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Journal articles on the topic 'Ambulatory care sensitive conditions (ACSCs)'

Author: Grafiati

Published: 4 June 2025

Last updated: 15 July 2025

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1

Parker, Jennifer D., and Kenneth C. Schoendorf. "Variation in Hospital Discharges for Ambulatory Care-Sensitive Conditions Among Children." Pediatrics 106, Supplement_3 (2000): 942–48. http://dx.doi.org/10.1542/peds.106.s3.942.

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Objective. Ambulatory Care-Sensitive Conditions (ACSCs), conditions for which ambulatory care may reduce, though not eliminate, the need for hospital admission, have been used as an index of adequate primary care. However, few studies of ACSC have focused on children. We estimated national hospitalization rates for ACSC among children and examined the behavior of the index between subgroups of children. Methods. We used data from the 1990–1995 National Hospital Discharge Surveys (NHDS), the US census, and the National Health Interview Survey (NHIS) to calculate hospital discharge rates. Rates

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Lamberti-Castronuovo, Alessandro, Martina Valente, Chiara Aleni, Ives Hubloue, Luca Ragazzoni, and Francesco Barone Adesi. "Using Ambulatory Care Sensitive Conditions to Assess Primary Health Care Performance during Disasters." Prehospital and Disaster Medicine 38, S1 (2023): s183—s184. http://dx.doi.org/10.1017/s1049023x23004740.

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Introduction:Ambulatory care sensitive conditions (ACSCs) are health conditions for which appropriate primary care intervention could prevent hospital admission. ACSC hospitalization rates are a well established parameter for assessing the performance of primary health care (PHC). Although this indicator has been extensively used to monitor the performance of PHC systems in peacetime, its consideration during disasters has been neglected. The World Health Organization (WHO) has acknowledged the importance of PHC in guaranteeing continuity of care during and after a disaster for avoiding negati

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Shepel, R. N., O. M. Drapkina, A. V. Kontsevaya, et al. "Ambulatory care sensitive diseases/conditions in adult patients. A systematic review." Cardiovascular Therapy and Prevention 23, no. 9 (2024): 4128. http://dx.doi.org/10.15829/1728-8800-2024-4128.

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Aim. To summarize the published data on the nomenclature of ambulatory care sensitive diseases/conditions (ACSCs) in adult patients as one of the tools for a comprehensive assessment of the effectiveness of primary health care (PHC) measures implemented.Material and methods. The study was implemented in 4 following stages: 1 — search for articles by keywords in electronic bibliographic databases; 2 — duplicate elimination; 3 — review of abstracts with an assessment for compliance with the inclusion/exclusion criteria, followed by a search for full-text versions and final selection of publi

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Lekhan, Valery N., Liudmyla O. Hrytsenko, and Mykola I. Zaiarskyi. "GLOBAL BURDEN OF DISEASE DUE TO AMBULATORY CARE SENSITIVE CONDITIONS, 1990-2019." Wiadomości Lekarskie 76, no. 4 (2023): 745–50. http://dx.doi.org/10.36740/wlek202304107.

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The aim: To evaluate the long-term dynamics of health losses caused by ambulatory care sensitive conditions (ACSCs) to justify the priorities of public policy regarding this group of diseases. Materials and methods: The data used were obtained from the Institute of Health Metrics and Evaluation, the European database “Health for All”, for 1990-2019. The study was conducted using bibliosemantic, historical and epidemiological study methods. Results: Disability-adjusted life years (DALYs) due to ACSC over 30 years in Ukraine averaged 5145.4 years per 100,000 population (95% CI 4731.1 -5559.7), w

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Pinto, Andreia, João Vasco Santos, Júlio Souza, et al. "Comparison and Impact of Four Different Methodologies for Identification of Ambulatory Care Sensitive Conditions." International Journal of Environmental Research and Public Health 17, no. 21 (2020): 8121. http://dx.doi.org/10.3390/ijerph17218121.

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Ambulatory care sensitive conditions (ACSCs) are conditions for which hospitalizations are thought to be avoidable if effective and accessible primary health care is available. However, to define which conditions are considered ACSCs, there is a considerable number of different lists. Our aim was to compare the impact of using different ACSC lists considering mainland Portugal hospitalizations. A retrospective study with inpatient data from Portuguese public hospital discharges between 2011 and 2015 was conducted. Four ACSC list sources were considered: Agency for Healthcare Research and Quali

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Lamberti-Castronuovo, Alessandro, Martina Valente, Chiara Aleni, Ives Hubloue, Luca Ragazzoni, and Francesco Barone-Adesi. "Using Ambulatory Care Sensitive Conditions to Assess Primary Health Care Performance during Disasters: A Systematic Review." International Journal of Environmental Research and Public Health 19, no. 15 (2022): 9193. http://dx.doi.org/10.3390/ijerph19159193.

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Ambulatory care sensitive conditions (ACSCs) are health conditions for which appropriate primary care intervention could prevent hospital admission. ACSC hospitalization rates are a well-established parameter for assessing the performance of primary health care (PHC). Although this indicator has been extensively used to monitor the performance of PHC systems in peacetime, its consideration during disasters has been neglected. The World Health Organization (WHO) has acknowledged the importance of PHC in guaranteeing continuity of care during and after a disaster for avoiding negative health out

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McDarby, Geraldine, and Breda Smyth. "Identifying priorities for primary care investment in Ireland through a population-based analysis of avoidable hospital admissions for ambulatory care sensitive conditions (ACSC)." BMJ Open 9, no. 11 (2019): e028744. http://dx.doi.org/10.1136/bmjopen-2018-028744.

