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Titolo:
Preventable illness and out-of-area travel of children in New York counties
Autore:
Basu, J; Friedman, B;
Indirizzi:
Agency Healthcare Res & Qual, Ctr Primary Care Res, Rockville, MD 20852 USA Agency Healthcare Res & Qual Rockville MD USA 20852 ckville, MD 20852 USA
Titolo Testata:
HEALTH ECONOMICS
fascicolo: 1, volume: 10, anno: 2001,
pagine: 67 - 78
SICI:
1057-9230(200101)10:1<67:PIAOTO>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
URBAN COMMUNITIES; CARE AFFECT; HOSPITALIZATION; RATES; CHOICE; PHYSICIANS; DISEASE; QUALITY; IMPACT; ACCESS;
Keywords:
preventable illness; hospital admissions of children; out-of-area travel; patient flows;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Basu, J Agency Healthcare Res & Qual, Ctr Primary Care Res, Suite 201,6010Execut Blvd, Rockville, MD 20852 USA Agency Healthcare Res & Qual Suite 201,6010 Execut Blvd Rockville MD USA 20852
Citazione:
J. Basu e B. Friedman, "Preventable illness and out-of-area travel of children in New York counties", HEALTH ECON, 10(1), 2001, pp. 67-78

Abstract

The long-distance travellers could be important to any cost-benefit assessment of policies to increase or improve local resources. This study examines the out-of-area hospital admission pattern for patients with Ambulatory Care Sensitive (ACS) conditions, also known as preventable conditions. The availability of local resources play a significant role for hospitalization for these conditions. Despite a growing literature investigating hospital choice, little is known about the effects of resource availabilities in local areas and patient characteristics prompting people to seek care at a longer distance from home for these conditions. Based on hospital discharge data for New York residents (children) admitted to hospitals in New York, Pennsylvania, New Jersey or Connecticut in 1994, the study uses logistic regression to predict travel out of the local area for ACS admission. The actual distance between residence and hospital is a highly skewed and problematic measure, but the crossing of county boundaries is a related and very usefuldichotomous measure of distant hospitalization. The study finds a strong association of types of insurance and availability of primary care with episodes of hospitalization for children outside the area of residence, after controlling for severity of illness and several other patient and county characteristics. Published in 2001 by John Wiley & Sons, Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 08/04/20 alle ore 08:41:07