Ambulatory Care Sensitive Hospitalizations Through the Emergency Department by Payer: Comparing 2003 and 2009

ABSTRACT Objective: To describe emergency department visits for ambulatory care sensitive conditions. Method: Exploratory, descriptive, ecological, quantitative study. From January 2015 to December 2016, was accessed the database with information of visits performed in an emergency department located in the region of Campo Limpo, municipality of São Paulo. A 99% confidence interval was considered for the incidence of visits with identification of ambulatory care sensitive conditions, and a margin of error of 0.4%. The analyzes were performed with use of the statistical package SPSS. Results: We found 434,883 visits, of which 17.1% were due to ambulatory care sensitive conditions, mostly of women and children up to 4 years of age. The reason for most visits were ear, nose and throat infections (45.4%). There was a higher chance of visits for the indicator in chronic patients (p<0.001). Conclusion: This study demonstrated the emergency department ambulatory care sensitive conditions visits that may indicate poor access to primary care.

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Depression And Ambulatory Care Sensitive Hospitalizations Among Medicare Beneficiaries With Chronic Physical Conditions

Value in Health ◽

10.1016/j.jval.2014.03.882 ◽

2014 ◽

Vol 17 (3) ◽

pp. A151-A152

Author(s):

R. Bhattacharya ◽

C. Shen ◽

U. Sambamoorthi

Keyword(s):

Ambulatory Care ◽

Medicare Beneficiaries ◽

Physical Conditions ◽

Chronic Physical Conditions ◽

Ambulatory Care Sensitive Hospitalizations ◽

Ambulatory Care Sensitive

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The Effects of Chronic Disease on Ambulatory Care–Sensitive Hospitalizations for Children or Youth

Health Services Insights ◽

10.1177/1178632919879422 ◽

2019 ◽

Vol 12 ◽

pp. 117863291987942

Author(s):

Charles D Phillips ◽

Chau Truong ◽

Hye-Chung Kum ◽

Obioma Nwaiwu ◽

Robert Ohsfeldt

Keyword(s):

Chronic Disease ◽

Ambulatory Care ◽

Chronic Diseases ◽

Chronic Conditions ◽

Ambulatory Care Sensitive Conditions ◽

Hospital Discharges ◽

Considerable Research ◽

Complex Chronic Disease ◽

Ambulatory Care Sensitive Hospitalizations ◽

Ambulatory Care Sensitive

Considerable research has focused on hospitalizations for ambulatory care–sensitive conditions (ACSHs), but little of that research has focused on the role played by chronic disease in ACSHs involving children or youth (C/Y). This research investigates, for C/Y, the effects of chronic disease on the likelihood of an ACSH. The database included 699 473 hospital discharges for individuals under 18 in Texas between 2011 and 2015. Effects of chronic disease, individual, and contextual factors on the likelihood of a discharge involving an ACSH were estimated using logistic regression. Contrary to the results for adults, the presence of chronic diseases or a complex chronic disease among children or youth was protective, reducing the likelihood of an ACSH for a nonchronic condition. Results indicate that heightened ambulatory care received by C/Y with chronic diseases is largely protective. Two of more chronic conditions or at least one complex chronic condition significantly reduced the likelihood of an ACSH.

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Emergency department use in people who experience imprisonment in Ontario, Canada

CJEM ◽

10.1017/cem.2019.401 ◽

2019 ◽

Vol 22 (2) ◽

pp. 232-240

Author(s):

John Tuinema ◽

Aaron M. Orkin ◽

Stephanie Y. Cheng ◽

Kinwah Fung ◽

Fiona G. Kouyoumdjian

Keyword(s):

Emergency Department ◽

General Population ◽

Ambulatory Care ◽

Ambulatory Care Sensitive Conditions ◽

Higher Ed ◽

High Urgency ◽

Women In Prison ◽

Rate Ratios ◽

Ambulatory Care Sensitive ◽

Sensitive Conditions

ABSTRACTObjectivesThe aims of this study were to describe emergency department (ED) utilization by people in provincial prison and on release, and to compare with ED utilization for the general population.MethodsWe linked correctional and health administrative data for people released from provincial prison in Ontario in 2010. We matched each person by age and sex with four people in the general population. We compared ED utilization rates using generalized estimating equations, by sex and for high urgency and ambulatory care sensitive conditions.ResultsPeople who experienced imprisonment (N = 48,861) had higher ED utilization rates compared with the general population (N = 195,444), with rate ratios of 3.2 (95% CI 3.0–4.4) for men and 6.5 (95% CI 5.6–7.5) for women in prison and a range of rate ratios between 3.1 and 7.7 for men and 4.2 and 8.8 for women over the 2 years after release. Most ED visits were high urgency, and between 1.0% and 5.1% of visits were for ambulatory care sensitive conditions. ED utilization rates increased on release from prison.ConclusionsPeople experiencing imprisonment in Ontario have higher ED utilization compared with matched people in the general population, primarily for urgent issues, and particularly in women and in the week after release. Providing high-quality ED care and implementing prison- and ED-based interventions could improve health for this population and prevent the need for ED use.

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Ambulatory care sensitive hospitalizations after implementation of the master plan in Minas Gerais

Revista de Saúde Pública ◽

10.11606/s1518-8787.2018052017330 ◽

2018 ◽

Vol 52 ◽

pp. 78

Author(s):

Luciano José Arantes ◽

Helena Eri Shimizu ◽

Edgar Merchán-Hamann

Keyword(s):

Health Care ◽

Primary Health Care ◽

Ambulatory Care ◽

Family Health ◽

Master Plan ◽

Primary Health ◽

Health Strategy ◽

Family Health Strategy ◽

Ambulatory Care Sensitive Hospitalizations ◽

Ambulatory Care Sensitive

OBJECTIVE: To describe the rate of ambulatory care sensitive hospitalizations in groups of cities according to population size and to analyze its association with the coverage of the Family Health Strategy after the implementation of the Master Plan for Primary Health Care in Minas Gerais, Brazil. METHODS: This is an ecological study with 452 cities grouped according to population size, with data from 2004 to 2007 and 2010 to 2013. We used the Kolmogorov-Smirnov test to verify the distribution of the data in the groups. We used the Wilcoxon test for paired data or the paired Student’s t-test to compare the rate of ambulatory care sensitive hospitalizations before and after the Master Plan for Primary Health Care. We used the simple linear regression test to analyze the association between variables. We performed statistical analyses using the Statistical Package for the Social Sciences, with a significance level of 5%. RESULTS: The rate of ambulatory care sensitive hospitalizations decreased significantly after the Master Plan for Primary Health Care in the large and mid-sized groups (p < 0.05). There were positive correlations between coverage with Family Health Strategy and the rate of ambulatory care sensitive hospitalizations in the mid-sized and large groups (p < 0.05). CONCLUSIONS: Actions were carried out to implement the Master Plan for Primary Health Care. However, more investments are needed to improve the effectiveness of the Primary Health Care, with permanent confrontation of complex issues that affect the quality of services, which can lead to a significant reduction of the rates of ambulatory care sensitive hospitalizations.

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