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BackgroundIn 2016, the Irish acute hospital system operated well above internationally recommended occupancy targets. Investment in primary care can prevent hospital admissions of ambulatory care sensitive conditions (ACSCs).ObjectiveTo measure the impact of ACSCs on acute hospital capacity in the Irish public system and identify specific care areas for enhanced primary care provision.DesignNational Hospital In-patient Enquiry System data were used to calculate 2011–2016 standardised bed day rates for selected ACSC conditions. A prioritisation exercise was undertaken to identify the most signi

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Buja, Alessandra, Marco Fonzo, Milena Sperotto, et al. "Education level and hospitalization for ambulatory care sensitive conditions: an education approach is required." European Journal of Public Health 30, no. 2 (2019): 207–12. http://dx.doi.org/10.1093/eurpub/ckz122.

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Abstract Background Studies in several different countries and settings suggest that ambulatory care–sensitive conditions (ACSCs)-related hospitalizations could be associated more with socioeconomic variables than with the quality of primary healthcare services. The aim of the present study was to analyze the potential links between education levels or other social determinants and ACSC-related hospitalization rates. Methods We analyzed a total of 467 504 records of ordinary discharges after acute hospitalization in 2015–16 for patients 20–74 years old residing in the Veneto Region. We calcula

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Lekhan, V.N., L.V. Kriachkova, O.О. Doroshenko, and L.O. Gritsenko. "Estimates of potentially preventable hospitalizations in diseases ambulatory care subjected to in Ukraine." Medicni perspektivi 25, no. 4 (2020): 189–98. https://doi.org/10.26641/2307-0404.2020.4.221711.

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The purpose: this study aims to identify the most relevant diseases that can be treated outpatient (Ambulatory Care Sensitive Conditions, or ACSCs) and to define the scope of potentially preventable hospitalizations (PPHs) for such conditions (Ambulatory Care Sensitive Hospitalizations, or ACSH), for Ukrainian adults (above 18 years old), subject to improvement of primary care efficiency. The study has been carried out in four phases, using the World Health Organization’s (WHO) guidance on ACSCs for the European Region, which was adapted to the national context. The data was taken from t

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Contreras, Dani, Claire Barber, Antonio Aviña-Zubieta, et al. "Hospitalizations for Ambulatory Care Sensitive Conditions by Persons with Rheumatoid Arthritis: A Population-Based Study Using Administrative Data." Journal of Rheumatology 52, Suppl 2 (2025): 79.2–80. https://doi.org/10.3899/jrheum.2025-0314.73.

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ObjectivesAmbulatory care sensitive conditions (ACSCs) are conditions where appropriate access to ambulatory care can reduce hospitalizations. People with rheumatoid arthritis (RA) are at higher risk for ACSC hospitalizations due to consequences of systemic inflammation and insufficient management of the condition in ambulatory practice. This project aims to estimate rates of avoidable hospitalizations by persons with RA relative to the general population.MethodsWe conducted a retrospective cohort study in Alberta, a province of ~4.6M, of individuals meeting a validated case definition for RA

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Grigoroglou, Christos, Luke Munford, Roger Webb, et al. "Impact of a national primary care pay-for-performance scheme on ambulatory care sensitive hospital admissions: a small-area analysis in England." BMJ Open 10, no. 9 (2020): e036046. http://dx.doi.org/10.1136/bmjopen-2019-036046.

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ObjectiveWe aimed to spatially describe hospital admissions for ambulatory care sensitive conditions (ACSC) in England at small-area geographical level and assess whether recorded practice performance under one of the world’s largest primary care pay-for-performance schemes led to reductions in these potentially avoidable hospitalisations for chronic conditions incentivised in the scheme.SettingWe obtained numbers of ACSC hospital admissions from the Hospital Episode Statistics database and information on recorded practice performance from the Quality and Outcomes Framework (QOF) administrativ

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Contreras, Dani, Zanir Bhanji, Antonio Aviña-Zubieta, Claire Barber, and Cheryl Barnabe. "Emergency Department Visits for Ambulatory Care Sensitive Conditions by Persons with Rheumatoid Arthritis: A Population-Based Study." Journal of Rheumatology 52, Suppl 2 (2025): 80.1–80. https://doi.org/10.3899/jrheum.2025-0314.74.

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ObjectivesAmbulatory Care Sensitive Conditions (ACSCs) are conditions where appropriate access to ambulatory care could prevent or reduce complications, a more severe disease course, or the need for hospitalizations. We conducted this study to estimate the emergency department (ED) visit rates for ACSCs by persons with rheumatoid arthritis relative to age- and sex-matched general population controls.MethodsWe conducted a retrospective cohort study in Alberta, identifying individuals meeting a validated case definition for RA based on ICD-9-CM and ICD-10-CA/CM codes from 2002-2023. General popu

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Marasović Šušnjara, Ivana, Marijana Mijaković, and Anamarija Jurčev Savičević. "The Influence of the COVID-19 Pandemic on Hospitalizations for Ambulatory Care-Sensitive Conditions in Split-Dalmatia County, Croatia." Medicina 60, no. 4 (2024): 523. http://dx.doi.org/10.3390/medicina60040523.

