Ambulatory Care Sensitive Condition Admission Rates in Younger and Older Traditional Medicare and Medicare Advantage Populations, 2011–2019

Weeks, William B.; Wang, Huabo; Smith, Jeremy; Weinstein, James Neil

doi:10.1007/s11606-021-06955-7

Cited by 2 publications

(1 citation statement)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[24][25][26][27] Previous research on ACSC hospitalizations in the US have examined rates of ACSC hospitalizations in Medicare relative to the total number of beneficiaries, rather than the number of hospitalized beneficiaries. 28 Such information is useful for governmental and other public health agencies in efforts to increase the quality of primary care in regions with the highest rates of ACSCs and in the allocation of health care resources to regions with high rates of ACSCs to care for potential excess hospitalizations. 24 However, data on the rates of ACSC hospitalizations relative to the total number of beneficiaries, rather than the number of hospitalized beneficiaries, does little to assist individual hospitals and their affiliated primary care practices in identifying rates of ACSC admissions that are higher than expected, indicating a potential need for change in healthcare delivery at the individual practice level.…”

Section: Discussionmentioning

confidence: 99%

National Norms for Hospitalizations Due to Ambulatory Care Sensitive Conditions among Adults in the US

et al. 2023

View full text Add to dashboard Cite

Background Ambulatory care sensitive conditions (ACSCs) are acute or chronic health issues that lead to potentially preventable hospitalizations when not treated in the outpatient primary care setting. Objective To describe national hospitalization rates due to ACSCs among adult inpatients in the US. Design A retrospective cross-sectional analysis of the 2018 US National Inpatient Sample (NIS) dataset from the Healthcare Cost and Utilization Project at the Agency of Healthcare Research and Quality was completed in the year 2022. Participants Participants were adult inpatients from community hospitals in 48 states of the US and District of Columbia. Main Measures ACSC admission rates were calculated using ICD-10 codes and the Purdy ACSC definition. The admission rates were weighted to the US inpatient population and stratified by age, sex, and race. Key Results ACSC hospitalization rates varied considerably across age and average number of hospitalizations varied across sex and race. ACSC hospitalization rates increased with age, male sex, and Native American and Black race. The most common ACSCs were pneumonia, diabetes, and congestive heart failure. Conclusions Previous studies have emphasized the importance of preventable hospitalizations, however, the national rates for ACSC hospitalizations across all ages in the US have not been reported. The national rates presented will facilitate comparisons to identify hospitals and health care systems with higher-than-expected rates of ACSC admissions that may suggest a need for improved primary care services.

show abstract

Section: Discussionmentioning

confidence: 99%

National Norms for Hospitalizations Due to Ambulatory Care Sensitive Conditions among Adults in the US

et al. 2023

View full text Add to dashboard Cite

show abstract

Current Status of Repeated Hospitalization in South Korea: Focused on Ambulatory Care Sensitive Conditions

Jung¹,

Kim²,

Lee³

2021

Qual Improv Health Care

View full text Add to dashboard Cite

Purpose: Repeated hospitalization could be a proxy of unnecessary or preventive admission in South Korea where barriers to hospitalization are relatively low. This study aimed to estimate the current status of repeated hospitalization due to ambulatory care sensitive conditions (ACSC) in South Korea.Methods: Using the National Health Information Database, repeated hospitalization databases were constructed in units of episodes for patients who had been admitted more than twice between January 2017 and December 2018. The number of hospitalizations, total in-hospital days, and total medical expenditure were calculated and compared by patient characteristics in both of the entire patient group and the ACSC patient group.Results: Of total hospitalization episodes, 26.6% reported repeated admission, and 6.7% of repeated hospitalization was due to ACSC. A total of 183,110 patients with ACSC had been admitted an average of 2.9 times and spent an average of KRW5,630,118. In other words, KRW1,309 billion had been spent for repeated hospitalization due to ACSC. The scale of medical expenditure was relatively large in the highest and lowest socioeconomic status.Conclusion: Repeated hospitalization for ACSC can be considered a simple and intuitive indicator when assessing unnecessary hospitalizations or evaluating healthcare policy.

show abstract

Ambulatory Care Sensitive Condition Admission Rates in Younger and Older Traditional Medicare and Medicare Advantage Populations, 2011–2019

Cited by 2 publications

References 5 publications

National Norms for Hospitalizations Due to Ambulatory Care Sensitive Conditions among Adults in the US

National Norms for Hospitalizations Due to Ambulatory Care Sensitive Conditions among Adults in the US

Current Status of Repeated Hospitalization in South Korea: Focused on Ambulatory Care Sensitive Conditions

Contact Info

Product

Resources

About