Recent Findings on Preventable Hospitalizations

Health Affairs

Volumn 15, Issue 3, 1996, Pages 239-249

  Billings, John ^a   Anderson, Geoffrey M ^b   Newman, Laurie S ^c  

^a NEW YORK UNIVERSITY   (United States)

^b INSTITUTE FOR CLINICAL EVALUATIVE SCIENCES   (Canada)

^c MOUNT SINAI MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AMBULATORY CARE; ARTICLE; CANADA; COMPARATIVE STUDY; ECONOMICS; HEALTH CARE DELIVERY; HEALTH CARE POLICY; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HUMAN; INCOME; PRIMARY HEALTH CARE; STATISTICS; UNITED STATES; URBAN POPULATION; UTILIZATION REVIEW;

AMBULATORY CARE; HEALTH POLICY; HEALTH SERVICES ACCESSIBILITY; HUMANS; INCOME; ONTARIO; PATIENT ADMISSION; PATIENT DISCHARGE; PRIMARY HEALTH CARE; UNITED STATES; URBAN POPULATION;

EID: 0002687899     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.15.3.239     Document Type: Article

References (10)

1. J. Billings, "Consideration of the Use of Small Area Analysis as a Tool to Evaluate Barriers to Access," in Health Resources and Services Administration, Consensus Conference on Small Area Analysis, DHHS Pub. no. HRSA-PE 91-1[A] (Washington: U.S. Department of Health and Human Services, 1990); J. Billings et al., "Impact of Socioeconomic Status on Hospital Use in New York City," Health Affairs (Spring 1993): 162-173; J.S. Weissman, C. Gatsonis, and A.M. Epstein, "Rates of Avoidable Hospitalizations by Insurance Status in Massachusetts and Maryland," Journal of the American Medical Association 268, no. 17 (1992): 2388-2394; M. Millman, ed., Access to Health Care in America (Washington: National Academy Press, 1993); The Robert Wood Johnson Foundation, Access to Health Care: Key Indicators for Policy (Princeton, N.J.: RWJF, November 1993); National Committee for Quality Assurance, Health Plan Employer Data and Information Set (Washington: NCQA, 1993); and A. Bindman et al., "Preventable Hospitalization Rates and Access to Health Care," Journal of the American Medical Association 274, no. 4 (1995): 305-311.
2. J. Billings, "Consideration of the Use of Small Area Analysis as a Tool to Evaluate Barriers to Access," in Health Resources and Services Administration, Consensus Conference on Small Area Analysis, DHHS Pub. no. HRSA-PE 91-1[A] (Washington: U.S. Department of Health and Human Services, 1990); J. Billings et al., "Impact of Socioeconomic Status on Hospital Use in New York City," Health Affairs (Spring 1993): 162-173; J.S. Weissman, C. Gatsonis, and A.M. Epstein, "Rates of Avoidable Hospitalizations by Insurance Status in Massachusetts and Maryland," Journal of the American Medical Association 268, no. 17 (1992): 2388-2394; M. Millman, ed., Access to Health Care in America (Washington: National Academy Press, 1993); The Robert Wood Johnson Foundation, Access to Health Care: Key Indicators for Policy (Princeton, N.J.: RWJF, November 1993); National Committee for Quality Assurance, Health Plan Employer Data and Information Set (Washington: NCQA, 1993); and A. Bindman et al., "Preventable Hospitalization Rates and Access to Health Care," Journal of the American Medical Association 274, no. 4 (1995): 305-311.
3. J. Billings, "Consideration of the Use of Small Area Analysis as a Tool to Evaluate Barriers to Access," in Health Resources and Services Administration, Consensus Conference on Small Area Analysis, DHHS Pub. no. HRSA-PE 91-1[A] (Washington: U.S. Department of Health and Human Services, 1990); J. Billings et al., "Impact of Socioeconomic Status on Hospital Use in New York City," Health Affairs (Spring 1993): 162-173; J.S. Weissman, C. Gatsonis, and A.M. Epstein, "Rates of Avoidable Hospitalizations by Insurance Status in Massachusetts and Maryland," Journal of the American Medical Association 268, no. 17 (1992): 2388-2394; M. Millman, ed., Access to Health Care in America (Washington: National Academy Press, 1993); The Robert Wood Johnson Foundation, Access to Health Care: Key Indicators for Policy (Princeton, N.J.: RWJF, November 1993); National Committee for Quality Assurance, Health Plan Employer Data and Information Set (Washington: NCQA, 1993); and A. Bindman et al., "Preventable Hospitalization Rates and Access to Health Care," Journal of the American Medical Association 274, no. 4 (1995): 305-311.