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Background and Objectives: We aimed to explore whether the COVID-19 pandemic influenced hospitalizations for ambulatory care-sensitive conditions (ACSCs) in Split-Dalmatia County, Croatia. Materials and Methods: We performed a cross-sectional comparative study using two different time periods, the pre-pandemic (from March 2019 to February 2020) and the pandemic period (from March 2020 to February 2021), to explore the possible influences that the COVID-19 pandemic had on hospitalizations for ACSCs. The ACSCs were classified into the categories of vaccine-preventable, chronic, and acute disease

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Hensel, Jennifer M., Valerie H. Taylor, Kinwah Fung, Rebecca Yang, and Simone N. Vigod. "Acute Care Use for Ambulatory Care–Sensitive Conditions in High-Cost Users of Medical Care with Mental Illness and Addictions." Canadian Journal of Psychiatry 63, no. 12 (2018): 816–25. http://dx.doi.org/10.1177/0706743717752880.

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Objective: The role of mental illness and addiction in acute care use for chronic medical conditions that are sensitive to ambulatory care management requires focussed attention. This study examines how mental illness or addiction affects risk for repeat hospitalization and/or emergency department use for ambulatory care–sensitive conditions (ACSCs) among high-cost users of medical care. Method: A retrospective, population-based cohort study using data from Ontario, Canada. Among the top 10% of medical care users ranked by cost, we determined rates of any and repeat care use (hospitalizations

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Santos, Rita, Nigel Rice, and Hugh Gravelle. "Patterns of emergency admissions for ambulatory care sensitive conditions: a spatial cross-sectional analysis of observational data." BMJ Open 10, no. 11 (2020): e039910. http://dx.doi.org/10.1136/bmjopen-2020-039910.

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ObjectivesTo examine the spatial and temporal patterns of English general practices’ emergency admissions for Ambulatory Care Sensitive Conditions (ACSCs).DesignObservational study of practice level annual hospital emergency admissions data for ACSCs for all English practices from 2004-2017.ParticipantsAll patients with an emergency admission to a National Health Service hospital in England who were registered with an English general practice.Main outcome measurePractice level age and gender indirectly standardised ratios (ISARs) for emergency admissions for ACSC.ResultsIn 2017, 41.8% of the t

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Kaneko, Makoto, Sayuri Shimizu, Ai Oishi, and Kiyohide Fushimi. "Impact of COVID-19 infection rates on admissions for ambulatory care sensitive conditions: nationwide difference-in-difference design in Japan." Family Medicine and Community Health 10, no. 4 (2022): e001736. http://dx.doi.org/10.1136/fmch-2022-001736.

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ObjectivesSARS-CoV-2 infection (COVID-19) has affected tertiary medical institutions and primary care. Admission for ambulatory care sensitive conditions (ACSCs) is an important indicator of primary care quality. However, no nationwide study, especially in Asia, has examined the association between admissions for ACSCs and local surges in COVID-19. This study aimed to examine how the number of admissions for ACSCs has changed in Japan between the areas with higher and lower rates of COVID-19 infection.DesignThis was a retrospective two-stage cross-sectional study. We employed a difference-in-d

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Lumme, Sonja, Kristiina Manderbacka, Martti Arffman, Sakari Karvonen, and Ilmo Keskimaki. "Cumulative social disadvantage and hospitalisations due to ambulatory care-sensitive conditions in Finland in 2011─2013: a register study." BMJ Open 10, no. 8 (2020): e038338. http://dx.doi.org/10.1136/bmjopen-2020-038338.

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ObjectivesTo study the interplay between several indicators of social disadvantage and hospitalisations due to ambulatory care-sensitive conditions (ACSC) in 2011─2013. To evaluate whether the accumulation of preceding social disadvantage in one point of time or prolongation of social disadvantage had an effect on hospitalisations due to ACSCs. Four common indicators of disadvantage are examined: living alone, low level of education, poverty and unemployment.DesignA population-based register study.SettingNationwide individual-level register data on hospitalisations due to ACSCs for the years 2

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Franklin, Courtney, Kate Mason, Lateef Akanni, et al. "Neighbourhood socioeconomic conditions and emergency admissions for ambulatory care sensitive conditions in children: a longitudinal ecological analysis in England, 2012–2017." BMJ Paediatrics Open 9, no. 1 (2025): e002991. https://doi.org/10.1136/bmjpo-2024-002991.

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BackgroundAmbulatory care sensitive conditions (ACSCs) are those for which hospital admission could be prevented by interventions in primary care. Children living in socioeconomic disadvantage have higher rates of emergency admissions for ACSCs than their more affluent counterparts. Emergency admissions for ACSCs have been increasing, but few studies have assessed how changing socioeconomic conditions (SECs) have impacted this. This study investigates the association between local SECs and emergency ACS hospital admissions in children in England.MethodsWe examined longitudinal trends in emerge

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Chumbler, Neale R., Ming Chen, Austin Harrison, and Satya Surbhi. "Racial and Socioeconomic Characteristics Associated with the use of Telehealth Services Among Adults With Ambulatory Sensitive Conditions." Health Services Research and Managerial Epidemiology 10 (January 2023): 233339282311543. http://dx.doi.org/10.1177/23333928231154334.

