000			02730nam a22003617a 4500
008			170428s20172017 xxu||||| |||| 00| 0 eng d
022			_a0017-9124
040			_aOvid MEDLINE(R)
099			_a28378322
245			_aDisparities in Potentially Preventable Hospitalizations: Near-National Estimates for Hispanics.
251			_aHealth Services Research. , 2017 Apr 04
252			_aHealth Serv Res. , 2017 Apr 04
253			_aHealth services research
260			_c2017
260			_fFY2017
266			_d2017-05-06
501			_aAvailable online after 12 months
520			_aCONCLUSIONS: Hispanics and blacks face higher barriers to outpatient care access; the higher barriers among Hispanics (but not blacks) seem mediated by SES, lack of insurance, cost barriers, and limited provider availability.
520			_aCopyright © Health Research and Educational Trust.
520			_aDATA SOURCES/STUDY SETTING: Data from all-payer inpatient discharge databases for 15 states accounting for 85 percent of Hispanics nationally.
520			_aOBJECTIVE: To obtain near-national rates of potentially preventable hospitalization (PPH)-a marker of barriers to outpatient care access-for Hispanics; to examine their differences from other race-ethnic groups and by Hispanic national origin; and to identify key mediating factors.
520			_aPRINCIPAL FINDINGS: Age-sex-adjusted PPH rates were 13 percent higher among Hispanics (1,375 per 100,000 adults) and 111 percent higher among blacks (2,578) compared to whites (1,221). Among Hispanics, these rates were relatively higher in areas with predominantly Puerto Rican and Cuban Americans than in areas with Hispanics of other nationalities. Small area variation in chronic condition prevalence and SES fully accounted for the higher rates among Hispanics, but only partially among blacks.
520			_aSTUDY DESIGN: Combining counts of inpatient discharges with census population for adults aged 18 and older, we estimated age-sex-adjusted PPH rates. We examined county-level variation in race-ethnic disparities in these rates to identify the mediating role of area-level indicators of chronic condition prevalence, socioeconomic status (SES), health care access, acculturation, and provider availability.
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Washington Hospital Center
656			_aSurgery/General Surgery
657			_aJournal Article
700			_aRosen, Jennifer E
790			_aFeng C, Hanchate AD, Kim EJ, Kressin NR, Lin MY, Lopez L, Paasche-Orlow MK, Rosen JE
856			_uhttps://dx.doi.org/10.1111/1475-6773.12694 _zhttps://dx.doi.org/10.1111/1475-6773.12694
942			_cART _dArticle
999			_c2136 _d2136