Potentially preventable hospitalizations for acute and chronic conditions in Alaska, 2010–2012

Autor: Prabhu P. Gounder, MD, MPH, Sara M. Seeman, MSPH, Robert C. Holman, MS, Alice Rarig, PhD, MA, MPH, Mary K. McEwen, MPH, Claudia A. Steiner, MD, MPH, Michael L. Bartholomew, MD, Thomas W. Hennessy, MD, MPH
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Preventive Medicine Reports, Vol 4, Iss , Pp 614-621 (2016)
Druh dokumentu: article
ISSN: 2211-3355
DOI: 10.1016/j.pmedr.2016.03.017
Popis: Objective: The U.S. Agency for Healthcare Research and Quality's Prevention Quality Indicators comprise acute and chronic conditions for which hospitalization can be potentially prevented by high-quality ambulatory care. The Healthy Alaska 2020 initiative (HA2020) targeted reducing potentially preventable hospitalizations (PPH) for acute and chronic conditions among its health indicators. We estimated the PPH rate for adults aged ≥18 years in Alaska during 2010–2012. Methods: We conducted a cross-sectional analysis of state-wide hospital discharge data obtained from the Healthcare Cost and Utilization Project and the Indian Health Service. We calculated average annual PPH rates/1000 persons for acute/chronic conditions. Age-adjusted rate ratios (aRRs) were used for evaluating PPH rate disparities between Alaska Native (AN) and non-AN adults. Results: Among 127,371 total hospitalizations, 4911 and 6721 were for acute and chronic PPH conditions, respectively. The overall crude PPH rate was 7.3 (3.1 for acute and 4.2 for chronic conditions). AN adults had a higher rate than non-AN adults for acute (aRR: 4.7; p
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