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Introduction The COVID-19 pandemic led to a major transition for patients from routine ambulatory-care-based in-person primary care visits to telehealth visits to manage chronic diseases. However, it remains unclear the extent to which individuals access telehealth services and whether such utilization varies along neighborhood characteristics, especially among racial minorities. This study aims to examine the association of outpatient telehealth utilization with sociodemographic, clinical, and neighborhood characteristics among adults with ambulatory care sensitive conditions (ACSCs) during t

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Kim, Jinkyung, Hye-Young Kang, Kwang-Soo Lee, Songhee Min, and Euichul Shin. "A Spatial Analysis of Preventable Hospitalization for Ambulatory Care Sensitive Conditions and Regional Characteristics in South Korea." Asia Pacific Journal of Public Health 31, no. 5 (2019): 422–32. http://dx.doi.org/10.1177/1010539519858452.

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Hospitalization rates for ambulatory care sensitive conditions (ACSCs) can indicate the accessibility of a community’s primary care. We examined regional variation in ACSC hospitalization rates and identified associated factors. ACSC hospitalization rates in the 232 districts in 2013 ranged from 4.08 to 101.53 per 1000 adults. Spatial analysis showed that none of the 24 highest rate districts were located near Seoul, whereas 80% of the 45 lowest rate districts were, suggesting health care inequality between people living near Seoul and in other areas. Regression analysis showed significantly h

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Kaneko, Makoto, Takuya Aoki, Masafumi Funato, et al. "Admissions for ambulatory care sensitive conditions on rural islands and their association with patient experience: a multicentred prospective cohort study." BMJ Open 9, no. 12 (2019): e030101. http://dx.doi.org/10.1136/bmjopen-2019-030101.

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ObjectivesThe rate of admissions for ambulatory care sensitive conditions (ACSCs) is a key outcome indicator for primary care, and patient experience (PX) is a crucial process indicator. Studies have reported higher rates of admission for ACSCs in rural areas than in urban areas. Whether there is an association between admissions for ACSCs and PX in rural areas has not been examined. This study aimed to document admissions for ACSCs on Japanese rural islands, and assess whether there was an association between the rate of admissions for ACSCs and PX.DesignMulticentred, prospective, cohort stud

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Mohammadrezaei, Dorsa, Rahim Moineddin, Jun John Wang, et al. "The association between care modality and hospitalizations and emergency department visits for ambulatory care-sensitive conditions during and after the pandemic in Ontario, Canada." PLOS One 20, no. 7 (2025): e0324805. https://doi.org/10.1371/journal.pone.0324805.

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The COVID-19 pandemic required a rapid transition to virtual care as a key strategy to maintain healthcare access while minimizing virus transmission risks. However, the impact of this shift on hospitalizations and emergency department (ED) visits for ambulatory care-sensitive conditions (ACSCs) remains unclear. This study aims to assess the relationship between the modality of outpatient care for ACSCs and their outcomes in Ontario, Canada. In this population-based retrospective cohort study, we analyzed hospitalization and ED visit data for ACSCs, including diabetes, epilepsy, congestive hea

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Vuik, Sabine I., Gianluca Fontana, Erik Mayer, and Ara Darzi. "Do hospitalisations for ambulatory care sensitive conditions reflect low access to primary care? An observational cohort study of primary care usage prior to hospitalisation." BMJ Open 7, no. 8 (2017): e015704. http://dx.doi.org/10.1136/bmjopen-2016-015704.

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ObjectivesTo explore whether hospitalisations for ambulatory care sensitive conditions (ACSCs) are associated with low access to primary care.DesignObservational cohort study over 2008 to 2012 using the Clinical Practice Research Datalink (CPRD) and Hospital Episode Statistics (HES) databases.SettingEnglish primary and secondary care.ParticipantsA random sample of 300 000 patients.Main outcome measuresEmergency hospitalisation for an ACSC.ResultsOver the long term, patients with ACSC hospitalisations had on average 2.33 (2.17 to 2.49) more general practice contacts per 6 months than patients w

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Ansari, Zahid. "The Concept and Usefulness of Ambulatory Care Sensitive Conditions as Indicators of Quality and Access to Primary Health Care." Australian Journal of Primary Health 13, no. 3 (2007): 91. http://dx.doi.org/10.1071/py07043.

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The purpose of this review is to introduce health services researchers, especially in the area of primary health care, to the meaning and concept of ambulatory care sensitive conditions (ACSCs). More specifically, this review explores the validity of ACSC admissions as proxy indicators of access to primary health care, provides a description of the factors that cause variations in ACSC admission rates, and presents a discussion of the potential usefulness and policy implications of these indicators for primary health care. Critical Interpretive Synthesis (CIS) methodology was used to review th

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Ansari, Zahid, Norman Carson, Adrian Serraglio, Toni Barbetti, and Flavia Cicuttini. "The Victorian Ambulatory Care Sensitive Conditions Study: reducing demand on hospital services in Victoria." Australian Health Review 25, no. 2 (2002): 71. http://dx.doi.org/10.1071/ah020071.

