scholarly journals AMBULATORY CARE SENSITIVE HOSPITALIZATIONS AND POST-ACUTE CARE AMONG DUAL-ELIGIBLE PENNSYLVANIANS

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 602-602
Author(s):  
E Cole ◽  
H Degenholtz
Keyword(s):  
Ambulatory Care ◽  
Acute Care ◽  
Dual Eligible ◽  
Ambulatory Care Sensitive Hospitalizations ◽  
Post Acute Care ◽  
Ambulatory Care Sensitive

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

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.

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

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.

Continuity of Insurance Coverage and Ambulatory Care–Sensitive Hospitalizations/ED Visits

2011 ◽  
Vol 50 (10) ◽  
pp. 963-973 ◽  
Author(s):  
David J. Becker ◽  
Justin L. Blackburn ◽  
Meredith L. Kilgore ◽  
Michael A. Morrisey ◽  
Bisakha Sen ◽  
...  
Keyword(s):  
Ambulatory Care ◽  
Insurance Coverage ◽  
Ed Visits ◽  
Ambulatory Care Sensitive Hospitalizations ◽  
Ambulatory Care Sensitive

Ambulatory Care Sensitive Hospitalizations and Emergency Visits:

Medical Care ◽  
2001 ◽  
Vol 39 (6) ◽  
pp. 551-561 ◽  
Author(s):  
Marilyn Falik ◽  
Jack Needleman ◽  
Barbara L. Wells ◽  
Jodi Korb
Keyword(s):  
Ambulatory Care ◽  
Emergency Visits ◽  
Ambulatory Care Sensitive Hospitalizations ◽  
Ambulatory Care Sensitive

scholarly journals Hospitalizations for ambulatory care-sensitive conditions, Minas Gerais, Southeastern Brazil, 2000 and 2010

2014 ◽  
Vol 48 (6) ◽  
pp. 958-967 ◽  
Author(s):  
Rita Maria Rodrigues-Bastos ◽  
Estela Márcia Saraiva Campos ◽  
Luiz Cláudio Ribeiro ◽  
Mauro Gomes Bastos Filho ◽  
Maria Teresa Bustamante-Teixeira
Keyword(s):  
Health Care ◽  
Ambulatory Care ◽  
Family Health ◽  
Hospitalization Rates ◽  
Primary Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Ambulatory Care Sensitive Hospitalizations ◽  
Ambulatory Care Sensitive

OBJECTIVE To analyze hospitalization rates and the proportion of deaths due to ambulatory care-sensitive hospitalizations and to characterize them according to coverage by the Family Health Strategy, a primary health care guidance program. METHODS An ecological study comprising 853 municipalities in the state of Minas Gerais, under the purview of 28 regional health care units, was conducted. We used data from the Hospital Information System of the Brazilian Unified Health System. Ambulatory care-sensitive hospitalizations in 2000 and 2010 were compared. Population data were obtained from the demographic censuses. RESULTS The number of ambulatory care-sensitive hospitalizations declined from 20.75/1,000 inhabitants [standard deviation (SD) = 10.42) in 2000 to 14.92/thousand inhabitants (SD = 10.04) in 2010 Heart failure was the most frequent cause in both years. Hospitalizations rates for hypertension, asthma, and diabetes mellitus, decreased, whereas those for angina pectoris, prenatal and birth disorders, kidney and urinary tract infections, and other acute infections increased. Hospitalization durations and the proportion of deaths due to ambulatory care-sensitive hospitalizations increased significantly. CONCLUSIONS Mean hospitalization rates for sensitive conditions were significantly lower in 2010 than in 2000, but no correlation was found with regard to the expansion of the population coverage of the Family Health Strategy. Hospitalization rates and proportion of deaths were different between the various health care regions in the years evaluated, indicating a need to prioritize the primary health care with high efficiency and quality.

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