variation in ACSC hospitalization rates and identified associated factors. ACSC hospitalization rates in the 232 districts in 2013 ranged from 4.08 to 101.53 per 1000 adults. Spatial analysis showed that none of the 24 highest rate districts were located near Seoul, whereas 80% of the 45 lowest rate districts were, suggesting health care inequality between people living near Seoul and in other areas. Regression analysis showed significantly higher ACSC hospitalization rates in districts with higher elderly (β = 0.94) and low-income populations (β = 2.25), more remote areas (β = 0.29), and more hospital beds (β = 0.03). The number of primary care clinics was negatively associated with ACSC hospitalization (β = −1.37). For these variables, geographically weighted regression analysis provided local regression coefficients, useful for developing region-specific strategies to reduce ACSC hospitalization.

Variation in Hospital Discharges for Ambulatory Care-Sensitive Conditions Among Children

PEDIATRICS ◽  
2000 ◽  
Vol 106 (Supplement_3) ◽  
pp. 942-948
Author(s):  
Jennifer D. Parker ◽  
Kenneth C. Schoendorf
Keyword(s):  
Ambulatory Care ◽  
Hospital Discharge ◽  
Ambulatory Care Sensitive Conditions ◽  
Hospital Discharges ◽  
Hospitalization Rates ◽  
Discharge Rates ◽  
The Us ◽  
Us Census ◽  
Ambulatory Care Sensitive ◽  
Sensitive Conditions

Objective. Ambulatory Care-Sensitive Conditions (ACSCs), conditions for which ambulatory care may reduce, though not eliminate, the need for hospital admission, have been used as an index of adequate primary care. However, few studies of ACSC have focused on children. We estimated national hospitalization rates for ACSC among children and examined the behavior of the index between subgroups of children. Methods. We used data from the 1990–1995 National Hospital Discharge Surveys (NHDS), the US census, and the National Health Interview Survey (NHIS) to calculate hospital discharge rates. Rates were estimated as the number of condition-specific hospital discharges from the NHDS divided by the population at risk, as estimated from the US census and NHIS. Results. Predictably, ACSC hospitalization rates were significantly higher among children who were younger, black, had Medicaid insurance, and lived in poorer areas compared with their counterparts. However, the relationship between ACSCs and income and the distributions of conditions within the index varied significantly between children. Conclusions. ACSCs may indicate disparities in access and utilization of health care, however, the differing behavior of the index between subgroups suggests that inferences from examining rates of ACSCs may not be comparable for all children.ambulatory care-sensitive conditions, hospitalization rates.

scholarly journals Ambulatory care sensitive conditions hospitalization for emergencies rates in Colombia

2019 ◽  
Vol 53 ◽  
pp. 36 ◽  
Author(s):  
Abel E González-Vélez ◽  
Claudia Carolina Colmenares Mejía ◽  
Eduardo Low Padilla ◽  
Sandra Yadira Moreno Marín ◽  
Paola Andrea Rengifo Bobadilla ◽  
...  
Keyword(s):  
Ambulatory Care ◽  
Hospital Admissions ◽  
General System ◽  
Percentage Change ◽  
Ambulatory Care Sensitive Conditions ◽  
Time Interval ◽  
Annual Percentage Change ◽  
Hospitalization Rates ◽  
Ambulatory Care Sensitive ◽  
Sensitive Conditions

OBJECTIVE: To analyze the emergency hospitalizations trend for ambulatory care sensitive conditions between 2011 and 2015 in a health insureance company of the Colombian Social Security General System. METHODS: A log-linear analysis based on age-adjusted hospitalization rates for ambulatory care sensitive conditions in the Entidad Promotora de Salud Sanitas was used to estimate the annual percentage change in these rates and to identify joinponts of the rates. Data was collected from administrative sources. RESULTS: There were 38,530 hospitalizations for ambulatory care sensitive conditions in 26,501 Entidad Promotora de Salud Sanitas enrollees, with a significant decrease in hospitalization rates. The annual percentage change estimated for the period was -9.5% with no significant joinpoints throughout the time interval. CONCLUSIONS: A significant reduction in hospital admissions due to ambulatory care sensitive conditions in Entidad Promotora de Salud Sanitas enrollees were reported for the last five years in this study.

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