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Ambulatory Care Sensitive Conditions (ACSCs) are those for which hospitalisation is thought to be avoidable ifpreventive care and early disease management are applied, usually in the ambulatory setting. The Victorian ACSCs study offers a new set of indicators describing differentials and inequalities in access to the primary healthcare systemin Victoria. The study used the Victorian Admitted Episodes Dataset (1999-2000) for analysing hospital admissions for diabetes complications, asthma, vaccine preventable influenza and pneumococcal pneumonia. The analyses were performed at the level of Prim

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Crouse, Dan L., Kyle Rogers, Adele Balram, and James T. McDonald. "The Impact of Rural Hospital Closures and Health Service Restructuring on Provincial- and Community-Level Patterns of Hospital Admissions in New Brunswick." International Journal of Environmental Research and Public Health 19, no. 12 (2022): 7258. http://dx.doi.org/10.3390/ijerph19127258.

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In the early 2000s, the Province of New Brunswick, Canada, undertook health system restructuring, including closing some rural hospitals. We examined whether changes in geographic access to hospitals and primary care were associated with changes in patterns of hospital use. We described three measures of hospital use for ambulatory care sensitive conditions (ACSCs) among adults 75 years and younger annually during the period 2004–2013 overall, and at the community scale. We described spatial and temporal patterns in: age-standardized hospitalization rates, age-standardized incidence of hospita

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Cronin, Cory E. "The Prevalence of Community Benefit Participation in the Hospital Region and Its Relationship to Community Health Outcomes." Journal of Health and Human Services Administration 40, no. 1 (2017): 98–132. http://dx.doi.org/10.1177/107937391704000104.

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The structure of the U.S. health care industry has long emphasized individual outcomes, but there is a growing recognition that hospitals may be able to provide more cost-effective care through community-focused initiatives. Few assessments have been established to measure outcomes of these increasing community benefit efforts. This study uses the rate of ambulatory care sensitive condition admissions in the Medicare population as a mechanism for understanding the effectiveness of a range of hospital community benefit practices. This study is based on national data collected through the Americ

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Sasabuchi, Yusuke, Hiroki Matsui, Kazuhiko Kotani, Alan Kawarai Lefor, and Hideo Yasunaga. "Effect of the 2016 Kumamoto earthquakes on preventable hospital admissions: a retrospective cohort study in Japan." BMJ Open 8, no. 7 (2018): e021294. http://dx.doi.org/10.1136/bmjopen-2017-021294.

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Background and objectivesThe Kumamoto earthquakes struck Kumamoto prefecture, in the southwest part of Japan in April 2016. Physical and mental disorders presenting to hospital increased after the 2016 Kumamoto earthquakes. Impaired access to primary care due to the earthquakes may have contributed to this increase. However, it is not known whether the 2016 Kumamoto earthquakes affected access to primary care. The objective of the present study was to investigate the impact of the 2016 Kumamoto earthquakes on short-term health conditions by analysing ambulatory care sensitive conditions (ACSCs

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Yi, Seung Eun, Vinyas Harish, Jahir Gutierrez, et al. "Predicting hospitalisations related to ambulatory care sensitive conditions with machine learning for population health planning: derivation and validation cohort study." BMJ Open 12, no. 4 (2022): e051403. http://dx.doi.org/10.1136/bmjopen-2021-051403.

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ObjectiveTo predict older adults’ risk of avoidable hospitalisation related to ambulatory care sensitive conditions (ACSC) using machine learning applied to administrative health data of Ontario, Canada.Design, setting and participantsA retrospective cohort study was conducted on a large cohort of all residents covered under a single-payer system in Ontario, Canada over the period of 10 years (2008–2017). The study included 1.85 million Ontario residents between 65 and 74 years old at any time throughout the study period.Data sourcesAdministrative health data from Ontario, Canada obtained from

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Agarwal, Gina, Aloysius Niroshan Siriwardena, Brent McLeod, et al. "Development of indicators for avoidable emergency medical service calls by mapping paramedic clinical impression codes to ambulatory care sensitive conditions and mental health conditions in the UK and Canada." BMJ Open 13, no. 12 (2023): e073520. http://dx.doi.org/10.1136/bmjopen-2023-073520.

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ObjectiveParamedic assessment data have not been used for research on avoidable calls. Paramedic impression codes are designated by paramedics on responding to a 911/999 medical emergency after an assessment of the presenting condition. Ambulatory care sensitive conditions (ACSCs) are non-acute health conditions not needing hospital admission when properly managed. This study aimed to map the paramedic impression codes to ACSCs and mental health conditions for use in future research on avoidable 911/999 calls.DesignMapping paramedic impression codes to existing definitions of ACSCs and mental

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Wolf, Dominik, Carolin Rhein, Katharina Geschke, and Andreas Fellgiebel. "Preventable hospitalizations among older patients with cognitive impairments and dementia." International Psychogeriatrics 31, no. 3 (2018): 383–91. http://dx.doi.org/10.1017/s1041610218000960.

