Hospitalizations for ambulatory care sensitive conditions and quality of primary care: Their relation with socioeconomic and health care variables in the madrid regional health service (Spain)

Medical Care

Volumn 49, Issue 1, 2011, Pages 17-23

  Magán, Purificación ^a,b,c   Alberquilla, Ángel ^d   Otero, Ángel ^c,e   Ribera, José Manuel ^c,f  

^a HOSPITAL UNIVERSITARIO 12 DE OCTUBRE   (Spain)

^b CIBER EPIDEMIOLOGÍA Y SALUD PÚBLICA CIBERESP   (Spain)

^c Red de Envejecimiento y Fragilidad (RETICEF)   (Spain)

^d Departamento de Sistemas de Información Sanitaria Gerencia Atensión Primaria   (Spain)

^e UNIVERSIDAD AUTÓNOMA DE MADRID   (Spain)

^f UNIVERSIDAD COMPLUTENSE DE MADRID   (Spain)

Author keywords

ambulatory care sensitive conditions; primary health care; quality of care

Indexed keywords

AGED; AMBULATORY CARE; ARTICLE; CONFIDENCE INTERVAL; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; FEMALE; GENDER; HEALTH CARE; HEALTH CARE QUALITY; HOSPITAL DISCHARGE; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD; MULTIVARIATE ANALYSIS; POISSON DISTRIBUTION; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; PUBLIC HOSPITAL; REGRESSION ANALYSIS; SOCIOECONOMICS; SPAIN; STATISTICAL SIGNIFICANCE; WORKLOAD;

AGE FACTORS; AGED; AGED, 80 AND OVER; CROSS-SECTIONAL STUDIES; FEMALE; HEALTH CARE SURVEYS; HEALTH SERVICES ACCESSIBILITY; HOSPITALIZATION; HUMANS; MALE; MORTALITY; PHYSICIANS; PRIMARY HEALTH CARE; QUALITY INDICATORS, HEALTH CARE; QUALITY OF HEALTH CARE; SEX FACTORS; SOCIOECONOMIC FACTORS; SPAIN; TIME FACTORS; WAITING LISTS; WORKLOAD;

EID: 78650715912     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/MLR.0b013e3181ef9d13     Document Type: Article

References (41)

