Usual Source of Care, Avoidable Hospitalization and Selected Health Outcomes

Details

• Personal Author:
  Andrew B ; Blagogee B ; Peterson S ; Phillips R
• Description:
  Having a usual source of care is an indication of primary care access. The benefits to have a usual source of care include better problem recognition and prevention, earlier and accurate diagnosis, fewer hospitalizations, lower costs, fewer unmet needs, and less emergency department use. Also quality primary care access can potentially prevent unnecessary hospitalization for some medical conditions. High avoidable hospitalization rates have been shown to be associated with poor primary care access. But very few studies have looked into how having a usual source of care and areas with high avoidable hospitalizations impact health outcomes such as hypertension, diabetes, infant mortality, and low birth weight. OBJECTIVE: To determine whether there is association among usual source of care, avoidable hospitalizations, and selected health outcomes. HUMAN SUBJECTS REVIEW: N/A PARTICIPANTS: N/A DESIGN: Secondary data analysis of multiple pre-existing datasets. Factor analysis was done for some variables of interests from Behavioral Risk Factors Surveillance System (BFRSS), American Community Survey (ACS), Primary Care Service Areas (PCSA) and PCSA Medicare. These variables include social deprivation index (SDI), ethnicity factor, SES, no usual source of care, high cost of care, no checkup, avoidable hospitalization, and the selected health outcomes. SETTING: N/A INTERVENTION: N/A Main and Secondary Outcome Measures: Hypertension, diabetes, infant mortality, and low birth weight are the main study outcomes. ANTICIPATED RESULTS: We anticipate that those without usual source of care should have poor health outcomes. In addition, areas with high avoidable hospitalization rates should show poor health outcomes. CONCLUSION: If the hypothesized anticipated results do not hold, the underlying premise of usual source of care and avoidable hospitalizations as indicators of primary care access maybe undermined. [Description provided by NIOSH]
• Subjects:
  Health Care Facilities Workforce And Services Health Promotion Occupational Health Preventive Medicine Safety
• Keywords:
  Behavioral Risk Factor Surveillance System BRFSS Children Health Care Healthcare And Social Assistance Health Programs Health Protection Health Services Humans Preventive Medicine Sociological Factors

  More +
• Publisher:
  North American Primary Care Research Group
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Abstract or Summary
• Place as Subject:
  Connecticut ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• NIOSHTIC Number:
  nn:20049636
• Citation:
  North America Primary Care Research Group 39th Annual Meeting, Nov 12-16, 2011, Banff, Alberta, Canada. Leawood, KS: North American Primary Care Research Group, 2011 Nov; :P010
• Federal Fiscal Year:
  2012
• Performing Organization:
  Yale University School of Medicine
• Peer Reviewed:
  False
• Start Date:
  20010701
• Source Full Name:
  North America Primary Care Research Group 39th Annual Meeting, Nov 12-16, 2011, Banff, Alberta, Canada
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:ee9e9a753af65d2a7f31dfe007684057c16ac7ab0368508a9b906969cac8fbc265570b14328f4ec5e42f2c4a09bb685030bf1ad2219bb3db0fe6070ee65fd847
• Download URL:
  https://stacks.cdc.gov/view/cdc/210329/cdc_210329_DS1.pdf
• File Type:
  [PDF - 172.22 KB ]