“…Health care needs and the type of ACSCs diagnoses differ by age group; therefore, the ACSHs were estimated separately for three age groups: pediatric (0-17 years), adult (18-64 years), and elderly (65 years and older). For the elderly population, consistent with other studies, pneumonia was excluded from the ACSC diagnoses, as pneumonia is often a terminal event in the elderly population [20,32]. The younger than 65 population may experience greater barriers to care related to poverty, justifying the estimation of separate rates for the three population groups [9,24].…”