Preventable hospitalizations and access to health care.
- To examine whether the higher hospital admission rates for chronic medical conditions such as asthma, hypertension, congestive heart failure, chronic obstructive pulmonary disease, and diabetes in low-income communities resulted from community differences in access to care, prevalence of the diseases, propensity to seek care, or physician admitting style.
- Analysis of California hospital discharge data.
We calculated the hospitalization rates for these five chronic conditions for the 250 ZIP code clusters that define urban California.
We performed a random-digit telephone survey among adults residing in a random sample of 41 of these urban ZIP code clusters stratified by admission rates and a mailed survey of generalist and emergency physicians who practiced in the same 41 areas.
- Community based.
- A total of 6674 English-and Spanish-speaking adults aged 18 through 64 years residing in the 41 areas were asked about their access to care, their chronic medical conditions, and their propensity to seek health care.
Physician admitting style was measured with written clinical vignettes among 723 generalist and emergency physicians practicing in the same communities.
Main Outcome Measures
- We compared respondents'reports of access to medical care in an area with the area's cumulative admission rate for these five chronic conditions.
Mots-clés Pascal : Maladie, Chronique, Taux, Hospitalisation, Accessibilité, Soin santé primaire, Etats Unis, Enquête, Corrélation, Homme, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Disease, Chronic, Rate, Hospitalization, Accessibility, Primary health care, United States, Inquiry, Correlation, Human, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0468800
Code Inist : 002B30A01C. Création : 01/03/1996.