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Disparities in Potentially Preventable Hospitalizations: Near-National Estimates for Hispanics.

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Citation: Health Services Research. , 2017 Apr 04PMID: 28378322Institution: MedStar Washington Hospital CenterDepartment: Surgery/General SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2017 Local holdings: Available online after 12 monthsISSN:

0017-9124

Name of journal: Health services researchAbstract: CONCLUSIONS: 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.Copyright © Health Research and Educational Trust.DATA SOURCES/STUDY SETTING: Data from all-payer inpatient discharge databases for 15 states accounting for 85 percent of Hispanics nationally.OBJECTIVE: 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.PRINCIPAL 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.STUDY 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.All authors: Feng C, Hanchate AD, Kim EJ, Kressin NR, Lin MY, Lopez L, Paasche-Orlow MK, Rosen JEFiscal year: FY2017Digital Object Identifier:

https://dx.doi.org/10.1111/1475-6773.12694

Date added to catalog: 2017-05-06

Holdings ( 1 )
Title notes ( 8 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	28378322	Available		28378322

Available online after 12 months

CONCLUSIONS: 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.

DATA SOURCES/STUDY SETTING: Data from all-payer inpatient discharge databases for 15 states accounting for 85 percent of Hispanics nationally.

OBJECTIVE: 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.

PRINCIPAL 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.

STUDY 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.

English