Changes in Preventable Hospitalization Patterns Among the Adults

http://www.ncbi.nlm.nih.gov/pubmed/22668612

J Ambul Care Manage. 2012 Jul;35(3):226-37.

Changes in Preventable Hospitalization Patterns Among the Adults: A Small Area Analysis of US states.

Basu J, Thumula V, Mobley LR.

Source

Agency for Healthcare Research and Quality, Rockville, Maryland (Dr Basu); University of Mississippi, Summer Intern, AHRQ, 2009, University, Mississippi (Ms Thumula); and RTI International, Research Triangle Park, North Carolina (Dr Mobley).

Abstract

The study examines the variation and changes in preventable hospitalization (PH) rates across small areas over 1995-2005 in 5 US states for adults (aged 18-64 years). Using hospital discharge data from the Agency for Healthcare Research andQuality and contextual data from Health Resources and Services Administration, the study examines the role of managedcare, primary care physician supply, and sociodemographic factors on adult PH rates. A stronger influence of minority and uninsured status, weaker contributions of managed care enrollment in the commercial as well as in the Medicaid markets, and weaker contributions of primary care density may have caused slower than expected reduction in adult PH rates.