PMID- 18490268 OWN - NLM STAT- MEDLINE DCOM- 20081118 LR - 20211203 IS - 1077-5587 (Print) IS - 1077-5587 (Linking) VI - 65 IP - 5 DP - 2008 Oct TI - The effects of race and insurance on potentially avoidable hospitalizations in Tennessee. PG - 596-616 LID - 10.1177/1077558708318283 [doi] AB - This study examined effects of race and insurance on the risk of potentially avoidable hospitalizations (PAHs) in Tennessee. Applying the current Agency for Healthcare Research and Quality definitions for ambulatory-care-sensitive conditions to inpatient discharge data, the study found hospitalized Black patients more likely than their White counterparts to have experienced a PAH for chronic conditions. In contrast, Black inpatients' risk was lower than that of White inpatients for acute conditions after controlling for covariates. The results also showed the strong influence of insurance coverage. Finally, an analysis of racial differences in the relative risks for PAHs using data grouped by insurance status showed that hospitalized Blacks within each subset had a greater risk of having a PAH than hospitalized Whites, although the risk varied with insurance type. The variations of PAH risks across racial and insurance categories, together with the extra risks associated with chronic conditions, deserve greater examination. FAU - Chang, Cyril F AU - Chang CF AD - The University of Memphis, USA. FAU - Mirvis, David M AU - Mirvis DM FAU - Waters, Teresa M AU - Waters TM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080515 PL - United States TA - Med Care Res Rev JT - Medical care research and review : MCRR JID - 9506850 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Ambulatory Care MH - Hospitalization/*trends MH - Humans MH - *Insurance Coverage MH - *Insurance, Health MH - Middle Aged MH - *Racial Groups MH - Tennessee EDAT- 2008/05/21 09:00 MHDA- 2008/11/19 09:00 CRDT- 2008/05/21 09:00 PHST- 2008/05/21 09:00 [pubmed] PHST- 2008/11/19 09:00 [medline] PHST- 2008/05/21 09:00 [entrez] AID - 1077558708318283 [pii] AID - 10.1177/1077558708318283 [doi] PST - ppublish SO - Med Care Res Rev. 2008 Oct;65(5):596-616. doi: 10.1177/1077558708318283. Epub 2008 May 15.