Association between community health center and rural health clinic presence and county-level hospitalization rates for ambulatory care sensitive conditions: an analysis across eight US states

@article{Probst2009AssociationBC,
  title={Association between community health center and rural health clinic presence and county-level hospitalization rates for ambulatory care sensitive conditions: an analysis across eight US states},
  author={Janice C. Probst and James N. Laditka and Sarah B Laditka},
  journal={BMC Health Services Research},
  year={2009},
  volume={9},
  pages={134 - 134}
}
BackgroundFederally qualified community health centers (CHCs) and rural health clinics (RHCs) are intended to provide access to care for vulnerable populations. While some research has explored the effects of CHCs on population health, little information exists regarding RHC effects. We sought to clarify the contribution that CHCs and RHCs may make to the accessibility of primary health care, as measured by county-level rates of hospitalization for ambulatory care sensitive (ACS) conditions… Expand
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References

SHOWING 1-10 OF 75 REFERENCES
The role of rural health clinics in hospitalization due to ambulatory care sensitive conditions: a study in Nebraska.
TLDR
Elderly patients residing in rural Nebraska HPSAs with at least one RHC were significantly less likely to have a hospitalization due to chronic ACSCs, and the presence of RHC is a significant factor associated with fewer hospitalizations for chronic AC SCs among the rural elderly residing in H PSAs. Expand
Health care access in rural areas: evidence that hospitalization for ambulatory care-sensitive conditions in the United States may increase with the level of rurality.
TLDR
Increasing levels of rurality may be positively associated with ACSH, suggesting rural disparities in access to primary health care. Expand
The role of public clinics in preventable hospitalizations among vulnerable populations.
TLDR
The availability of public ambulatory clinics is associated with better access to primary care among low-income and elderly populations and this study found that populations in medically underserved areas served by a Federally Qualified Health Center had significantly lower PH rates than other MUA populations. Expand
Access to Health Care and Hospitalization for Ambulatory Care Sensitive Conditions
TLDR
Independent of prevalence, propensity to seek care, disease burden, and physician supply, better access was associated with lower ACSH rates, providing support for the ACSH indicator. Expand
Potentially Preventable Care: Ambulatory Care-sensitive Pediatric Hospitalizations in South Carolina in 1998
TLDR
A high percentage of children living in poverty and an absence of federally qualified community health centers were predictive of high county ACSC rates, and poverty and the absence of a provider serving low-income children increaseACSC rates. Expand
Hospital utilization for ambulatory care sensitive conditions: health outcome disparities associated with race and ethnicity.
TLDR
The analyses consistently show that African Americans and Hispanics have significantly higher rates of ACS hospitalization than non-Hispanic whites, and these higher rates persist after adjusting for disease prevalence and non-ACS admission rates, and for the inclusion of high variation conditions. Expand
Ambulatory Care Sensitive Hospitalizations and Emergency Visits:: Experiences of Medicaid Patients Using Federally Qualified Health Centers
TLDR
Having a regular source of care such as FQHCs can significantly reduce the likelihood of hospitalizations and ER visits for ACSCs, and substantial savings might be realized. Expand
More may be better: evidence of a negative relationship between physician supply and hospitalization for ambulatory care sensitive conditions.
TLDR
Physician supply is positively associated with the overall performance of the primary health care system in a large sample of urban counties of the United States. Expand
Ambulatory care sensitive hospitalization rates in the aged Medicare population in Utah, 1990 to 1994: a rural-urban comparison.
  • M. Silver, M. Babitz, M. Magill
  • Medicine
  • The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
  • 1997
TLDR
The results of the study show that Medicare beneficiaries residing in two rural-frontier regions were more likely than urban beneficiaries to be hospitalized for ambulatory care sensitive conditions. Expand
Comparative Effectiveness of Health Centers as Regular Source of Care: Application of Sentinel ACSC Events as Performance Measures
TLDR
A 4-state retrospective analysis of claims data from 1.6 million Medicaid beneficiaries to assess the performance of community health centers compared with other Medicaid providers indicated that Medicaid beneficiaries who relied on health centers for primary care were significantly less likely to experience an ACS admission or an ACS emergency visit. Expand
...
1
2
3
4
5
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