1. Billings J, Zeitel L, Lukomnik J, et al. Impact of socioeconomic status on hospital use in New York City. Health Aff (Millwood). 1993;12:162-173.
2. Purdy S, Griffin T, Salisbury C, et al. Ambulatory care sensitive conditions: terminology and disease coding need to be more specific to aid policy makers and clinicians. Public Health. 2009;123:169-173.
3. Billings J, Teicholz N. Uninsured patients in District of Columbia hospitals. Health Aff (Millwood). 1990;9:158-165.
4. Lopez-Casasnovas G, Costa-Font J, Planas I. Diversity and regional inequalities in the Spanish "system of health care services." Health Econ. 2005;14(suppl 1):S221-S235.
5. Caminal Homar J, Starfield B, Sanchez Ruiz E, et al. Primary health care and hospitalizations in ambulatory care sensitive conditions in Catalonia [in Spanish]. Rev Clin Esp. 2001;201:501-507.
6. Gervas J, Homar JC. Hospitalizations by ambulatory care sensitive conditions (ACSC) from the general practitioner/family physician's point of view [in Spanish]. Rev Esp Salud Publica. 2007;81:7-13.
7. Magan P, Otero A, Alberquilla A, et al. Geographic variations in avoidable hospitalizations in the elderly, in a health system with universal coverage. BMC Health Serv Res. 2008;8:42.
8. Caminal J, Mundet X, Ponsa J, et al. Hospitalizations due to ambulatory care sensitive conditions: selection of diagnostic codes for Spain [in Spanish]. Gac Sanit. 2001;15:128-141.
9. Diehr P, Cain K, Ye Z, et al. Small area variation analysis. Methods for comparing several diagnosis-related groups. Med Care. 1993;31(suppl 5): YS45-YS53.
10. Diehr P, Cain KC, Kreuter W, et al. Can small-area analysis detect variation in surgery rates? The power of small-area variation analysis. Med Care. 1992;30:484-502.
11. Alberquilla A. "Estudio de la hospitalizacion evitable por condiciones sensibles a los cuidados ambulatorios (ACSC) y de sus factores condi-cionantes en la Comunidad de Madrid." Madrid, Spain: Universidad Autonoma de Madrid, Departamento de Medicina Preventiva y Salud Publica; 2004.
12. Morgenstern H. Uses of ecologic analysis in epidemiologic research. Am J Public Health. 1982;72:1336-1344.
13. Walker JD, Teare GF, Hogan DB, et al. Identifying potentially avoidable hospital admissions from canadian long-term care facilities. Med Care. 2009;47:250-254.
14. Barnett R, Malcolm L. Practice and ethnic variations in avoidable hospital admission rates in Christchurch, New Zealand. Health Place. 2010;16:199-208.
15. Guanais F, Macinko J. Primary care and avoidable hospitalizations: evidence from Brazil. J Ambul Care Manage. 2009;32:115-122.
16. Saxena S, George J, Barber J, et al. Association of population and practice factors with potentially avoidable admission rates for chronic diseases in London: cross sectional analysis. J R Soc Med. 2006;99:81-89.
17. Bottle A, Gnani S, Saxena S, et al. Association between quality of primary care and hospitalization for coronary heart disease in England: national cross-sectional study. J Gen Intern Med. 2008;23:135-141.
18. Chen LW, Zhang W, Sun J, et al. The magnitude, variation, and determinants of rural hospital resource utilization associated with hospitalizations due to ambulatory care sensitive conditions. J Public Health Manag Pract. 2009;15:216-222.
19. Laditka JN, Laditka SB, Probst JC. Health care access in rural areas: evidence that hospitalization for ambulatory care-sensitive conditions in the United States may increase with the level of rurality. Health Place. 2009;15:731-740.
20. Basu J, Friedman B, Burstin H. Primary care, HMO enrollment, and hospitalization for ambulatory care sensitive conditions: a new approach. Med Care. 2002;40:1260-1269.
21. Agabiti N, Pirani M, Schifano P, et al. Income level and chronic ambulatory care sensitive conditions in adults: a multicity population-based study in Italy. BMC Public Health. 2009;9:457.
22. Niti M, Ng T. Avoidable hospitalisation rates in Singapore, 1991-1998: assessing trends and inequities of quality in primary care. J Epidemiol Community Health. 2003;57:17-22.
23. Roos LL, Walld R, Uhanova J, et al. Physician visits, hospitalizations, and socioeconomic status: ambulatory care sensitive conditions in a canadian setting. Health Serv Res. 2005;40:1167-1185.
24. Blustein J, Hanson K, Shea S. Preventable hospitalizations and socioeconomic status. Health Aff (Millwood). 1998;17:177-189.
25. Parchman ML, Culler SD. Preventable hospitalizations in primary care shortage areas-an analysis of vulnerable Medicare beneficiaries. Arch Fam Med. 1999;8:487-491.
26. Ricketts TC, Randolph R, Howard HA, et al. Hospitalization rates as indicators of access to primary care. Health Place. 2001;7:27-38.
27. Laditka JN. Physician supply, physician diversity, and outcomes of primary health care for older persons in the United States. Health Place. 2004;10:231-244.
28. Niefeld M, Braunstein J, Wu A, et al. Preventable hospitalization among elderly Medicare beneficiaries with type 2 diabetes. Diabetes Care. 2003;26:1344-1349.
29. Eisenberg J. Sociologic influences on decision-making by clinicians. Ann Intern Med. 1979;90:957-964.
30. Morales L, Cunningham W, Brown J, et al. Are Latinos less satisfied with communication by health care providers? J Gen Intern Med. 1999;14:409-417.
31. Stewart M, Brown J, Boon H, et al. Evidence on patient-doctor communication. Cancer Prev Control. 1999;3:25-30.
32. Laditka JN, Laditka SB, Mastanduno MP. Hospital utilization for ambulatory care sensitive conditions: health outcome disparities associated with race and ethnicity. Soc Sci Med. 2003;57:1429-1441.
33. Bottle A, Millett C, Xie Y, et al. Quality of primary care and hospital admissions for diabetes mellitus in England. J Ambul Care Manage. 31:226-238.
34. Andersen R, Aday L. Access to medical care in the US: realized and potential. Med Care. 1978;16:533-546. (Pubitemid 8394846)
35. Connelly J, Philbrick J, Smith GJ, et al. Health perceptions of primary care patients and the influence on health care utilization. Med Care. 1989;27(3 suppl):S99-S109.
36. Krakauer H, Jacoby I, Millman M, et al. Physician impact on hospital admission and on mortality rates in the Medicare population. Health Serv Res. 1996;31:191-211. (Pubitemid 126424585)
37. Alberquilla A, Fuentes C, Severiano S. Hospitalizacion evitable por Ambulatory Care Sensitive Conditions (ACSC) en la Comunidad de Madrid. Reflexiones sobre su uso como medida de resultado de la Atencion Primaria Rev Adm Sanit. 2003;1:657-678.
38. Friedman B, Basu J. Health insurance, primary care, and preventable hospitalization of children in a large state. Am J Manag Care. 2001;7: 473-481.
39. Schreiber S, Zielinski T. The meaning of ambulatory care sensitive admissions: urban and rural perspectives. J Rural Health. 1997;13:276-284.
40. Laditka JN, Laditka SB, Probst JC. More may be better: evidence of a negative relationship between physician supply and hospitalization for ambulatory care sensitive conditions. Health Serv Res. 2005;40:1148-1166.
41. Bermudez-Tamayo C, Marquez-Calderon S, Rodríguez del Aguila M, et al. Organizational characteristics of primary care and hospitalization for to the main ambulatory care sensitive conditions [in Spanish]. Aten Primaria. 2004;33:305-311.