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ABSTRACTObjectives:Dementia and cognitive impairment are associated with higher rates of complications and mortality during hospitalization in older patients. Moreover, length of hospital stay and costs are increased. In this prospective cohort study, we investigated the frequency of hospitalizations caused by ambulatory care-sensitive conditions (ACSCs), for which proactive ambulatory care might prevent the need for a hospital stay, in older patients with and without cognitive impairments.Design:Prospective cohort study.Setting:Eight hospitals in Germany.Participants:A total of 1,320 patients

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Jones, Jeffrey Alan, Joseph M. Flynn, and John C. Byrd. "Rates of Preventable Hospitalization for Ambulatory Care Sensitive Conditions (ACSCs) among Patients with Lymphoid Malignancies (LM)." Blood 112, no. 11 (2008): 873. http://dx.doi.org/10.1182/blood.v112.11.873.873.

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BACKGROUND: The influence of comorbid medical illness on treatment outcome and survival from LM has been well-characterized. Recent reports suggest that optimal management of these comorbidities may also be important. We sought to indirectly determine the effectiveness of outpatient treatment for ACSCs, conditions where good outpatient care can potentially prevent the need for hospitalization, by calculating population-based estimates of hospital admission rates among patients with LM. Methods: Data were obtained from the 2005 Nationwide Inpatient Sample. Using ICD-9CM codes, we identified all

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She, Zhaowei, Anne H. Gaglioti, Peter Baltrus, et al. "Primary Care Comprehensiveness and Care Coordination in Robust Specialist Networks Results in Lower Emergency Department Utilization: A Network Analysis of Medicaid Physician Networks." Journal of Primary Care & Community Health 11 (January 2020): 215013272092443. http://dx.doi.org/10.1177/2150132720924432.

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Background: Care coordination is an essential and difficult to measure function of primary care. Objective: Our objective was to assess the impact of network characteristics in primary/specialty physician networks on emergency department (ED) visits for patients with chronic ambulatory care sensitive conditions (ACSCs). Subjects and Measures: This cross-sectional social network analysis of primary care and specialty physicians caring for adult Medicaid beneficiaries with ACSCs was conducted using 2009 Texas Medicaid Analytic eXtract (MAX) files. Network characteristic measures were the main ex

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White, Brandi, Charles Ellis, Walter Jones, William Moran, and Kit Simpson. "The effect of the global financial crisis on preventable hospitalizations among the homeless in New York State." Journal of Health Services Research & Policy 23, no. 2 (2018): 80–86. http://dx.doi.org/10.1177/1355819617742180.

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Objective Periods of economic instability may increase preventable hospitalizations because of increased barriers to accessing primary care. For underserved populations such as the homeless, these barriers may be more pronounced due to limited resources in the health care safety net. This study examined the impact of the global financial crisis of 2007–2008 on access to care for the homeless in New York State. Methods Hospitalizations for ambulatory care sensitive conditions (ACSCs) were used as a proxy measure for primary care access. Admissions for ACSCs were identified in the New York State

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Beckman, Adam L., Austin B. Frakt, Ciara Duggan, et al. "Evaluation of Potentially Avoidable Acute Care Utilization Among Patients Insured by Medicare Advantage vs Traditional Medicare." JAMA Health Forum 4, no. 2 (2023): e225530. http://dx.doi.org/10.1001/jamahealthforum.2022.5530.

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ImportanceMedicare Advantage plans have strong incentives to reduce potentially wasteful health care, including costly acute care visits for ambulatory care−sensitive conditions (ACSCs). However, it remains unknown whether Medicare Advantage plans lower acute care use compared with traditional Medicare, or if it shifts patients from hospitalization to observation stays and emergency department (ED) direct discharges.ObjectiveTo determine whether Medicare Advantage is associated with differential utilization of hospitalizations, observations, and ED direct discharges for ACSCs compared with tra

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Russo, Letícia Xander, Timothy Powell-Jackson, Jorge Otavio Maia Barreto, et al. "Pay for performance in primary care: the contribution of the Programme for Improving Access and Quality of Primary Care (PMAQ) on avoidable hospitalisations in Brazil, 2009–2018." BMJ Global Health 6, no. 7 (2021): e005429. http://dx.doi.org/10.1136/bmjgh-2021-005429.

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BackgroundEvidence on the effect of pay-for-performance (P4P) schemes on provider performance is mixed in low-income and middle-income countries. Brazil introduced its first national-level P4P scheme in 2011 (PMAQ-Brazilian National Programme for Improving Primary Care Access and Quality). PMAQ is likely one of the largest P4P schemes in the world. We estimate the association between PMAQ and hospitalisations for ambulatory care sensitive conditions (ACSCs) based on a panel of 5564 municipalities.MethodsWe conducted a fixed effect panel data analysis over the period of 2009–2018, controlling f

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Abe, Kazuhiro, Ichiro Kawachi, Arisa Iba, and Atsushi Miyawaki. "In-Hospital Deaths From Ambulatory Care–Sensitive Conditions Before and During the COVID-19 Pandemic in Japan." JAMA Network Open 6, no. 6 (2023): e2319583. http://dx.doi.org/10.1001/jamanetworkopen.2023.19583.

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ImportanceThe COVID-19 pandemic may have played a role in the deterioration of access to medical care for ambulatory care–sensitive conditions (ACSCs).ObjectiveTo ascertain whether the number of in-hospital deaths and in-hospital mortality rate associated with ACSC changed after the declaration of the COVID-19 national state of emergency in Japan.Design, Setting, and ParticipantsThis cohort study used a difference-in-differences design to compare outcomes for ACSC in the period before (January 1, 2015, to December 31, 2019) vs the period after (January 1, 2020, to December 31, 2020) Japan decl

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Mazumdar, Soumya, Shanley Chong, Luke Arnold, and Bin Jalaludin. "Spatial clusters of chronic preventable hospitalizations (ambulatory care sensitive conditions) and access to primary care." Journal of Public Health 42, no. 2 (2019): e134-e141. http://dx.doi.org/10.1093/pubmed/fdz040.

