PMID- 19413035
OWN - NLM
STAT- MEDLINE
DCOM- 20090526
LR  - 20221207
IS  - 0033-3549 (Print)
IS  - 1468-2877 (Electronic)
IS  - 0033-3549 (Linking)
VI  - 124
IP  - 1
DP  - 2009 Jan-Feb
TI  - Potentially avoidable hospitalizations in Tennessee: analysis of prevalence 
      disparities associated with gender, race, and insurance.
PG  - 127-37
AB  - OBJECTIVES: We determined (1) the relative rates of potentially avoidable 
      hospitalizations (PAHs) in Tennessee; (2) relative rates of PAHs among gender, 
      race, and insurance subgroups; and (3) adjusted population-based relative rates 
      of PAHs, taking into account the influences of unobservable factors such as 
      patient preferences, physician practice patterns, and availability of hospital 
      beds that can also affect PAHs. METHODS: We applied the Agency for Healthcare 
      Research and Quality's definitions of ambulatory care sensitive conditions 
      (ACSCs) to Tennessee hospitalization records to identify PAHs. Patient discharge 
      records for 2002 came from Tennessee's Hospital Discharge Data System. Population 
      estimates came from the U.S. Census Current Population Survey. Hospital 
      discharges with a complete record from all nonfederal acute-care hospitals in 
      Tennessee were considered. RESULTS: The relative rates of PAHs in Tennessee were 
      higher than the U.S. rates in each of the ACSC categories. The relative rates 
      were sensitive to adjustment for unmeasured factors such as patient preferences, 
      physician practice patterns, and the physician supply that were reflected 
      implicitly in the hospitalization rates of each subgroup for all discharge 
      conditions. Within Tennessee, the type of insurance each person held was the 
      greatest determinant of the likelihood of having a PAH, particularly for a 
      chronic condition. CONCLUSIONS: The results indicate poor health of the general 
      population in Tennessee and suggest opportunities to improve the provision of 
      primary care for specific ACSCs and population subgroups to reduce PAHs, 
      particularly the uninsured and individuals enrolled in Tennessee's Medicaid 
      managed care program.
FAU - Chang, Cyril F
AU  - Chang CF
AD  - Department of Economics, University of Memphis, Memphis, TN 38152, USA. 
      cchang@memphis.edu
FAU - Pope, Rebecca A
AU  - Pope RA
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Public Health Rep
JT  - Public health reports (Washington, D.C. : 1974)
JID - 9716844
SB  - IM
MH  - *Black or African American
MH  - Ambulatory Care
MH  - Chronic Disease
MH  - Female
MH  - *Healthcare Disparities/statistics & numerical data
MH  - *Hospitalization/trends
MH  - Humans
MH  - Infant, Low Birth Weight
MH  - Infant, Newborn
MH  - *Insurance Coverage
MH  - *Insurance, Health
MH  - Male
MH  - Middle Aged
MH  - Tennessee
MH  - *White People
PMC - PMC2602938
EDAT- 2009/05/06 09:00
MHDA- 2009/05/27 09:00
PMCR- 2010/01/01
CRDT- 2009/05/06 09:00
PHST- 2009/05/06 09:00 [entrez]
PHST- 2009/05/06 09:00 [pubmed]
PHST- 2009/05/27 09:00 [medline]
PHST- 2010/01/01 00:00 [pmc-release]
AID - 17_Chang [pii]
AID - 10.1177/003335490912400116 [doi]
PST - ppublish
SO  - Public Health Rep. 2009 Jan-Feb;124(1):127-37. doi: 10.1177/003335490912400116.