4. J. Billings, "Consideration of the Use of Small Area Analysis as a Tool to Evaluate Barriers to Access," in Health Resources and Services Administration, Consensus Conference on Small Area Analysis, DHHS Pub. no. HRSA-PE 91-1[A] (Washington: U.S. Department of Health and Human Services, 1990); J. Billings et al., "Impact of Socioeconomic Status on Hospital Use in New York City," Health Affairs (Spring 1993): 162-173; J.S. Weissman, C. Gatsonis, and A.M. Epstein, "Rates of Avoidable Hospitalizations by Insurance Status in Massachusetts and Maryland," Journal of the American Medical Association 268, no. 17 (1992): 2388-2394; M. Millman, ed., Access to Health Care in America (Washington: National Academy Press, 1993); The Robert Wood Johnson Foundation, Access to Health Care: Key Indicators for Policy (Princeton, N.J.: RWJF, November 1993); National Committee for Quality Assurance, Health Plan Employer Data and Information Set (Washington: NCQA, 1993); and A. Bindman et al., "Preventable Hospitalization Rates and Access to Health Care," Journal of the American Medical Association 274, no. 4 (1995): 305-311.
5. J. Billings, "Consideration of the Use of Small Area Analysis as a Tool to Evaluate Barriers to Access," in Health Resources and Services Administration, Consensus Conference on Small Area Analysis, DHHS Pub. no. HRSA-PE 91-1[A] (Washington: U.S. Department of Health and Human Services, 1990); J. Billings et al., "Impact of Socioeconomic Status on Hospital Use in New York City," Health Affairs (Spring 1993): 162-173; J.S. Weissman, C. Gatsonis, and A.M. Epstein, "Rates of Avoidable Hospitalizations by Insurance Status in Massachusetts and Maryland," Journal of the American Medical Association 268, no. 17 (1992): 2388-2394; M. Millman, ed., Access to Health Care in America (Washington: National Academy Press, 1993); The Robert Wood Johnson Foundation, Access to Health Care: Key Indicators for Policy (Princeton, N.J.: RWJF, November 1993); National Committee for Quality Assurance, Health Plan Employer Data and Information Set (Washington: NCQA, 1993); and A. Bindman et al., "Preventable Hospitalization Rates and Access to Health Care," Journal of the American Medical Association 274, no. 4 (1995): 305-311.
6. J. Billings, "Consideration of the Use of Small Area Analysis as a Tool to Evaluate Barriers to Access," in Health Resources and Services Administration, Consensus Conference on Small Area Analysis, DHHS Pub. no. HRSA-PE 91-1[A] (Washington: U.S. Department of Health and Human Services, 1990); J. Billings et al., "Impact of Socioeconomic Status on Hospital Use in New York City," Health Affairs (Spring 1993): 162-173; J.S. Weissman, C. Gatsonis, and A.M. Epstein, "Rates of Avoidable Hospitalizations by Insurance Status in Massachusetts and Maryland," Journal of the American Medical Association 268, no. 17 (1992): 2388-2394; M. Millman, ed., Access to Health Care in America (Washington: National Academy Press, 1993); The Robert Wood Johnson Foundation, Access to Health Care: Key Indicators for Policy (Princeton, N.J.: RWJF, November 1993); National Committee for Quality Assurance, Health Plan Employer Data and Information Set (Washington: NCQA, 1993); and A. Bindman et al., "Preventable Hospitalization Rates and Access to Health Care," Journal of the American Medical Association 274, no. 4 (1995): 305-311.
7. J. Billings, "Consideration of the Use of Small Area Analysis as a Tool to Evaluate Barriers to Access," in Health Resources and Services Administration, Consensus Conference on Small Area Analysis, DHHS Pub. no. HRSA-PE 91-1[A] (Washington: U.S. Department of Health and Human Services, 1990); J. Billings et al., "Impact of Socioeconomic Status on Hospital Use in New York City," Health Affairs (Spring 1993): 162-173; J.S. Weissman, C. Gatsonis, and A.M. Epstein, "Rates of Avoidable Hospitalizations by Insurance Status in Massachusetts and Maryland," Journal of the American Medical Association 268, no. 17 (1992): 2388-2394; M. Millman, ed., Access to Health Care in America (Washington: National Academy Press, 1993); The Robert Wood Johnson Foundation, Access to Health Care: Key Indicators for Policy (Princeton, N.J.: RWJF, November 1993); National Committee for Quality Assurance, Health Plan Employer Data and Information Set (Washington: NCQA, 1993); and A. Bindman et al., "Preventable Hospitalization Rates and Access to Health Care," Journal of the American Medical Association 274, no. 4 (1995): 305-311.
8. Billings et al., "Impact of Socioeconomic Status on Hospital Use."
9. We also examined the level of variation in income (percentage of households with income less than $20,000 Canadian) among Toronto areas to help understand whether this might contribute to lower levels of association between ACS admission rates and area income. However, the coefficient of variation for area income in Toronto was comparable to most other areas studied (see Exhibit 1). In addition, we randomly excluded fifty and seventy higher-income areas from the Toronto database to simulate greater income variation, and doing this had no impact on our findings.
10. National Center for Health Statistics, Current Estimates from the National Health Survey, United States, 1987-1990, Vital and Health Statistics, Series 10, nos. 168, 173, and 176 (Hyattsville, Md.: NCHS, 1987-1990).