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Abstract Background Potentially preventable hospitalizations (PPHs) or ambulatory care sensitive conditions (ACSCs) represent hospitalizations that could be successfully managed in a primary care setting. Research from the USA and elsewhere on the role of primary care provider (PCP) access as a PPH driver has been conflicting. We investigated the role of PCP access in the creation of areas with persistently significant high rates of PPHs over time or PPH hotspots/spatial clusters. Methods Using a detailed dataset of PCPs and a dataset of 106 334 chronic PPH hospitalizations from South Western

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Alcusky, Matthew, David Singer, Scott W. Keith, et al. "Evaluation of Care Processes and Health Care Utilization in Newly Implemented Medical Homes in Italy: A Population-Based Cross-sectional Study." American Journal of Medical Quality 35, no. 3 (2019): 265–73. http://dx.doi.org/10.1177/1062860619860590.

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In the Local Health Authority (LHA) of Parma, Emilia Romagna, Italy, 16 medical homes were established between 2011 and 2014. The authors implemented a 1-year (January 1, 2015, to December 31, 2015) cross-sectional population-based design to compare utilization and processes of care between medical homes and comparison practices using the Parma LHA administrative health care database. Residents (n = 372 396) attributed to a primary care physician practicing in a medical home as of January 1, 2015, were considered exposed to medical homes. Adjusted rates of emergency department (ED) use (incide

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Francesconi, Gabriel Vivas, Renato Tasca, Sanjay Basu, Thiago Augusto Hernandes Rocha, and Davide Rasella. "Mortality associated with alternative policy options for primary care and the Mais Médicos (More Doctors) Program in Brazil: forecasting future scenarios." Revista Panamericana de Salud Pública 44 (March 31, 2020): 1. http://dx.doi.org/10.26633/rpsp.2020.31.

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Objective. To forecast the impact of alternative scenarios of coverage changes in Brazil’s Family Health Strategy (Estratégia Saúde da Família) (ESF)—due to fiscal austerity measures and to the end of the Mais Médicos (More Doctors) Program (PMM)—on overall under-5 mortality rates (U5MRs) and under-70 mortality rates (U70MRs) from ambulatory care sensitive conditions (ACSCs) up through 2030. Methods. A synthetic cohort of 5 507 Brazilian municipalities was created for the period 2017-2030. A municipal-level microsimulation model was developed and validated using longitudinal data. Reductions i

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Xu Zheng, Esthefany, Xiaodi Zhu, Yi Zhu, Zhenhua Qin, Jiachi Zhang, and Yixiang Huang. "Impact of Insurance on Readmission Rates, Healthcare Expenditures, and Length of Hospital Stay among Patients with Chronic Ambulatory Care Sensitive Conditions in China." Healthcare 12, no. 17 (2024): 1798. http://dx.doi.org/10.3390/healthcare12171798.

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Background: The disparities in healthcare access due to varying insurance coverage significantly impact hospital outcomes, yet what is unclear is the role of insurance in providing care once the patient is in the hospital for a preventable admission, particularly in a weak gatekeeping environment. This study aimed to investigate the association between insurance types and readmission rates, healthcare expenditures, and length of hospital stay among patients with chronic ambulatory care sensitive conditions (ACSCs) in China. Methods: This retrospective observational study utilized hospitalizati

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Basu, Jayasree. "Chronic illness and hospital readmission rate by adult age groups." International Journal of Healthcare 5, no. 2 (2019): 12. http://dx.doi.org/10.5430/ijh.v5n2p12.

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Objective: The study provides a comprehensive assessment of readmission risks of patients by nonelderly adult and elderly age groups admitted with different chronic condition types and multiple chronic condition (MCC) burdens.Methods: The study examines the all-cause readmission risks of hospitalized adult patients in 18-64 and 65 and above age groups admitted for any cause having three mutually exclusive chronic condition types: Ambulatory Care Sensitive Condition (ACSC); non-ACSC, and non-chronic. Using 2009 hospital discharge data from HCUP-SID of AHRQ, linked to the contextual and provider

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Zhang, Wanqing, and Khalilah R. Johnson. "Geographic Variation in Preventable Hospitalizations among US Children with Autism." Children 10, no. 7 (2023): 1228. http://dx.doi.org/10.3390/children10071228.

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There is a limited amount of research on geographic differences in preventable hospitalizations for ambulatory care sensitive conditions (ACSCs) among children with autism. The purpose of this study was to examine US regional differences in potentially preventable hospital admissions for pediatric inpatients diagnosed with autism. Hospital discharge data for six pediatric preventable conditions were obtained from the 2016–2019 National Inpatient Sample (NIS) under the US Agency for Healthcare Research and Quality. Geographic differences in preventable hospitalizations for children with autism

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Latham, Lesley P., and Stacy Ackroyd-Stolarz. "Defining potentially preventable emergency department visits for older adults." International Journal of Healthcare 3, no. 2 (2017): 1. http://dx.doi.org/10.5430/ijh.v3n2p1.

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Objective: As older adults become increasingly reliant on emergency departments (EDs) for care, there is an interest in determining what types of ED visits by this population may be preventable, or amenable to other forms of care. The aim of this project was to explore the concept of preventable ED visits by older adults.Methods: We conducted a literature search to identify definitions of “preventable” or “avoidable” ED visits. We then applied a definition of preventable ED visits to an administrative data set consisting of ED visit data extracted from four sites in Halifax, Nova Scotia, Canad

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Seamer, Paul, Simon Brake, Patrick Moore, Mohammed A. Mohammed, and Steven Wyatt. "Did government spending cuts to social care for older people lead to an increase in emergency hospital admissions? An ecological study, England 2005–2016." BMJ Open 9, no. 4 (2019): e024577. http://dx.doi.org/10.1136/bmjopen-2018-024577.

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ObjectivesGovernment spending on social care in England reduced substantially in real terms following the economic crisis in 2008, meanwhile emergency admissions to hospitals have increased. We aimed to assess the extent to which reductions in social care spend on older people have led to increases in emergency hospital admissions.DesignWe used negative binomial regression for panel data to assess the relationship between emergency hospital admissions and government spend on social care for older people. We adjusted for population size and for levels of deprivation and health.SettingHospitals

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Phillips, Kimberly G., Jeanne S. Wishengrad, and Andrew J. Houtenville. "Ambulatory Care Sensitive Conditions Among All-Payer Claimants With Intellectual and Developmental Disabilities." American Journal on Intellectual and Developmental Disabilities 126, no. 3 (2021): 203–15. http://dx.doi.org/10.1352/1944-7558-126.3.203.

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Abstract Inpatient hospitalizations for ambulatory care sensitive conditions (ACSC) among beneficiaries with and without intellectual and developmental disabilities (IDD) were examined using Medicaid and commercial claims from 2010–2014 in New Hampshire. IDD was defined with International Classification of Diseases, Ninth Edition, Clinical Modification (ICD-9-CM) codes using algorithms from the Centers for Medicare and Medicaid Services, and inpatient encounters were identified using the Healthcare Effectiveness Data and Information Set. In adjusted analyses, beneficiaries with IDD had more ho

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Jung, Hyemin, Hyun Joo Kim, and Jin Yong Lee. "Current Status of Repeated Hospitalization in South Korea: Focused on Ambulatory Care Sensitive Conditions." Quality Improvement in Health Care 27, no. 2 (2021): 45–56. http://dx.doi.org/10.14371/qih.2021.27.2.45.

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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 expe

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Pope, Ian, Sharif Ismail, Benjamin Bloom, et al. "Short-stay admissions at an inner city hospital: a cross-sectional analysis." Emergency Medicine Journal 35, no. 4 (2018): 238–46. http://dx.doi.org/10.1136/emermed-2016-205803.

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ObjectiveTo investigate factors predictive of short hospital admissions and appropriate placement to inpatient versus clinical decision units (CDUs).MethodThis is a retrospective analysis of attendance and discharge data from an inner-city ED in England for December 2013. The primary outcome was admission for less than 48 hours either to an inpatient unit or CDU. Variables included: age, gender, ethnicity, deprivation score, arrival date and time, arrival method, admission outcome and discharge diagnosis. Analysis was performed by cross-tabulation followed by binary logistic regression in thre

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Melo, Maykon Diego, and Emiko Yoshikawa Egry. "Social determinants of hospitalizations for ambulatory care sensitive conditions in Guarulhos, São Paulo." Revista da Escola de Enfermagem da USP 48, spe (2014): 129–36. http://dx.doi.org/10.1590/s0080-623420140000600019.

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The study goals present an overview of Hospitalizations for Ambulatory Care Sensitive Conditions (ACSC) in Guarulhos, SP, from 2008 to 2012. This is an ecological study based on secondary data obtained from the Brazilian Hospital Information System, and supported by the Praxical Theory of Intervention of Collective Health Nursing. Applied descriptive statistics for analysis. It was observed that Guarulhos shows an upward trend in hospitalizations by ACSC (20% increase), the most frequent causes of heart failure (11.8%), cerebrovascular disease (10.6%) and angina (9.7%), most frequently in the

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Nikpour, Jacqueline, Heather Brom, Aleigha Mason, Jesse Chittams, Lusine Poghosyan, and Margo Brooks Carthon. "BETTER NP PRACTICE ENVIRONMENTS REDUCE HOSPITALIZATION DISPARITIES AMONG DUALLY ENROLLED PATIENTS." Innovation in Aging 6, Supplement_1 (2022): 64–65. http://dx.doi.org/10.1093/geroni/igac059.257.

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Abstract Adults dually-enrolled in Medicare and Medicaid experience twice as many hospitalizations and higher rates of ambulatory care-sensitive conditions (ACSCs) – such as coronary artery disease [CAD] and diabetes, compared to Medicare-only patients. Nurse practitioners (NPs) are well-positioned to address care needs of dually-eligible patients, yet NPs often work in unsupportive clinical practice environments. The purpose of this study was to examine the association between the NP primary care practice environment and disparities in all-cause hospitalizations between dually-eligible and Me

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